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-j: .-:kyr .;(:'.�• :,.t , <br /> IVED <br /> Melling:P.Qsdox 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95368FEB2016 <br /> "George W. Low!X, Inc µf Phone:20944Se791�� FAX 209-545-2241 <br /> ea•s fiie®eoa_r �� . .. <br /> Environmental Services Division EPA#CAt20U6o47019• <br /> �. <br /> CATraita <br /> rterNulh <br /> ENVIRONMENTAL <br /> CA ticens�e#58518ber 3844 <br /> H ! 0ARTVFRIT <br /> GENERATOR: ° Consolidated Manifest invoice: _ 6. <br /> 99 <br /> 2.3 <br /> Site EPA(D#: �.-� c � • <br /> Contact Person: Shipment Date: <br /> r <br /> me: F, �r, Driver Signature(Printed)�dress: -t "" Truck* '`,�'y,State;Zfp:.a Phone: 1"O# <br /> Product Waste CAManifest#0 Qutantity units Price Amount <br /> Code <br /> tu�RCRA Hazardous Waste Liquid(uses ON).:LubdoUng 221 �;'o�;��' Gal <br /> Non-RCRA Hazardous Waste Liquid(Used 04:lndustdat 221' "t d' Get <br /> Non RCRA HazardoustAfas�[igtdd(Used Aurriotive Antifreeze};, i34 Gat <br /> Nat-RCRA Hazardous Wase Liquid(oil&Water} z21 „- Gel <br /> N.o�nt ItCRA Flazardous{Nasl>�.'buds Contaminated with Used ON 223 MUMS)+ <br /> Drained Used ofl Filter Diurn(s) <br /> EmptyEach <br /> TianWriallon&Ttudcrtme NX <br /> Hazardous rest <br /> Unless olherwoe spaafied an this Consolidated Man ff"Receipt(invoice)Terms:Aoc wts due an the IM ofthe w"M foUowhV nPnth of pt rchase.Past due Total <br /> a=ow is worn!dtareed'a'FINANCE CHAIRGE al f RVR!C RATE of 1-1/296 pernoM.whkh is Lha ANNUAL PERCENTAGtE RATE of 1896. <br /> By signfrig this receipt,the Generatorcatifles that a program has been established ,:r.ished to reduce the volume or puariW and to�c(ty,of the hazardous waste to a <br /> date Ined by the gemator.to be economicany.prackable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Recei is profiled to meet the Waste Codes as Listed above. <br /> NOW:George W.Lo <br /> g, wry,lnC.hereby advises the Generator that 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that Is required to coin ly with ffideril 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- Cafifomia facilities that handle or " <br /> process used off are required to meet those more Strirgent,requirernertts,and some out-of�tSW fadifts that process used oil also meet the�req uflre- <br /> ments These include more stringent leafs detection and prevention requirements,engineering c eM011tioris of tank integrity,and finand"sbrances <br /> for closure and acdtidental'neleasea. it is lawful to send used oil to out of state facilities that comply only with the Federal used in mAa ement Stan- <br /> dards and not these more strtngent requirements. <br /> This notification is for information only. Lowry Driver Signature <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 13 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 10i Hagen Drive <br /> Valley Springs,CA 95252 Woodwft Wt 54028 Nam: <br /> j10AL0 <br /> 9 754.41100 7156984363 <br /> Recycling t 11 (MR000029751 Addams: <br /> FaCilitieS tlaairfi" U 4tst'er 5380 Ratios Envfnmmerttal State.Zip: <br /> s Road / 1515 S.River Road <br /> RW&tia k CA 96367 West Sacramento,CA 95691 Pbam. <br /> 209-863-8181 916.37.1.6747 <br /> CAL0000190817 CA00040036M EPA tD: <br /> j <br /> i <br />