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_ <br /> J \ E VED <br /> tGEI <br /> Mailing:P.O.Box 176,Salida,CA 95368 FEB 1 7 2016 <br /> 1 a�- 4612 Kleman Court,Salida,CA 95368 <br /> s <br /> 3'•Geo@ YY..Lowdf, Inc Phone:209545-0791 FAX 24ENVIRONMENTAL <br /> f <br /> Environmental Services Division ` EPA#CAR000047019 <br /> CA Transporter Number 3844 HSA)TH rNFPARTRj=NT <br /> ry_.. <br /> i <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: <br /> Site EPA ID#: 3� <br /> Contact Person:' _ — Shipment Date: �_- Y <br /> Name: Driver Signature(Printed): f <br /> Address: & .. <br /> Truck# <br /> City'State,zip. <br /> PO# <br /> Site Phone; <br /> Product Wrote CA Manifest#0 Quantity units Price Amount <br /> Code <br /> ' :Non-RCRA Hazardous waste Liquid(Used Oil):Lubrbdng 221 Of 12 <br /> 21-) <br /> 7 11 1. ��r 3 5-- Gat .�s� t31 <br /> � <br /> Non-RCRA Hazardous Waste Liquid(Used Oil):Industrial 221 Lc;et �+� r <br /> Non RCRA Hazardous Waste Liquid(Used Automobe AntlTi m) 134 bat <br /> Non-RGRA Hazardous waste Liquid(OA&water) 221 <br /> NMR.CRA Hazardous Waste Solids Contaminated with Used Oil 223 <br /> Drainuid Used!01Flter Llrum(s). �',y Drom(sj• `=�� f-.)ar <br /> ,y <br /> Emipty Dturrl(s) <br /> Tiansporlatibn$Truck Tiros <br /> Hazardous Test �, ,n; •:, ;t <br /> Unress otherwise specified on ihra CorrsoTidated Manifest Receipt(Inroim)Tatmk.Atxgtmts due an tlra 10tli or qte mbrrih fonewinp mer,th o!ptxd,ase.Pad due 7ofaF <br /> accounts Will be ohaiped a FINANCE CHARGE at the PERIODIC RATE of 1-lift per month,vAt"is the ANNUAL`PERCENrAGe RATE of iew <br /> By signing this receipt,the Generator certifies that a program has been established to reduce.he volume or quafthtji anti toidaty of the hazardous waste to a degree as <br /> determined by the generator,to be economically practl6ble. <br /> Generator certifies that all Hazardous Waste listed oil this Consolidated Manifest Receipt is profiled to meet t ii Waste Codes as listed above. <br /> J <br /> Note: George W. Lowry,InC.hereby advises the Generator that X ,"�' r" �-----" 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to coinoly witfi federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requirements appCmable 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 off also meet those require- <br /> merits These include more stringent leak detection and prevention requirements,engineering cerfi ications of tank integrity,and financial assurances <br /> for closure and aa4dentai releases. It is lawful to send used oil to out of state facilities that comply only with the Federal used off management stan- <br /> dards and not these more•stringent requirements. A <br /> This notification is for information only. Lowry Driver Signature X 6b <br /> r. <br /> Signature of Generator.Representative or Agent of Generator: X i <br /> LA <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wi 54028 <br /> 209-754-4600 7154698.3363 <br /> CAL000214411 VVIR000029751 Address: <br /> R@CyCttftg � ' <br /> &Disposal �y l, <br /> FaC'slities Riverbank 00 Transfer 5300 Rantos Environmental city. zip: <br /> Claus Road 1515 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.863.8181 916371-5747 <br /> CAL0000t90817 CAD0040035% EPA ID: <br /> i <br />