Laserfiche WebLink
C� 7 <br /> Mailing:P.O.Boz 176,Salida,CA 95368r- <br /> 4612 Kiernan Court,Salida,CA 95368 f E0 .I 205ge W.Lowrylnc Phone:209545-0791 FAX 209.545- , 3ental Services Division EPA <br /> CA Transporter Number 3844 f{r_p <br /> LA License#:768518 / <br /> GENERATOR Consolidated Manifest Invoice: f ( � ' <br /> Site:EPA1DM C (,J "a -fi \ <br /> t..ixt1 ((�1 ? z.e ,y Shipment Date: i <br /> Contact Person: my�'^ <br /> Name: 2 £s.•i.+:;" c er•fl !` '{s DrivecSignature�(♦rinted).- „ 'J3a n ,r <br /> Address. ,Yc �,`- .,�v s , > Truck# <br /> ) L <br /> City,State.Zip: t:F 3 ac�^..,r.�•c`'r�`.cv. r {.G-'7 <br /> Site Phone: J PO N <br /> Product waste CAManifest#0 Quantity Unite .Price Amount <br /> Coda <br /> Non RCRA Hazardous Waste Liquid Used Oil;Lubricatin 221 J'' -r Gal . , <br /> Non-RCRA Hazardous Waste Liquid(Used Oil).:Indushial 221 Gat <br /> Non RCRA Hazardous Waste Wuid.(Used Automotive Antifreeze) 1.34 -Gate - <br /> 'Non RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> iNon RCRA Hazar dous Waste Solids Contaminated with Used Al 223 lonimle) <br /> ,Drained Used Oil Fitter Drum(s).. - Dun(s) <br /> r <br /> Empty Drum(s).- .. , <br /> ransportation&TmckTime -d- HR. a� <br /> Hazardous Test <br /> Unless oNennse speofied on the ConsN!tlatedM .Yest'R.oipt(Invoko)Terns. Ac nlsduaonihelBPiar monthfollomrgmon epuchase Pan dua Total <br /> a¢ounts willbe CrargeCa FINANCE CHARGE at the PERIODIC RATE ofl12%per month;whrc is the ANNUAL PERCENTAGE RATE or 18%. f vt <br /> de signing this receipt r a Generator crtorni that a program has been established to reduce the volume or quantity and toidciry,of the waste to a degree as <br /> determined by the generator,4o be ecorrominlly,practicable.. <br /> .,Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codesas'listed above. <br /> Note: George W. Lowry,Inc. herebyadvises:the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transportedto a facility that is required to comply with.federal regulations applicable to management of used oil but that is <br /> notrequiredto comply with the more stringent requirements applicable to hazardous waslemanagement facilities. California facilities that handle or <br /> process usedoil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those require- <br /> ments These include more.stringent leak detection and prevention requirements,engineering cemfications of tank integrity,and'financiaPassurances <br /> for closure and accidental releases It is lawful to send used oil to outof state facilities that comply only withtheFederal used oil management stan- <br /> dards,and not these more,stringent requirements. <br /> This notification is for information only. Lowry Driver Slghature X-'t <br /> Signature of.Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474ifoyon Cr. 101'Hagen Drive <br /> Valley;Springs;CA 95252-. Woodville,W154028. 7Add.: <br /> -209-7544600 715598-3363 <br /> CAL000214411 WIRD00029751 ecycling a f ,/, <br /> DisposalFacilitiesrbankOilTransfer 5300 Ramos EnvlronmeMale'ZP. <br /> Claus Road 1515 S-River Road <br /> Riverbank,:CA'96367 West Sacramento,CA 95691 - <br /> 209-8635181 - 916-371-6747 <br /> CAL0000196817 CADOD4003656 <br /> EPA ID: <br />