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1 (a) is triers s FssaD gaL-scwz's and sabc^-==r's quart¢naalr3 on the ar zncased YES <br /> Y0[1 <br /> (b) :s..e curte-t¢err.Seata of W26mr's cmapzasa=tnaanace as Me. Y83 ya <br /> (r,) Daes he aaa^aetar passes 3.'32=rd tt 3ubsraaca 3emaya "l Cast ¢atIm"? [i <br /> (d) Sss 3ae .•r :m aan site.1. udi::=wbac'6hae•aperata:,been nrtllad No <br /> ' <br /> M aar�6 as ha:a.�acs assts r.te a aaaardaace acts�C ?M-3? '1 <br /> 2 Has a Site 3e3tth S 31[etf?!aa" tarLis jolt lit~been Cut.'==V. YES YO <br /> Has a;;ll sat perorri^;Trmavalin eat.of `sayobtained a'Gra d3n:asd avetSanPe�mit"? <br /> Y a YES j; No[; -if Y'c53. Permit# ^ <br /> :L Sas ire eaatrsc5:obtained apar_vz Tam tris Ituml3r•_dapare2t a Pe:foxm taalt cac.�'^,s"��{ =[1 Nat! --- <br /> 3, is CRere meriedg=_ar vtdence at:sakay 9t¢Cs tan ds)s ti�pt61 lit yes,;Lassa e:p2alnJ <br /> g, if taak residual-.=lde:Zty tnad;6r=9 hazardaus TU.e dztler. <br /> uatae American Valley 'Haste Oil , Inc$ailer3egisa'attoa# CAL 000827878 <br /> Add:'°ss <br /> P .O. Bos 340 City Delhi CCA n? 95315 <br /> Phase#( 800t 322-8710 <br /> DeCcatar..:ae_=Pr¢eeda:ss: <br /> y <br /> "W'111 anigs)=d; iron ba'80=311nued pr.,,m rs=vt? 7331k W6 <br /> b. fdead.^,r a¢atr3L:ar pe:tar-ung decaata�itta:as " <br /> Ndme Jim Thorpe Oil , Inc . <br /> ),dd�sa <br /> P .O. Bos 357 Wr Lodi, CA gp 95241-0357 <br /> ?mae'ta.� 209 t 368-6175 <br /> c, Dese..be=ethad:a::e used!ar da¢¢ntamtaa?:as „^ o i o 0 <br /> y pest Se hats' Sats matertsiw U be starsd o=I a pear m aanttaotia$atfste o- as <br /> Rinseate will either be remOved from trP tai^__�( s and lines <br /> they are '021^•- rin -P,-t •O r, T!^.� y&--p n'n'l ' v Vin` <br /> truct, or be stored i^ sealed drums until it can be dis?osed o= <br /> e tiles.^sa Baular and_,=ttLad?res=ant.Stange k ks;asal c'ac_7t7 <br /> Sadler gamz Same a s ?6 Sactzr Aagis�baa# <br /> :dam-±ss <br /> C'M —gyp <br /> Phaaa Ya <br /> Springs , <br /> 2 <br /> Psra :dlis;¢sal3lt Americlean , Inc . 570 Almond Dr . . Silver <br /> VAI. or other approved facility . <br /> F' 22 C48 (Havt3ad:81 9°1 Page 4 <br />