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NI <br /> Mailing:P.O.Sox 176,Salida,CA 96368 D 2016 <br /> ,;. 4612 Kiernan Court,Salida,CA 95368 FEB <br /> George W. L®Wt1/, Inc. !' Phone:2095450791 FAX 209-546-2241 <br /> i Environmental Services Division i WAOCAR00004TO19 <br /> =~== " = t ENVIRONMENTAL <br /> Transporter Number 384MFAITH nFPA.RTME <br /> NT <br /> CA License#768618 <br /> GENERATOR: Consolidated Manifest invoice: > <br /> x.°► <br /> Site EPA ID#: r. '' h;°`""�• <br /> 4174 <br /> Shipment Dade: ~`` --- <br /> Contact Peds n: <br /> NamDriver Signature(Print ce' � <br /> 4 <br /> Address: �' �' Truck# 72 � <br /> t r : <br /> City,State,Zip: 1'O# ' <br /> Site Phone: <br /> Product waste CA Manifest i(l Quantity units Price Amount <br /> Code <br /> ort4CRA Hazardous Waste Liquid(Used•041tibricating 221m d G Q ; � , Gal <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Indu"I rut Gal d t <br /> Non RCRA Hazatdaus Waste Liquid(used Automotive AnNeeze) 134 Gal <br /> Non-RCRA Hazardous Waste Liquid(oil&Water) 221 Gai <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used 011 223 <br /> Drained Used 01 Filter Dnrin(s) tkureh(s} <br /> Empty Drum(s) Each <br /> Transportation&Truck Time <br /> Hazardous Test <br /> Unless otherwise apadfied on this Cormlidated Manifest Receipt(Invoics)Tear :A6="dueuon the 10th of the mash rotto t month or We hase. Past due <br /> ecqurnhts will be dharBed a FINANCE CHARGE at she PERIODIC RATE of 1 1296 per iiwm.which is the ANNUAL PERCENTAGE RATE or ta%. <br /> Sy signin this recei L the Generator cerfifies that a C {� <br /> 9 p program has been established to reduce the volume or quantity and toxittity of the be <br /> waste to a degree as <br /> determined by the genitrator,16 be economicatiy practicable. 111; <br /> 'Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is ted to meet the Wrasteodesas(istai'abWe'r ' <br /> Note:George W.I_ow Inc.h' f` ' • <br /> B ry, ereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to complyWith 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. Catifomia facilities that ha die or. <br /> process used oil are required to meet those more stringsnt.rtaquirements,and some out-of-state facilities that process used oil also meet 4h require <br /> - <br /> nlents These_include more stringent leak detection and-prevention requirements,engineering.certifications of tank Integrity,and financial urances <br /> for closure and accidental releases. Itis lavrhrt!o send used oil to out of state%cilities that comply only with the Federal used pil managern ntslan- <br /> dards and not these more stringent requirements. fir' <br /> This notification Is for information only. Lowry Driver Signature X- <br /> Signature of Generator,Representative or Agent of Generator: .X <br /> C3 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 45262 Woodville,WI 64028 Rum, <br /> 209-754400 716698.3363 <br /> CAL0i4411 / "WIR000029751 Address: <br /> Recycling �y <br /> �®iSIDOSBI ' <br /> Fat:(liti@S <br /> Rive Pero afar 5300 Ratrtos Environmental aw•sem,zip: <br /> Ciaas oad 1516 S.R1verRoad <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209463.8181 916371.5747 <br /> CAL0000190917 CAD004003556 EPA 10: <br />