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Mailing:P.O.Box 176,Salida,CA 986ECEIVED <br /> 'k' <br /> 4612 Klernfin Court,Salida,CA 95368 <br /> Ge*CgeW. Lowm Inc. phone.2095464791 FAX 209-546-2241 FEB 17 2016 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 38" ENVIRONMENTAL <br /> CA License#756518 <br /> HEA.!,TH r%l7P4RTMF:KIT <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> 25056 <br /> Site EPA ID#: 00 6 __3IqR Shipment Date: <br /> Contact Person: <br /> Name: RFI- eA J12-110 Driver Signatury(Printed) <br /> Address: /12-6 ruck# <br /> City,State,zip: <br /> —S;&— .00 <br /> Site Phone: <br /> FE <br /> Product Waal- CA Manifest#0 Quantity units Pike Amount <br /> Code <br /> Aon-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 <br /> -2-07 <br /> QW13V- 5 - Zc)b Gal <br /> Non-RCRA Hazardous Waste Liquid(Used 01Q:Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(01il&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Will Used Oil 223 <br /> ,pralned Used 00 Filter Drum(s) <br /> Empty Drum(S) Each <br /> Transportation&TruckTirm tiR <br /> Hazardous Test <br /> Ude-othery4se specified on this Consolidated Manifest Receipt qnvo;w)Tanrw.Accounts due an the 10th of the month follaiift month ofpschase. Past due <br /> To <br /> counts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which Is the ANNUAL PERCENTAGE RATE or 18%. l <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and to)ddty 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 Is(Generator's signature) <br /> shipment of used oil may be transported to a6clifty 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. Calffomla facilities that handle or <br /> process used oil are recluired-to meet those more stringent requirements,and some out-of-state facirdes 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 accidental releases. It Is lawful to send used oil to out of state facilities;that comply only with the Federal used oil management stan- <br /> dards and not these more stringlent requirements. _7 <br /> This notification Is for Information only. Lowry Driver Sign_ <br /> Signature of Generator,Representative or Agent of Generator.'<_A; <br /> 0 <br /> . <br /> Greenleaf Environmental Rqcycllinq <br /> 3474 Toyon Cr. A Hagen Drive <br /> viney Springs,CA 95252 �Woodvillem W1 54028 Nam: <br /> 209-7544800 715898-3363 <br /> CAL000214411 MR000029761 Address. <br /> Recycling �. <br /> I'aCllltleSR?verbank Oil Transfer 5300 Ramos Environmental city,State,23p: <br /> Claus Road 1515 S.River Road <br /> Riverbank CA 96367 West Sacramento,CA 95691 Phone: <br /> 200-863-8181 916-371.6747 <br /> CAL0000190817 CA0004003656 -EPAID; <br />