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ct' <br /> Mailing.-P.O.Box 176,Salida,CA 96366 <br /> 4612lGeman Court,Salida,CA 96368 FEB 17 2016 <br /> Ge <br /> phone.L®Wt`i/: 'i1C. 1 Phone:209545.0791 FAX 209=645-2241 <br /> " t Environmentai-SerAcesDivision .'; EPA#CAR000047019 <br /> ENVIRONMENTAL <br /> CA Transporter Number 3644 4-FA i T¢a 06RTA FAIL <br /> �r CA License#758518 <br /> GENERATOR: ) Consolidated Manifest Invoice: f <br /> Site EPA ID#: <br /> Coniact Person: Shipment Date: 2-1— <br /> Name: r��. Driver Signature(Printed): ' ' <br /> I moi} (r'l <br /> f nr <br /> Address: - / r Trtrck# —T <br /> Clty,State.Zip: Ue'di-€G„y <br /> P09 <br /> Sit#Phone' <br /> Product waste CA Manifest#0 Quantity units price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 Gal <br /> Non-RCRA'Hazardous Waste Liquid(lased Oil):Industrial 221 <br /> Non RCRA Hazardous Waste liquid(Used Aulomoft Antiffeeze) 134 <br /> Nip-RCRA Hazardous Waste Liquid(011&.Water) 221 <br /> hfon-RCRA Hazardous Waste Solids Contaminated with Used Oil 2b � `G•2 <br /> DmkW used 01 Finer ftrn(s) mull . <br /> EiMly Drums) - 'FAch <br /> Transporlation&Truck Tithe tm <br /> Hazardous Test <br /> - <br /> Unless oDrer se SpedDed on this Consolidated Manifest Receipt pnvoka)Terms:Acwunts due,on Die kith orDea;inonDtfpHowing moridi ofpiadiasa. Past due Total <br /> acsourns Huai be d+erged a FINANCE CHARGE at Dia PERIODIC RATE of 1412%par ti mth.Wch is the ANNtAAL PERCENTAGE RATE or aw.` <br /> By signing this receipt,Ifie Generator cedfies that a program has been established to induce the volume or quantity and toxicety of the hazardous xraste to a degree as <br /> detemdried 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 facu les that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state'facffges that process used OR also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering caffmations of tank integrity,and financial assurances <br /> .for closure and accidental releases. It is lawful to send used oil to out of state faculties that comply only with the Federal used oil management stan- <br /> dards and not these more stafngent requirements. <br /> This"notification is for information only. Lowry Driver SignatureX—r41 lr` <br /> e. te <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 95252 Woodville,Wl 54028 Nance' <br /> 209-7544600 716-M-3363 <br /> CAL000214411 WIR000029751 Address: <br /> Recycling <br /> Disposal city.state,zip: <br /> Facilities Riverbank Oil Transfer 5300 Radius Environmental <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 phone: <br /> 2094634181 9163714747 <br /> CALOOOf1190817 CAD004003 'SM EPA to: <br />