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JVI <br /> UEI I.D <br /> iiia MaltiKiernan court,: Box 178satidaaaGA x5369 <br /> FEB 2016 <br /> George W. Lowry, inc. i Phone:209545-0791. FAX 209545-2241 <br /> ' Environmental Services Division <br /> - _ - EPA#CAR000047019 <br /> CA Transporter Number-3844 }{iii I-1 rIFPA )MF_NT <br /> CA License#758518 <br /> GENERATOR Consolidated Manifest Invoice: <br /> 24009 ( <br /> Site EPA ID# _ ` ! Shipment Date: ..— <br /> Contact Peep n: 1k <br /> Name: +? t Driver Signature(Pri d)v. <br /> "' <br /> Address: —// 7 PY <br /> . � `_�y',p' Truck# C.t <br /> city.State,Zip: _4 �� <br /> PO# <br /> Site Phone: {` <br /> Product waste CAManifest#0 Quantity units pike ,Apount �f[J <br /> Code �,, (� r <br /> r-RCRA Hazardous Waste Liquid(Used 017):Lubr(a lq alt 3 >i .�� � "' //' <br /> Non-RCM Hazardous Waste Liquid(Used Of):industrial 221 Gat <br /> Non RCRA Hamidous Waste Liquid(Used Automotive Anthem) 134 Gar <br /> ,pRCRA Hazardous waste Liquid(0111.Water) 221 Gat <br /> -RCRA Hazardous waste Soft coi laminated wm used OR zz3 f7 <br /> Drained Used ON Filter Drum(s) orum(s) <br /> Empty Drums) Eacb _ <br /> Transpodation&Truck Tlma HR. <br /> Hazardous Test <br /> Unless oUmmise sPecftd bn ft Consoodated Manifest Receipt(►nvo—)Temic'A=ourds due on e,e 10m orthe monNr forowiri npnlh of puri ttese.Past due Total p <br /> .accounts wail be dtarged a FINANCE CHARGE at 8me PERIODIC RATE of 1-912%par iogMh wfHde is the ANNUAL PERCENTAGE RATE of is%. <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 economically preWcabte. <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 mar 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 /> prose used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those requ ge- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial ass <br /> Woes <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilitiesthat comply only with the Federal usW o mann ggstan- <br /> dards and not these more stringent requirements. ,+' <br /> This notification is for information only. Lowry Driver Signature X 1 <br /> Signature of Generator,Representative or Agent of Generator: X .�1 `L•'l- -�'�"'"" / - <br /> j <br /> Greenleaf E vironmental CRI Recycling <br /> 3474 Toyolp(4 101 Hagen Drive <br /> Valley rings,CA 9 52 Waodvilie,Wi 54028 = <br /> ' 09-7 O0 715-6985363 <br /> 0214111 WiROOD029751 : <br /> Recycling j <br /> &Disposal <br /> Facilities Rive n T aster 5300` Ramos Environmental <br /> �ty.stato,Zip: <br /> GClaus cad 1515 S.River Road <br /> - Riverbank,CA 96367 West Sacramento,CA 95691 Phona: <br /> 209-863-8181 1 916371-6747 <br /> CALM0190817 CA0004003ti56 EPA ID: <br />