Laserfiche WebLink
,CE <br /> , <br /> ED <br /> Mailing:P.O.Box 176,Salida,CA 95368 c <br /> 4612 Kieran Court,Salida,CA 85368 2016 <br /> George W. LOWt V. 111C. Phone:209-545-0791 FAX 209-545.2241 <br /> Environmental Services Division �' EPA#CAR000047019 <br /> CA Transporter Number 3844 ENVIRONMENTAL <br /> HEATH r-4FPART <br /> CA License 758518 LI MMT <br /> GENERATOR: �( Consolidated Manifest Invoice: <br /> Site EPA ID. ��. . .:•' `"$ .,�+, 24313V�.j <br /> f Shipment Date: <br /> Contact person: .. <br /> Na„me- l Driver Signature(Prince <br /> Address: 1, -. �:. e •/. � - (dTruck AlE <.. ..�� <br /> City,State:Zip: r : sem! <br /> PO# <br /> Sft Phone: <br /> Product Waste. CA Manifest 40 Quantity units Price Arh nt <br /> Coda <br /> loci RCRA Hazardous Waste Liquid(Used Oil):Lubricating 2213Ltf7 10 <br /> Gal / <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 cal <br /> Non RCRA Newidous Waste Liquid(lased Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(Oil&Water) 221 a� <br /> Non-RCRA Hazardous Waste Solids Contaminated with used Oil '223 its) <br /> DrMW Used OA Filter Drur ) orange) <br /> Empty Onrm(s) Each t <br /> Transpor&mtlon 8 Truck Time HR <br /> Hazardous Test =' <br /> UMess olherrylse spactified on this Consolidated Maffest Receipt(invoice)Tense:Accounts duo on trre 10dc;of the month ro0owiitg mpadh ar pwdiase. Past duo <br /> accounts will be d1ar9W a FINANCE CHARGE at the PERIODIC RATE of 1-1/2%per month,which is the.ANNUAL PERCENTAGE RATE of 18%. TOta!. <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 adegree as'` j <br /> determined by the generator,to be eco&micauy practicable. 7 <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt's�prafiled 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 comptyAb federal regulations applicable to ma agement 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-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 assurance <br /> for closure and acbIdental releases. It is lawrul to send usW.oil to out of state facilities that comply only with the Federal used oil mans arlient stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for information only. Lowry Driver Signature X 2 <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3Onk <br /> Cr 161 Hagen Drive <br /> Vs,CA 9525 Woodville,Wt 64028 Nance: <br /> 2 715.698-3363 <br /> C11 WIR000029761 Address: <br /> Recycling ' <br /> &Disposal <br /> FacilitiesCity,State,Zap: <br /> il Transfer 5300 Ramos EnvironmentalC i515 S.River Road <br /> Riverbank,CA 96367 Wast'Sacramento,CA 95691 ane: <br /> 209.863-8101 9163715747 <br /> CAL 0000190817 CAD0040036M EPA ID: <br />