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Y .. <br /> Mailing:P.O.Box 176,Salida,CA ED <br /> ( ` 4612 Rieman Court,Salida,CA 9184Eu 'V <br /> George W. Lowry, Inc. Phone:209546-0791 FAX 209545-2241 FEB2016 <br /> Environmental Services Division EPA#CAR000047013 <br /> ,r Ij <br /> CA Ytansporter Number 3844 <br /> CA Ucense#758518ENVIRONMENTAL <br /> iTU MC04nc"r <br /> GENERATOR: Consolidated Manifest invoice: :;v24568 <br /> Site EPA ID M C44-C,60265-WLS—Z Shipment Date: <br /> Contact Person: t3 �f44 <br /> Name: �rFl��r Driver Signature(!'tinted): <br /> Address: . r &I�jac- Truck# <br /> City,State,2)p: S-h,r k lew) PO# <br /> Site Phone: <br /> Product waste CAManifest#0 Quenttly units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Nan-RCRA Hazardous Waste Liquid(Used 011):industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Autornotive Antifreeze) 134 Gal <br /> Non-RCRA-Hazardous Waste Liquid(Oil&Wa(er) 221 Gar <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 223 C)1 f-X34157. ,1� Dn"'nta) �5•� /, <br /> Drained Used Oil Filler Drum(i) eta) <br /> Empty Drums) each <br /> Transportation&Truck;nme wR. <br /> Hazatdous Test <br /> Unless otherwise Wedfied on this Consolidated Manifest Receipt(Invoice)Terris:Aoeounrs dus'on the.i6th of the month fogowiM month of px&ow. Pari due Told <br /> aewunls vAl be charged a FINANCE CHARGE at the PERIODIC RATE or 1-IM per month,witieh is the ANNUAL PERCENTAGE RATE or 18%. r <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume orquan*and toxidty of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that ail 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 old 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 facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering'certififications of tank integrity,and financial assurances <br /> for closure and acciidentat'releases. It Is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. f+� <br /> This notification is for information only. Lowry Driver Signature X <br /> Signature of Generator,Representative or Agent of Generator: X <br /> own <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 58028 Hama: <br /> 209-7544600 715.6983363 <br /> CAL000214411 MR000029751 Address: <br /> 12 <br /> R8C}JClitlg <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Ramos Environmental City,Sento,zip: <br /> Claus Road. 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 throne: <br /> 20963.8181 916.371,5747 <br /> CAL0000190817 CA00040036W EPA 113: <br />