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Mailing:P.O.Box t76,Salida,C <br /> 4612 Kiernan Court,Salida,CA g <br /> eOrge W. Lowry Inc ,• Phone:2095450791 FAX 209.545-2241 <br /> 1 ' $ <br /> EnviropmentalServicesDivision EPA t <br /> 17 201 <br /> CA Transporter Number 3844 ..— FEBv' <br /> CA License#758518 <br /> ENVIRONMENTAL <br /> GENERATOR• ACnr� <br /> Consolidated Manifest invoice: ' <br /> Site EPA ID#: <br /> Content Person: Shipment Date: <br /> Name: / Driver Signature(Prints <br /> Address: Zl) '? rp <br /> Cit)r,State,ZipitAd # <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> ,Non-RCRA.Hazardous Waste Liquid(Used 011):Lubricating 221 / 3 11 Gal 20 <br /> Non-RCRA Hazardous Waste Lquid(Used 01):industrial 221 �r�y J � eat <br /> Non RCRA Hazardous.Waste Lquid(Used Automotive Antifreeze) 134 �vvv t. Get <br /> Non-RCRA Hazardous Waste Liquid(011&Water) 221 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drrhm(s} <br /> Drained Used OD Fitter Ditim(s) i)rum(s) <br /> Empty Drums) Each <br /> Transportation&Tluckl lme RR. <br /> Hazardous Test <br /> Undoes cihemse spa6fied on this Consolidated Manifest Receipt(invoice)Terms:Ao=ints due on the loth of the month fallowing month of purchase.Past due Tots <br /> accounts wti be charged a FINANCE CHARGE at the PERIODIC RATE of 1Al2%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 quantity and toxicity of the hazardous waste to a res 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 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 faciiities. Califomia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state faclifts;that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering rectifications 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 F faT''used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Dryer ignat <br /> Signature of Generator,Representative or Agent of Generator: 13 <br /> J <br /> I <br /> J( <br /> Greenleaf Environmental ERIRacycf g @pig <br /> 3474 Toyon Cr. 101 Hagen Onve <br /> Valley Springs,CA 95262 Woodville,WI 54028 Nom: <br /> 209-754-4600 715-6983363 <br /> CALDDD214411 WIR000029751 Address: <br /> Recycling ,! . <br /> 8h Disposal 1 <br /> 66 IL <br /> FSC[[ities verbaak Oil Transfer 5300 Ramos Environmental city,sem'zip. <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916-371.6747 <br /> CALGOOD190817 CAD0040036S EPA 16: <br />