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. . . . . . . . . . . . . . . . . . . . . . . . . . �­-'REGEIVED <br /> L' i <br /> Mailing:'P:O.Box 176,Salida,CA 95368 <br /> 4812 Kiernan Court,Salida,CA 95368FEB 2016 <br /> C]G w LOWI'y, lllCPhone:209.545-0791 FAX 209.545-2241 <br /> ental Services plviston EPA#CAR000047014 ENWRONMENTAL <br /> CA Transporter Number 3844 ¢d�Al'!'�-t RFDARTA/IFN�Tl <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: :'� 25261 ' <br /> Site EPA iD#: y„ �/�l ' ` <br /> Contact Person: Shipment Date: <br /> Name: Driver j �.� ,. � Driver Signature(Printed):! r� <br /> Address: �� qy, r ft:�.a/ Truck# 4 <br /> City,State,rip: >�r� �. <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#L Quantity units Pike Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used 013):Lubricating 221 Gar <br /> Non-RCRA Hazardous Waste Liquid(Used al):industrial 221 <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anwreeze) 134 tau <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 2z1 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated vAlh Used Oil 223 t � - <br /> Drained Used Oil Flier Dnim(s) Dnrm(sf <br /> Empty Drum(s) Each <br /> Transportation&Truck Time NR. <br /> Hazardous Test <br /> Unless otherwise specified on this Consoddated Manifest Receipt(Imrolco)Tenns:Accounts due on the 10th of the month following month of purdhase. Past due Tot,# f)C.1—. <br /> aocounfs volt be urged a FINANCE CHARGE at the PERIODIC RALE of 1412%per month,which is the ANNUAL PERCENTAGE RATE of 11896. `j > <br /> By signing this receipt,the Generator carlifies that.a program has been established to reduce the volume or quantty 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 `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. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state fatalities that process used oil 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 oil to out of state facilities that comply only with the Federal used bit management stan- <br /> dards and not these more stringent requirements. ., <br /> This notification is for infornTation only. Lowry Driver Signature X 1-1 <br /> Signature of Generator,.Representative or Agent of Generator:• X <br /> Greenleaf Environmental CRi Recycling <br /> 3474Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Ham- <br /> 209-7544600 715.8983363 <br /> CAL000214411 VARD00029751 Address: <br /> Recycling • <br /> &Disposal <br /> FaGlitieS Riverbank Oil Transfer 5300 Ramos Environmental c ty,sato,zip: <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 <br /> 209-063-618i 916371-5747 <br /> CAL0000190817 CAD0040036M EPA to: <br />