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1 Mailing:P.O.Box 176,Salida,CA 3 VIIE <br /> 7 ' R 4612 Kiernan Court,Salida,CA 95368 <br /> George W. i-owM Inc. �`. Phone:2094545.0791 FAX 209-545-2241 FEB 17 210J6 <br /> i Environmental Services Division EPA#CAR000047099 <br /> CA Transporter Number 3044ENVIRONMENTAL <br /> CA License#758518 FEALT14 nFRARTMIFNT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: I'l " C <br /> � Shipment Date: <br /> Contact Pers 9: � <br /> Name: fr Driver Signature(Printe <br /> Address: - , Truck#1115 <br /> City,State,zip: <br /> PO# <br /> Site Phone: <br /> Product -Waste CAMenifest#0 Quantity units P&e ,,AlfiountCode <br /> ' <br /> on•RCRA Hazardous Waste Liquid(Used 011}:Lubdcating 221 �j L3 <br /> E Gu <br /> 1 Non-RCRA Hazardous Waste Liquld(Used Oil):Industrial , 221 <br /> r., <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 001 223 beum(si <br /> ',®['atm Used Oil Filter Dntm(s) - <br /> Empty Drum(s) Each <br /> Transportation&Truck Trim HR. <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Terms:Accounts due on the 10th of the month following month of pmhase.Past due Total - <br /> acoounts will be dharged.a FiNANCE CHARGE at the PERIODIC RATE of 1-112%per month,which Is the ANNUAL PERCENTAGE RATE of 18%. ' L <br /> By signing this rec elpt,the Generator certifies that s program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a tee r rcf� <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste fisted on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note:George W.Lowry,-Inc.hereby advisee 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 oil 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 accidents[releases. It is lawful to send used oil to out of state facilities that comply only with the Federal used bit manerf tent stan- <br /> dards and not these mote stringent requirements. <br /> This notification is for information only. Lowry Driver Sign re X <br /> Signature of Generator,Representative or Agent of Generator: <br /> 13 <br /> Greenleaf Environmental CRI RednLipg ;} <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 58028 Narrm ! <br /> 209-4715.6983363 1 <br /> C L00 144 VAR000029751 1 Address: i <br /> Recycling I <br /> &Disposal <br /> Facilities Or Transfer 5300 Ramos Environmental city.state,Zip: <br /> Clates Road- 1515 S.River Road f <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone:. <br /> 2"3-8181 916371-5747 <br /> CAL0000190817 CAD004003666 EPA IM <br />