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aRcuctv'Eu <br /> Mailing:P.D.Box 176,Salida,CA 95368 <br /> Q t 4612 Kiernan Court,Salida,CA 86366 2016 <br /> George W LoW ,�Inc. !•; Phone:209-645-0791 FAX 209-546-2241 <br /> Environmental Services Dlvision .o.. f'1 EPA#CAR000047018 <br /> ENVIRONMENTAL <br /> CA Transporter Number 3844 <br /> HEAITH nFPQgTYCPIT <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest invoice: <br /> Ste EPA ID# � 4 io 6 1 <br /> Shipment Daher , <br /> Contact Person: p w—. <br /> Name: Acd Driver Signature(Printed . 1 <br /> Address: <br /> Truck <br /> City,State,zip: <br /> Site Phone: + ' PO# <br /> Product Waste Code CA Manifest 00Quantity Units Free aunt s <br /> f <br /> dittRCRA Hazardous Waste Liquid(Used Oil):Lubricating 221 ciat f.1.0-- " \ <br /> Non•RCRA Hazardous Waste liquid(Used 01):Industrial 221 Gal <br /> Nott RCRA Hazardous Waste Liquid(Used Automotive AnhTream) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(OB&Water) 221 cat <br /> �^ -RCRA Hazardous Wash Solids Contaminated with Used Oil 223 asi <br /> 4 <br /> Drained Used Oti Filter Drum(s) tkum(si <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> unless otherwise spedBed on urs Consoudated Manifest Receipt(irwofoe)Terms:Acmums due on the loth of Ma month f Pastdue <br /> / <br /> Toter O <br /> acowA is will be du"ed a FfMANCE CHARGE at die PERIODIC RATE of 1-112%per month.which is the ANNUAL PERCENTAGE RATE of 1 <br /> -p <br /> b <br /> By signing this rmdpt,the Generator cedW=that a program has been established to reduce the volume or quantity and toxicity ofthe hazardous waste to a degree as <br /> determined by the generator,to be economioatly praclimbte. <br /> Generator ceniffes that all Hazardous waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as fisted 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. Caltfomia facilities that handle or <br /> Process used oil are required to meet those more stringent requirements,and some out-of-staff facilities that process used oil also meet those requim- <br /> ments Those include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assu ces <br /> for closure and accidental releases. It is lawful to send used oil to out of state facflr•'des that comply only with the Federal used oil menu sten- <br /> dards and not these more stringent requirements. <br /> This notification is for Information only. Lowry Driver Signature X <br /> - -W� z�,/ ,Signature of Generator,Representative or Agent of Generator: X <br /> C3 C2 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr: 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,WI 54028 acme: <br /> 209-754.4 715698.3363 <br /> AL00 11 WIR000029761 Address <br /> iZecycling . <br /> &Disposal <br /> Facilities nk o Transfer 5300 Ramos Environmental city'State,zip: <br /> Claua•ROad l 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 »orm: <br /> 209.863-8181 816371-5747 <br /> CAL00001190817 CAD004003SSS EPA ID: <br />