Laserfiche WebLink
RE <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> r 0.. <br /> 4612 Kiernan Court,Salida,CA 95388FEB2 016 <br /> '!' <br /> rEnv.1ronmentat! <br /> 1e W. L®Wi"1/, Inc. Phone:zo9s4s oral FAx 209-545-2241 <br /> Hilo m >., <br /> Services DivieioriEPA#CAR000047019 <br /> ENVI <br /> rr:'— CAlransporterNuinber3844 RONMENTAL <br /> ���ITI-trl�pAt�1CA1r <br /> CA License#758518 <br /> GENERATOR: a / Consolidated Manifest Invoice: ,( y° <br /> .Site EPA ID 0: � 7 ; f <br /> Contact Person: Shipment Date: <br /> Name: '"ice' r�jDriver Signature(Prince tr-.7 <br /> Address: e.:) &-Ar V .- Truck# <br /> City.State,Zip: , `LSC " f r <br /> PO# <br /> Sl*Phone: <br /> Product waste CA Manifest NO Quantity units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricaing 221 Gei <br /> Non-RCRA Hazardous Waste Liquld(Used Oil:Industrial 221 Gat <br /> Nan RCRA Hazardotis Waste LiquidUsed 134 Gm <br /> Automotive AtrtiUeeze <br /> Automo <br /> �I t ) <br /> Nott-RCM Hazardous Waste Liquid(Oil&WaW) 229 <br /> `N -!ICP <br /> Ha <br /> zardous Mote SodContamated lllt Used OE22 .. <br /> pru mts <br /> ) <br /> Drained Used Oil FifterDmm(s) its) <br /> Empty Dadri(s) Eadh <br /> Ttarrsportatlon&Tnxlt7imeWL <br /> HazardouOest <br /> Unless olhareise WeCded en ids Consolidated Mfflft t Receipt(Invoke)Terms:A6Dob is duo on the 10th of tie month foroWng mnh of pud;ase.Pastdue <br /> aaoants wpl be d�MW a FINAMCE CHARGE at the PERIODIC RATE of 1-1&%,per month,wIlkh ISOM ANNUAL PERCENTAGERATE of 18%. E <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 economicaily practicable. <br /> Generator certifies that all Hazardous waste rioted 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 fecli ty that Is required to comply with federal regulations applicable to management of used oft but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. C81ifomia facilities that handle or <br /> process used ON are required to meet those more stdngent requirements,and some out-of-state facilities that process used all 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 of anarlement stan- <br /> dards and not these more stringent requirements. <br /> This notification is for Information only. Lowry Driver Signature X <br /> ,r <br /> Signature of Generator,Representative or Agent of Generator: X 1s <br /> mom <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 96252 Woodville,WI 54028 <br /> 2W754.4900 715.6983363 <br /> Recycling CAL000214411 WIR000029751 Address: <br /> &Disposal <br /> Facilities Riverbank Oil Transfer 5300 Rontas Environmental 'side. ' <br /> Claus Road 1616 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 pwme: <br /> 209863.8181 916371.6747 <br /> CAL0000190817 CAD004003656 EPA to.- <br />