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'RECEIVED <br /> ,e marling:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kleman Court,Salida,CA 96368FEB2016 <br /> ':.George W. Lowry, Inc �, Phone:209-54"'191 FAX 209-545-U41 <br /> Environmental Services Division EPA#CAR000047019 <br /> ENVIRONMENTAL <br /> i - CA Transporter Number 3849 <br /> ( $•1IF.,Q!TH IN;:PARTYPNIT <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: - B <br /> Site EPA ID#: r t ,""'y <br /> ' RShipment Date: — <br /> Contact perri _ �, <br /> Name. pj Driver Signature(Printer . ,. <br /> • d 3 d"t� <br /> w.r , � <br /> Address: �''' �, ; Ft Truck# <br /> PIN <br /> CitY,State,Xip: " <br /> No ph..: <br /> f PO# <br /> ne <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code r10 <br /> RCRA Hazardous waste Liquid(Used Olt):lubrieaing 221 d` Gal ^ <br /> Non-RCRA Hazardous,Waste Liquid(used 011):industrial 221Gd 1 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anli mm) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(09&Water) 221 Gar <br /> Non•RCRA.Hazardous Waste Solids Contaminated with Used 011 223 D►irmtsl <br /> Drained Used Oil Fi ter Drum(s) (sl <br /> EmptyDrum(s) Each <br /> Transportation&Truck Tims. HR <br /> Hazardous Test <br /> Unless Whanvie9 epe6fied on Ude Consolidated Manifest Receipt(invaoe)Terms Aomunte doe on the iUte of the morAhe toeowinp moreltr of ptetdtase. Pestdua Total <br /> scmunts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of ta%. /�(;� <br /> By signing this recelpt,the Generator certifies that a program has been established to reduce the volume or quantity and twdcity of the hazardous wa a•d' <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that ail 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 '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 hazardous waste management facilities. Caliiomia facilities that handle or <br /> proem used oil are required to meet.those more stringent requirements,and some out-of-state faculties that process used ori also nit than uire- <br /> ments These include more stringent leak deie�ctlon and prevention requirements,englimring cartifi�ans of tank integrity,and liinand al ass ngces <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 manpient stan- <br /> dards and not these more stringent requirements. ,r+ <br /> This notification is for information only. Lowry Driver Signature X • a,F <br /> Signature of Generator,Representative or Agent of Generator: X 4 (:4111 khj <br /> 1369enteaf Environmental" CRI R0 yeIIng. <br /> 3.474 Toyon Cr. .101 Hagen Drive <br /> va Sp•itgs,CA 95252' Woodville,Wl 54028 L . : <br /> AlkCA96367 OO 716.8983363 <br /> ` WWROOD029751 dress:�+ _diter 5300 Barrios Envtro»me»tat � �z!pd 1615 S.River Road <br /> . West Sacramento,CA 95691 : <br /> \ 209-6635181 916371.5747 <br /> CALOODOISO817 CAD004003666 EPA ID: <br />