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E VED <br /> , ""Et <br /> M88tng:P.O.6..1176,Salda,CA 95368r EB 7 2016 <br /> 4692 Kiernan Court,Salida,CA,95368 <br /> George W. Lowry, Inc.. Phone:209445-0791 FAX209- <br /> Environmental Services Division EPA#t',AR000047019 I <br /> RONMENTAL <br /> CA TransporterNumbee3844 NF_A!T4'r taART�AFMT <br /> CA License#758618 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> t i, 2.3.6 1 <br /> Site EPA ID.i <br /> : Shipment Date: <br /> ContadPt n: { ,0 !. r^ <br /> Name: + Driver Signature(Printed) <br /> .g <br /> r'ADO' <br /> Addn�s: .r. �Y. !R/ t �. SiP Truck# FIL <br /> -" <br /> SRgPhone PO# <br /> Product wire CA Mandest 90 Quantity units Pnee-,;Am n" f <br /> Code. Y���•'l:•7 <br /> d MA Hazardous Waste Liquid(Used CQ:Lubfturq 221 11-7 2� � 4. �� r oil <br /> Non-RCRA Haman Waste Uquid(Used 04:Industrial 221 Gat t <br /> Non RCRA Hazardous Waste Uquid(Used Automotive Ariftem) 134 Gal <br /> Non-RCRA Hazardous Waste liquid(Of&Waterj 221 Gat <br /> Non•RCRA Hazardous.Waste Solids Contaminated.wilh Used Of. .223 muni(s) <br /> ,� klsed Olt Fiher Ortlm(s) orum(a) <br /> Empty Drum(s) Each <br /> Transportation&TnrckTime "R. <br /> Ham trlous Test <br /> thdess otttenvi�speiaMfi d ondit ConSolideteci t&nlre6t Reoekd(revoke)remix:A=Owts dila on the 10th of Ole month talrawft month of ptrchase.Past due Total,j <br /> a000tmts v dl Ge clmNed a FWANCE CHARGE at rho PERIODIC RATE of 1-1/2%per MOMN wtddt is the ANWAL PERCENTAGE RATE of 1e%. ,f <br /> By signing this 96cilpt,the Generator certifies that a program has been established to reduce the volume or quanttly and totciaty of the hazardous waste to'a dJel a-, <br /> determined by the generator,to be economically practicable. <br /> Generator eeetittes that all Hazardous Waste listed on this Consolidated Manifest Receipt is promed to meet the waste Codes as listed above. <br /> Note:George W. Lowly.InC.hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transpoited.to a facility,that is required to comply with federal regulations applicable to management of used all but that is <br /> not required to Comply with the more sttmgent requirements applicable to hazardous waste management facilities. Califomla facilities that handle or . <br /> process used oil are required to nit those more stringent requiretnants,and some out-of-state facilities that process used oil also meet those rSgt�- <br /> merds These include more stringent teak detectlem and prevention requirements,engineering certifications.of tank integrity,and financial a�s�ufiances <br /> for closure and accidental releases. It is lawful to send used oil to out of state fa6li ies that comply only w3ut the F used oil mat edfent Stan- <br /> dards and not these more stringent requirements. <br /> This notification is for irtforowdon only. Lowry Driver Signature X_'e <br /> Signature of Generator,Representative or Agent of Generator: X -- <br /> ,r <br /> GreenleafHnvironmentat CRI'RecycUng <br /> 3474Toyon Cr. 19i Haven Dd,ve <br /> Vevey S ,CA 95252 Woodville,Wd 54028 Hasner <br /> 209.7, ✓ 715.6983363 <br /> Recycling 1a ::! w1111000029751 Address: <br /> Sft <br /> Facilities i' nkr Ail ransfer SM 46(dos.Environmerrtal t%z <br /> Claus Road J 9518 8.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Ptwmc <br /> jJ 209.863.8191 816-371.5747 <br /> CA1,OM190817 CAD004003656 EPA ID: <br />