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"EIVED <br /> o Ma'm :P.O.Box 176 Salida CA 95368 REu <br /> Y 4612 Kieman Court,Salida,CA 95368 <br /> George W. Lowry, Inc. .'• c Phone:209-5454781 FAX 209.545-2241 FEB 1 71016 <br /> Environmental Services Division EPA#CAR000047019 <br /> Ai �==L.j�-�----�--•---�----�- � Ph CA Transporter Number 3844ENVIRONMENTAL <br /> CA License#758518 HE@ITIJ r1C04pTVCArr <br /> GEAEERATOR: Consolidated Manifest Invoice: S`:, . 24720 <br /> Site EPA iD#: C Shipment Date: ! � ! / <br /> Contact Person: 1 j l <br /> Rte: Driver Signature(Printed): ,f rr <br /> ✓/ c <br /> Address: IF <br /> X� �- Truck# <br /> City,State,Zip: �( f <br /> Pd# <br /> Site Phone <br /> r, <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used ot):lubricating 221 r`� .•� Gat d f <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gat <br /> Non RCRA Hazardous Waste liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Cil&Water) 221 Gat <br /> Non-RCRA Hazardous waste Solids Contaminated with used oli 223 >h++nK=► <br /> Drained Used oil Flter brum(s) Drum(a► <br /> Empty Drum(s) Each <br /> Transportation&Truck nme HR <br /> Hazardous Test <br /> Unless oWeneise spedfied on tMs Consdidated IMnWast Reeelpt(rnvcice)Teems:Accounts due as rha 10th or the moms following monM of pu-chase.Past due Total . <br /> accounts Wl be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%per month,which is the ANNUAL PERCENTAGE RATE of 1e%. <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 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 oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering oertificadons of tank integrity,and financial assurances <br /> for closure and accidental releases. it is lawful to send used oil to out of state f>�Icilties.tttat ply only with the Fad kysed oil management stan- <br /> dards and not these more stringent requirements. ^` "! <br /> This noff ication Is for information only. Lowry Driver Sig t refix I <br /> X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs;CA 95252 Woodville,tai 54028 Nasi <br /> 209.7544600 71"983363 <br /> CAL000214411 WIR000029T51 Address: <br /> Recycling <br /> FaCilil7eS Riverbank Oil Transfer 5300 Ramos Environmental CRY,state,Zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phoner <br /> 209463.8181 916371-5747 <br /> CAL0000190817 CAD0040035W EPA to: <br />