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RECEIVE'[) <br /> o Mat"ag:P.O.Box 176,Salida,CA 96368 <br /> 4612 Kiernan Court,Salida,CA 953682016 <br /> Ge®!'qt3 Low N, Inc. t ° phone:209Sg5-0791 FAX 209.545-2241 FEB 17 <br /> Environmental Services Division ® i.;{ EPA#CAR000047019 <br /> ---•^ ; ^ .rz_ s=^ V-� .i CA Transporter Number 3844 <br /> ENVIRONMENTAL <br /> ...•_X CAUeensed756518 HFAITH n;:QARTk4I= 1T <br /> GENERATOR:. Consolidated Manifest Invoice: _ <br /> Site EPA e... i : 3 <br /> ` <br /> Contact Pon Shipment Date:a #6, <br /> —•-f <br /> i Name: ll <br /> 'rDriver Signature(Prin <br /> : t <br /> n <br /> r <br /> Address " G' • ' a Truck "'! <br /> City,State,zip: __ dd�a <br /> Sttg Phone: ! PO# <br /> Product Waste CA Manifest#0 Quantity Unita pie Amount <br /> 1 <br /> CRA-Ftli"zaW=Waste Liquid(Used t1):Lubricating <br /> .• c j, .. <br /> -r Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 to <br /> Non RCRA Hazardous waste Liquid(Used Aubnobe AnG6eeze) 134 <br /> Non-RCRA Hazardous Waste Liquid(t}t&Water) 221 <br /> Non RCRA Hazardous Waste Solids Containtiated with Used Oil 2?3 fie, <br /> .ems <br /> Drained Used 011 Fftr-Drums) stat <br /> Empty Drum(s) Each <br /> Trarsporl3l<0n&Truck Time wR <br /> Hazardous Test <br /> Unless othendw specified on this Consclidsted Merdresi Receipt(rnvoioei Terme:Acoomts.dua on the rota orthe month W&WIF19 month orpmrlrase. Past duo Total <br /> aamunts will bs charged a FINANCE CHARGE at the PERIODIC RATE of 141216 per month,which is Ude ANNUAL pERCENrAGE RATE of 1a%. <br /> BY signing this receipt,the Generator certifies that a program has been esmbtfshad 4o reduce the volume or quantify and toxicity of the hazardous waste to��d�r <br /> �- <br /> determined by the generator,to be eoDr*Wea8y ptaciiceble- re . <br /> Generator certires that ail Hazardous Waste listed on tins Consolidated Manirest Reoeipt 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 regtired 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 out-af state facililies that process used oil also meet those require- <br /> ments These include more stringent teak detection and prevention requirements,engineering certifications of tank integrity,and financial as,ju�rances <br /> for Closure and accidental releases. it is lawful to send used ON to out of state facifiil s that comply on with the Federal used oil ma e�erM stan- <br /> dards and not these more stringent requirements. . <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,.Representative or Agent of Generator: X <br /> Gneenleaf.Environmentat CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Vallay.Springs,CA 95252 WoodvNe.W154028 Name: <br /> 20971546983368 <br /> R@C CIIrt -AZL70j'Slt144 11JVAROM29751 Adder: <br /> c1tY <br /> lTnsfer 5300 Ramos Environmental ,Steto,ap:ad 1515 S.River Road <br /> R(ver bank,CA 96367 West Sacramento,CA 95691 phone <br /> 209.863.818i 916371.5747 <br /> CAL-0000190817 CAD004003556 EPA ID: <br />