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tiEGEIVED <br /> Mailing:P.O.Boz 176,Salida,CA 9536y ryogC <br /> 4612 Kiernan Court,Salida,CA 95368 FEBtt""CC 1 C i U <br /> George W. Lowrv, Inco Phone:209.545-0791 FAX 20 <br /> Environmental Services Division EPA#CAR000047019 <br /> MMONMENTAL <br /> CA Transporter Plumber 3844 <br /> HIF.AlTHI rWO&RT'R/lFNT <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: m <br /> Site EPA ID V. <br /> t <br /> Dae: <br /> Contact Person: Shipment _ <br /> Name: Driver Sig f (fir inn eel): <br /> Address: Truck# <br /> City,State,Zip: - <br /> Site Phone: <br /> PO# <br /> Product waste CA Manifest#0 Quantity units pie Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 - <br /> Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 t <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gat <br /> Non-RCRA Hazardous Waste Liquid(041&Water) 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used OR 223 Drum(s) <br /> brained Used Oil Filter Drum(s) <br /> Drum(a) , <br /> Empty Drum(s) Ewh <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(invoice)Terms: Accounts due on the 10th of the month follow month of <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2% ^� purchase. Past due Total <br /> per month,which is the ANNUAL PERCENTAGE RATE of 18%. <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 economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profited to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc. hereby advises the Generator that,c _ 's(Generator's signatu e) <br /> shipment of used oil may be transported to a facility that is required to comply withfederal regulations applicable 4o 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 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 releases. It is lawful 4o send used oil to out of state facilities that comply only with the Federalralused oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry€river Signa €are i( <br /> Signature of Generator,Representative or Agent of Generator: X <br /> mum <br /> omm <br /> Greenteaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 Narrre <br /> 209-754.4600 715-098-0363 <br /> EFacilpitie <br /> g CAL000214411 MR000029761 <br /> address: <br /> l00, nk Oil Transfer 5300 Ramos Environmentalcity' 'Z'P' <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Plane: <br /> 209863-8181 916371.5747 <br /> CAL0000190817 CA 3656 <br /> EPA ID: <br />