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Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kleman Court,Salida,CA 95368 <br /> FEB 2 4 2015 <br /> George W. Lowry, Inc. Phone:209,54"791 FAX209-545-2241 <br /> fiP Environmental services Divisi.n EPA#CAR000047019 <br /> George <br /> ENVIRONPAENTAL <br /> CA Transporter Number 38" <br /> '7g 4TeprA1T <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: <br /> L G+i L) ILL 5r k,-- —7 -7 Shipment Date: <br /> Contact Person: ��— I <br /> Name: P, (, j ,I .'_C,:4' J Driver Signature(Printed): <br /> Address: 2' ? 72 S. _LLLI,, Truck# <br /> City,State,Zip: t,;4.+_ V <br /> PON <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity Units Price Amount <br /> cede <br /> Non-RCRA Hazardous Waste Liquid!(Used Oil):Lubricafing 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antfireeze) 134 G.1 <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 GM <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 <br /> Drained Used Oil Filter Dwm(s) <br /> Empty Drum(s) fs� <br /> 'Transporblion&Truck Time "R. <br /> ij!" <br /> Unless otherwise spot fieri onthis Consolidated Manliest Receipt(Invoice)Terms: Accounts due mthe lftolme month following month ofpurchase. Past due Total <br /> amountswill bechxrgedaFINAIICECllARGEatHie PERIODIC RATE&1-1/2%Permenth,which islheMNUAL PERCENTAGE R 1­Edm%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be eciommically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc. hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used of also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for closure and accidental releases- It is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X if e, <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 0 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 5028 <br /> 209-7544600 715-69B-3363 <br /> Recycling CAL000214411 WIRDOD0297511 Addrasi,; <br /> &Disposal Q CRY,sude,Zip: <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1516 S.River Road <br /> Riverbank CA 96367 West Sacramento,CA 95691 Phene: <br /> 209-863-8181 916J715747 <br /> CAL0000190817 CAD0040035M SPAM: <br />