Laserfiche WebLink
AVED <br /> Mailing P.O.Box 176,Salida,CA 9 36 nn CC <br /> ECE <br /> 4612 Kiernan Court,Salida,CA 96368 2 u 1 u <br /> George W. Lowry, Inc. �! JFEB <br /> Phone:209.5454791 FAX 209.645-2241 <br /> Environmental Services Division " EPA#CAR00004T019 <br /> r <br /> Ti1-�Z='M —�••= -- J CA Transporter Number 3844ENVIRONMENTAL <br /> +' CAticense#758618 1-IF <br /> A!TY RC:PAPTVF'nrT <br /> GENERATOR: Consolidated Manifest Invoice: C. 24901 <br /> Site EPA ID#: r1A aAl) I S Ff C S"y <br /> Shipment Data: 11—.2,(_/q <br /> Contact Person: <br /> Name: lt�ce- TDriver Signature(Printed):. } In <br /> Address: ( wale,tC/.e�- f,�.�r�•� Truck# <br /> City,State,Zip: w GK,im PON <br /> Site Phone: <br /> Product waste CAManifest#0 Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Ott):Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used ad):Industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gar <br /> '�lon-RCRA Hazardous Waste Solids Contaminated <br /> with used Oil 223 Cf34(a 5'103 W/4 Drums) , <br /> Druni(s)' <br /> Drained Used Oil Fifter Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&TruckTime RR <br /> Hazardous Test <br /> Unless otherwise speeified on Oils Consolidated Manifest Receipt(invoice)Tenns:Accounts due on Iha 101111 of Ore month following manor of p odrasa Past due Tota 'yr s�G� <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-112%per month,which is the ANNUAL PERCENTAGE RATE of 13%. a�G� <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 mi <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,ine.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 I the more stringent requirements applicable to hazardous waste management facilities. Caitfomia facilities thio handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities 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 releelses. It is lawful to send used oil to out of state facilities that comply crity with the Federal used oil management Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Slgn�mre X �� ` <br /> Signature of Generator,Representative or Agent of Generator: X <br /> _T_ <br /> Greenleaf Environmental TI-Lecycling <br /> 3474 Toyon Cr. 101 Hagen Drive Name. <br /> Valley Springs,CA 95252 Woodville,Wt 54028 <br /> 209-7544600 715.698.3363 <br /> CALOOD214411 WtR00D029751 Address. <br /> R@GyCiing <br /> &t7i5posalC3 C3 City,stater zip: <br /> FaGIIItIeS Riverbank Oil Transfer 5300 Ramos Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phanec <br /> 209.863.8181 916.371-5747 <br /> CAL000019DS17 CAD004003656 EPA ID: <br />