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HvF.L <br /> ' tq-'•.J° � .. .:, r•is •.•.,. <br /> Marling:P.O.Box 176,Salida,CA 95368FEB 17 <br /> 2016 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> S.George W. Lowy, Inc. I Phone:209-5a5 0791 FAX 209 <br /> i; • f <br /> i Environmental Services Division EPA#CAR00004T019 <br /> HEA!TY rNC04 PT9 ark <br /> CA Transporter Number 3844 <br /> `y CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: 25-409 <br /> Site EPA ID#: <br /> Contact Person: Shipment Gate: <br /> Name: (l&` j Driver Signature(Printed): <br /> Address: �- �e r Ig Truck# <br /> City,State,Zip: Lf �,� <br /> PO# <br /> Situ Phone: <br /> Product Waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):LuMaiting 221 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 tial <br /> Non RCRA Hazardous Waste LiquW(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Llquid(Olt&Water) 221 cal <br /> on-RCRA Hazardous Waste Solids Contaminated with Used Oil 223. 0 t,3q,3 rly2 e`jl< <br /> Drained Used Oil Filter Drums) <br /> Empty Drum(s) Each <br /> Transportation&TnickTime HR. <br /> Hazardous lest <br /> Uniess otherwise wearied on this Consolidated Manliest Receipt(invoice)Terms:Accounts due on Ute Inst of the monV'roirow 09 month of purdtase. Past due Total <br /> accounts'will be dtsrged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,while 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 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_ as(Generator's signature) <br /> shipment of used oil may be transported to a facility t4t.-is fequ(red to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requOmeilts 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-of-state families that process used oil also meet those require- <br /> menis.These include more stringent leak defection and prevention requiraittents,engineering certifications of tank`integrity,and'financiai assurances <br /> for closure and accidental releases. It is lawful.to send used oil tb out of state•faciltties that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements, <br /> This notlfiCation is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> mom <br /> r <br /> Greenleaf Environmental '13 Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wi$4028 Nazree <br /> 209-7"4600 715.698.4363. <br /> CALoao214411 WIRODO029751' • - A,dmsa: <br /> Recycling /' <br /> &Disposal <br /> Clty.state,71p: <br /> Facilities <br /> Riverbank Oil Transfer 6300 'Ramos Environmental <br /> Claus Road 1515 S•River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Mom <br /> 209.863.8181 916374-5747 <br /> CAL0000190817 CADONW36N EPA ID: <br />