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REMVE-.D <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Coart,Salida,CA 95368 FEB 17 2016 <br /> Geol' a W. Lowm Inc. j Phone:209-645-0791 FAX 200-645-2241 U <br /> Env mental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844ENVIRONMENTAL <br /> CALicense#768518 HEalTp Trj:IaARTQFNT <br /> GENERATOR: Consolidated Manifest Invoice: ° <br /> Site EPA ID# 8. <br /> �°•� ► c155-7 <br /> Shipment Date: <br /> Contact Person: <br /> Name: d, �r c,�, Driver Signature(Printegr)"�. <br /> Address: Ino. o ,-Jga Truck#4'7 ­v <br /> City,state,Zip: g , ] <br /> Site Phone: p®# <br /> Product waste CAManifest#D Quantity units Price �AeO unt ` <br /> Code <br /> Non-RC <br /> RA Hazardous Waste Liquid(Used Oti}:Lubricating 221 .�I -'� *' ..�`,� Gal <br /> Non-RCRA Hazardous Waste Liquid(Used 01):Industrial 221 € f Gal <br /> dt"nrt RCRA Hazardous Waste Liquid(Used Automotive Anti(reeae} 134 ml t <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 t �••3 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Dnrmis) <br /> Drained Used Oil Filter Dnrm(s) onamis) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> uniesa dhemiae Weeded ort this Cwmolldeed MaWaM RoWpt(nvoioe)Temw Accounts de on the 1oth or om month falbwing month cd purchase. Past due Total <br /> aooctmts wfil be dwaraed a FINANCE CHARGE at the PERIODIC RATE of 1-tr2%per monMy which is Bre ANNUAL PERCENTAGE RATE of iew <br /> By signing this recelpt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a - <br /> determined by the generator,to be economicaliy 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 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. Califomia 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 finasurances <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 manp#ftent stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X• n Z/ <br /> Er <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,W!54028 <br /> 209-754.4600 716898.3363 <br /> CAL0002WIl R 29751 Address: <br /> Recycting <br /> $Disposal Riverbank Ott Transfer 5300 • Ra�ios�Envibj14A <br /> m rrtal zip. <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 rhos: <br /> 209-863-8181 916371.8747 <br /> CAL0000190817 CAD004003 EPA in: <br /> �� Y <br />