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RECEIVE <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kleman Court,Salida,CA 95368 FEB 17 2016 <br /> George W. Lowry, Inc. Phone:2096454791 FAX 209-545-2241 <br /> Environmental Services Division EPA III CAR000047019 <br /> CA Transporter Number 38" ENVIRONMENTAL <br /> H FA I TW r'%I=DA PTAA;:PjT <br /> CA License#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> Site EPA ID#: <br /> Shipment Date: <br /> Contact Person: <br /> Name: <br /> t Driver Sigrature(Printed)li <br /> Address: <br /> Truck#1 <br /> City,State,Zip: <br /> Site Phone: Po# <br /> Product waste CA Manifest#0 Quantity Units Price Aimount° <br /> Code <br /> 448n-RCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 <br /> Gal <br /> j C. <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 Gal <br /> N6n-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 <br /> Onm9s) <br /> Drained Used Oil Filter Drum(s) <br /> Empty Drum(s) Each <br /> L <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> T_ <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms: Accounts due on the,10th of it*month following month of purchase. Past due Total <br /> L!22!t2!!YAII be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%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 profiled to meet the Waste Codes as listed above. <br /> Note: George VV. Lowry, Inc. hereby advises the Generator that X Is(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federalregulations-applicable to ma- <br /> not required 110 comply with the more stringent requirements applicable to hazardous waste management facilities. nageCalifornia ment of used oil but that is <br /> process used oil are required to meet those more stringent requirements,and facilities that handle or <br /> 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 to send used oil to out of state facilities that comply only with the Federal used oil manag_eme'nt stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X <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,WI 54028 <br /> 209-7154-4600 715498-3363 <br /> CAL000214411 VWIR000029751 <br /> Address.: <br /> Recycling <br /> Disposal <br /> City <br /> Facilities Riverhank1Oil Transfer 6300 Ramos Environmental ,State,Zip: <br /> Clau's Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916417115747 <br /> CAL0000I90817 CA 3556 EPA ID: <br />