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Malting:P.O.Box 176,Salida,CA 95368 REG FIVED <br /> 4612 Kiernan Court,Salida,CA 95366 <br /> �� FEB 29'16 <br /> •�eor' e W I:.OW , Inc. � - Phone: FAX 209.546-2241 <br /> EnvironmentalS�ervices Dlvlsic EPA#CAR000047019 <br /> CA Transporter Number 3844 ENVIRONMENTAL <br /> CA license#758518 HEA.I 1'f'SpA RTk4PNIT <br /> GENERATOR: Consolidated.Manifest Pvoice: ., 251 4 <br /> Site EPA iD M CAI 61)D 30B <br /> Contact Person: Shipment Date: , <br /> Name: Driver Signature(Printed)^: I <br /> A6 lid <br /> Address: Truck# _ <br /> City,State,Zip: <br /> 1'o# <br /> Site Phone: <br /> Product wasre CA Manifest#0 Quantity units Price Amount <br /> Code <br /> on•RCRA Hazardous Waste Liquid(Used 00):Lubricating 221 34- <br /> Non-RCRA hazardous Waste Liquid(Used Oil):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antikeze) 134 Get <br /> Non-RCRA Hazardous Waste Liquid(oil&Water) 221 Gar <br /> Non•RCRA Hazardous Waste Solids Contaminated with Used Oil 223 mumisl <br /> Drained Used Oil Filter Drum(s) +mta) <br /> Empty Drum(s) Each <br /> Transportation&Truck rum HR. <br /> Hazardous Test <br /> Unless otherwise specified on fh Gonsoodated Manifest Receipt(Imoioe)Terms:Accounts due on the loth orthe month following month of punxhase.Past due TOtdj " <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which Is the ANNUAL PERCENTAGE RATE of 16%. <br /> By signing this receipt,the'Generator certifies that a program has been established to reduce the volume or quantty.and toxicity or 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 tc 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 regUired to comply with federal regulations applitxble 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 facl'lities that handle or <br /> process used oil are.required to meet those more-stringent requirements,and some out-of-state facilities that process cued oil also meet those require- <br /> ments.These include,mate stringent.leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <br /> for closure and accidentai releases. It is lawful to send used oil to but of state facilities that Compiy onty with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Slgn tur�•� i <br /> Signature of Generator,Representative or Agent of Generator <br /> i M � <br /> . 13 <br /> i <br /> Greenleaf Environmental Cfj1-R cycling. } <br /> 3474 Toyon Cr. /101 Hagen Drive <br /> i' <br /> Valley Springa,CA 95252 / Woodviile,Vin 54028 Name: <br /> 209-754-4600 i'' 715-690-3363 <br /> CAL000214411 WIR000029751 Address: <br /> Recycling f <br /> ctty,state;zip: <br /> t'BCIIIt1eS Riv rbank Ail Transfer 5300 Ramos Environmental <br /> Claus Road 1616 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone:. <br /> 209-063.8181 916.371-5747 <br /> CAL0000190817 CAD004003656 EPA to: <br />