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�7 7, VED <br /> 'EC"Et""" <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 4612 Kiernan Court,Salida,CA 95366 FEB 17 2016 <br /> George W. Lowry, Inc. j Phone:209545-0794 FAX 299 <br /> Environmental Services Division EPAOCARD00047019 <br /> CA Transporter Number 3844 HEALT14 DFRARTMI NT <br /> l� Lf CA Ucense#758518 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> 23855 31 55 <br /> Site EPA ID#: ` <br /> Shipment Bate: {^ e. <br /> Contact Pers t <br /> [Address. <br /> ame: { l I�! Driver Signature(Printel& <br /> � '^- Truck# a :m•+ity,state,zip: S4 C.X � e._Po# <br /> ta Phone: <br /> Product waste CA Manifest#0 Quantity units price Amount <br /> Cods <br /> on-RCRA Hazardous Waste Liquid(Used Oa):Lubricating 221 g 2.L, <br /> Non-RCRA Hamidous Waste Liquid(Used oil):industrial 221 4 t ! cu W� •{�f <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antiheeze) 134 Gar <br /> Non-RCRA Hazardous Weste Liquid(00&Water) 221 . Gat <br /> Non-RCRA Hazardous waste Solids contaminated with Used on 223 Drhmtla) <br /> Drained Used Oil Filter Dnrm(s) omm(a) <br /> Empty Dnur(s) Each <br /> Transportation&Truckrhe Hp- <br /> Hazardous Test <br /> Untoss othembe spedOW on atiss Commidated Mandest Receipt(Invoke)Terms:Accounts duo on the loth of the month rorowing ma th arptrdMae. Past due Total <br /> accounts wN be diarged a FINANCE CHARGE at the PERIODIC RATE of 1412%per month,which is the ANNUAL PERCENTAGE RATE of 1a%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity aixf tortdty of the hazardous waste t0 a deg e eck <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as fisted 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. California 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 od-also meet those rgquiri <br /> ments These Include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial gsdroa <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. <br /> il agi3tTie an- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver S' ;ature X.A,.L„r✓ t "% <br /> Z®ra.L1 <br /> Signature of Generator,Representative or Agent of Generator: X <br /> 0 El <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagan Drive <br /> Valley Springs CA 95252 1101 Hagan <br /> 54028 Nom: <br /> 2097 f 7155983363 <br /> CAL0002 11 WIR000029761 Address; <br /> Recycling <br /> &DiSposai ' <br /> Facilities t nkcit Transfer 5300 Rantos Environmental Crty 'zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone <br /> 209.863.8181 9163715747 <br /> CAL0000190817 CAD004003M spa w: <br /> rt <br />