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tiECEIVE <br /> st Matting:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368 5 •,,17 2016 <br /> George W. Lowry, Inc. f;t Phone:209545.0791 FAX 209546.2241 <br /> i <br /> Environmental Services Division { �: ..•..g. EPA#CAR000047019 ENVIRONi�ENTAI <br /> _ CA Transporter Number 3844 <br /> CA license#766516 H E!TH nFOARTMENT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> t <br /> Site EPA rn#: ~f...� �� �'.� �-, <br /> Contact Person: Shipment-Date: d f r <br /> Name: A620P A/ Driver Signature(Printed): <br /> Address: Z ' <br /> .Truck# <br /> Crty,State,2tp:t �' G!'� � �� '°'• <br /> Slfe Phone: <br /> PO# <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> -Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 2211 (= 1- �t ,+� Gat <br /> Non-RCRA Hazardous Waste L'pgid(Used Ok:Industrial 221 sC + tJ G <br /> Non ftCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 . Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drurn(sy <br /> Drained Used Oil FilterDium(s) Drums) <br /> Empty Drum(s) Each <br /> Transportation 9Truck Time lilt.. l <br /> r <br /> Hazardous Test <br /> Unless olherw'rse ,•''t � . <br /> specified on this Consolidated MOWIM Receipt(invoice)Terms:Accounts due on the 10th of Ute month following month o►Prchase. Past due <br /> accounts will be charga FINANCE CHARGE at Uro PERIODIC RATE of 1-1r2%per month,which is the ANNUAL PERCENTAGE RATE or 18%. Otdl '! <br /> d <br /> By signing this receipt,the Generator <br /> rator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste` <br /> fd <br /> ee asdetermined by the generator,to be economtcallyi pratdicabfe. <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. Lowly inn.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 regdired 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 tint-of-state facilities that process used oil also meet those require- <br /> Tents These incii)de 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 listed oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature l <br /> Signature of Generator,Representative or Agent of Generator: X <br /> arty J <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> valley Springs,CA 96262 Woodville,WI 54028 Nom: <br /> 209.754.4600 71".984363 <br /> iteC Clin CAL000214411 WIR000029761 Aadresa:. <br /> �Disposal �' <br /> Facilities City,state,Tip: <br /> Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1SiS S.River Road <br /> Riverbank,CA 96367 West Sadramento,CA 95691 tl,one: <br /> 209-863-8181 91637.1;4747 <br /> CAL0000190817 CADOOM3656 <br /> EPAID: <br />