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RI uEIVED <br /> S Malting;P.O.Box 176,Salida,CA 98368 <br /> � <br /> F 4612 Kleiman Court,Salida,CA 96368>George W. �.owm Inc. FJ Phone:209-SWO791 FAX 2oss4s-i2a1 FEB 17 2016 <br /> ' Environmental services Division Fe EPA#CAR000047019 <br /> IJI <br /> CA Transporter Number 3944 <br /> ENVIRONMENTAL <br /> � r <br /> CA License#758516 <br /> HF..A_1TH nI=PARTkAFnFr <br /> GENERATOR: Consolidated Manifest invoice: `'� <br /> �.l tit;: <br /> ' 25403 <br /> Site EPA ID ttR3C . <br /> Contact Penson: Shipment Date: s t � <br /> Name: �PAA4 Driver Signature(Printed): /lam <br /> Address: f �'� ' 9 a1 Truck# ^► L <br /> City,State,Zip: <br /> Site Phone: PO# <br /> Product waste CA Manifest#11 Quantity units Plical Amount <br /> Code <br /> .14on-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 f �,U Gat <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gat •J <br /> Non RCRA Hazardous Waste Liquid(Used Automotive AntlTreeze) 134 Gal <br /> NarRCRA Hazetdous Waste Liquid(Oil&Water) 221 Gat <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 223 ttmmdal <br /> Drained Used Oil 1=iiterDrum(s) Drum(s) r <br /> Empty Drum(s) Each <br /> Transportation&Truck Time In <br /> Hazardous Test <br /> Unless otherwise speeded on Oils CormIldated Man7ed Receipt(Invoice)Terms Accounts due on Cie loth ci die muab fanowina north of purchase. Past due Total <br /> accounts wit be dorged a FINANCE CHARGE at the PERIODIC RATE of 1-N296 per month,whirls Is the ANNUAL PERCENTAGE RATE of 18%. <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 fisted 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 haurddus waste management facilities. California facilities that hand!-or <br /> Process used oil are required to meet those more stringent requirements,and some out-of-state fadlities that process used off 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'oll to out of state faci ,Utat comply only,%54 the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> fillplis <br /> This notification is for information only. LowryDriver Sdgnture X <br /> Signature of Generator,Representative or Agent of Generator: ' X <br /> Greenleaf Environmental CM Recycling <br /> 3474 Toyon Cr. 100 Hagan P40 <br /> Valley Springs,CA 95252 Woodvitie,VYl 540 nanr <br /> 209-7544M 716698.3363 <br /> Recycling CAL00021411 WiROOD029751 Addmw: <br /> FaCilttie3 R6rbank Oil Transfer 5300 Ramos Environmental Cnr.State,tap: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Ptpne: <br /> 209$638181 916371-5747 <br /> CALODOO190817 CA0004003586 EPA RD: <br />