Laserfiche WebLink
E E 1V E C <br /> a Mailing:P.O.Box 176,Salida,CA 95368 <br /> -; 4612 Kiernan Court,Salida,CA 95368 FEB 17 2016 <br /> George W. Lowry, Inc. i. Phone:209,54S-0791 FAX 209,545-2241 <br /> Lo 1. <br /> Enintal Services Division ' EPA tiCAR0000470i9 <br /> 7v,,-r0,nm,' <br /> CA Transporter Number 3844 ENVIRONMENTAL <br /> CA License#758518 HFA.1TH RWOA RT Y;ZKIT' <br /> GENERATOR: <br /> ,r 8 Consolidated Manifest Invoice: ^ •- +� <br /> Site EPA ID N: �. w 4 <br /> Contact Person: Shipment Date: _ C( <br /> f <br /> me: A Driver Signature(Printed): <br /> dress: " 2 ^�f� P Truckty,State,Zip: I: �1 .. Ce Phone: PO# <br /> Product waste CA Manifest#0 Quantity units price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 01):Lubricating 221 ! , Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 V Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Aniffreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gar <br /> Mon-RCRA Hazardous Waste Solids Contaminated vAlh Used all 223nKsi <br /> Drained Used 011 Filter Drum(s) orum(sl <br /> Empty Drum(s) Each <br /> Transportation&TtuckTime NR <br /> Hazardous Test <br /> Unless oiherMse specified on this Consorideted Manifest Receipt(Invoice)T—.Acmirils due on the 10th of the mmM following month of purchase. past due <br /> scoOunts will be charged a FINANCE CHARGE at Hie PERIODIC RATE or 1-12%per month,which is the ANNUAL PERCENTAGE RATE of 19%. Tota! <br /> a, . <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxidty 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 Cafes as listed above. <br /> Note:George W.Lowry,Inc.hereby advises the Generator that:X `s(Generator's signature) <br /> shipment of used 00 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. Califomia facilitles that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that procass used oil also meet those require- <br /> ments These include mare stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for dosure and accidental releases. It is(awful to send used oil to out of state fact <br /> �1 [y 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 Stature <br /> X <br /> _ re <br /> r <br /> Signature of Generator,Representative or Agent of Generator: X�. <br /> 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodvllie,WI 54028.. ane: <br /> 209-7544600 715-6983363 <br /> Recycling CAL000214411 WIR000029751 ' Address: <br /> &Disposal <br /> FaCilitieS Riverbank oil Transfer 5300 Ramos Environmental City,State,Zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 20"63-8181 916-371-/47 <br /> CAL0000190817 CADOW036M <br /> EPAID: <br />