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RECEIVED <br /> Mailing:P.O.Sox 176,Salida,CA 96368 ;. <br /> y G�. 5 4612 Kiernan Caurt,Salida,CA 95368 <br /> U?iEnvir—immental <br /> ge W. L owM nc. Phone:209545.0791 FAX 209.545-2241FEB 17 2016 <br /> Services DivisionEPAOCAR000047019 <br /> CA Transporter Number 3844 <br /> ENVIRONMENTAL <br /> CA License#758618 WC:AITt-1n=04PT"PNT <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID 0: 7N f r4C):) Shipment bate: <br /> Contact Person: 1 t <br /> Name:, Driver Signature(Printed). <br /> �s f n <br /> Address: U i is r �� Truck# I <br /> City,State,Zip: 1 A Po <br /> Stie Phone: <br /> Product Waste CAManirest#0 Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazsudous Waste liquid(Used Oil):Lutiftling 221 <br /> Nan-RCRA Hazardous Waste Liquid(Used Oil):industrial 221 Gat <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquki(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated an'Ih used Olt 223 orem(s) J <br /> Drained Used Oil Filter Drurn(s) D+ fst <br /> Empty'D1um(s) Each , <br /> Transportation&TnrckTime HR <br /> Hazardous Test <br /> . . 1 <br /> Unless olhatwise specified on this Consolidated Manifest Receipt(Invaca)Temrs:Accounts due on the 10th ofthe menet fonawing nwnrth of purchase. Past due TOtat l"Z��^� <br /> aocatmts'wul be charged a FINANCE CHARGE at the PERIODIC RATE or 1412%per month.which is the ANNUAL PERCENTAGE RATE of Is%. v JJ <br /> .. 't <br /> By signing this receipt,the Generator cerlifies that a program has been established to reduce the volume or quantity and toxicity or 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•Man7est Receipt is profiled to meet the Waste Codes as listed above. <br /> a <br /> (Vote:George W.Lowry,Inc.hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used all may b®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 facilrieues that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certfications 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 comemy with the Federal used oil management stah- <br /> dards and not these more stringent requirements. (j r <br /> This notification is for information only. Lowry Driver Signature X t <br /> Signature of Generator,Representative or Agent of Generator: X !!. <br /> Greenleaf Environmental. -.-CRI Recycling <br /> 3474 Toyon Cr.. .101 Hagen Drive <br /> Valley Springs,CA,96252, Woodville.WI 54028 Harne <br /> 209-7644600 715.698.3363 <br /> CAL000214411 WIR000029751 Addnns: <br /> Recycling <br /> sc DtS17QS81 City.State. zip: <br /> FaCilitieS Riverbank oil Transfer.-5300 ' Ramos Environmental <br /> Claus Road •1516 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.9181 916.371-6747 <br /> CAL0000190817 r CAD004003666 EPA 10: <br />