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% <br /> RECEIVED <br /> Melling:P.O.Box 176,Salida,CA 95368 FEB 17 2 016 <br /> 4612 Kiernan Court,Salida,CA 95368, <br /> George W. LowM Inc Phone:209-546-ff9l FAX 209445-2 <br /> C 'ENVIRONMENTAL <br /> .Ulnv�iranmRtal services Division EPA$CAR000047019 <br /> HEALTH DEPARTMENT <br /> CA Transporter Number 3844 <br /> PCAL(Cense#759618 <br /> GENERATOR: <br /> Consolidated Manifest Invoice: <br /> Site EPA 10 S., CAL <br /> Shipment_Date: <br /> Contact Penson:. __J + <br /> Name: Driver Siginature(Printed): <br /> Mr. <br /> Address: <br /> C A s- TWO 0 <br /> T"' <br /> City,State,Zip: <br /> IA PO# <br /> e <br /> Product waste q-0arifto. Quantity uup <br /> Amount <br /> Code <br /> 46RCIiA Hazardous Waste Liquid(Used 011):Lubricating <br /> X5 Ga <br /> _at 4 <br /> Non-RCRA Hazardous Waste Liquid(Used 011):Industrial 221 Gal <br /> X? <br /> — <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Anthem) 134 0al <br /> Non-RCRA Kimakitts Waste Liquid(Oil&Water) 221 Gal <br /> Non-RCRA Hazardous West-Solids Contaminated with Used OB 223 <br /> Drained Used 01FftDPjm(s) <br /> Empty Drum(s) <br /> .Transportation&Truck Time <br /> .Hazardous Test <br /> 174 . <br /> un.�Ws otherwise specified on this ConsoidaW Menilbst Receipt(Invoice)Tom Accounts du®on Me 10th of the month f0bwfiV math ofiXrchase. past due TotA <br /> 80n0unts will bs ChsWd a FKANCE CHARGE at the PFJUODtC RATE.of 1412%per month,which is the ANNUAL PERCEIGAGE RATE of 18%. <br /> BY signing this receipt,the Generator cedifflas that a program has been established to reduce the volume or quantly and to <br /> determined by the generator,to be economically practicable. Idly of the hazardous waste to a d4greeas <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Recap, <br /> -Ols pOled to meet the Waste Codes as listed above. <br /> Note*George W.Lowry,Inc.hereby advises the Generator that x a(Generator's signature) <br /> shipment of used 0711.may be transported to a facility that is required to comply YWUi 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. CardiDmia facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state fadilties that process used oil also meet those <br /> ose require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances <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 maiAgernent stan- <br /> dards and not these more stringent <br /> This notification Is for Information only. Lowry Driver Signature X.&Ii� <br /> Alxf <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95262 Woodville,W!54028 <br /> 2097544fiN 715-698-3363 <br /> *VL;ALUUPZ 4411 WIR000029761 <br /> Recycling �"dnsfer 5300 <br /> Address: <br /> city.state,zip: <br /> FaclliEles �kolil T litanies Environmental <br /> Claus Road ISISS.River Road <br /> Riverbank CA 96367 West Sacramento,CA 95691 MGM- <br /> 209-863-8181 916-371-6747 <br /> CAL00D0190817 CAD0040036W EPA 10: <br />