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PROMv AMERICLL-RJ,LINC• PHONE 1•AJ. 702 577 9199• Mar, 0e 1997 10:12AM Pi <br /> .SIE.d GSl.rey..S M. <br /> 2050- pra.teon A9•NY <br /> rww•90rewd OHS MN..2050-MI lc.pim See instructions an 6nsk of page 6. a lays <br /> • <br /> 06.v W.0.f'W. Ta.rnd.Yg-.d 1r u.en.41.l 1110A.roJ Ob•"-, bc.unaMo.Cddorde <br /> 1. a.MrdaysI15 EPA ID No. ^� MwMt Docuwwl N•. T2, P.O. I mN.m.rie•.in dm ded.d eN.r <br /> UNIFORM NAZAEDOUS <br /> WASTE MANIFEST CI Al 9101 11 2141 11 91 61 4�_9 I 1j d <br /> S. Oa-r e.Nemo ad maw Addm - 1.: •• I .n. <br /> An MOHAMMED MALIK <br /> 6560 E. Hwy 12, Lodi , CA 95240 /1222 Cedar Creek Ct. ' ' , <br /> d. aw.den ph01w 1 Modesto, CA 95155 s,- <br /> W 131 6 1- 2 <br /> S. Tra.gdn.r 1 comwr Name d. US&A ID NanbM <br /> NOR CAL OIL IC A 9 BL 1 7 5 <br /> 7. Tr.ApoMr Z Cawpeey Nam. e. US 69A ID v O*& <br /> 9. Duipr and/eddley Nws ed 51N Addreu 10. US TPA ID Nambw <br /> U0 2 <br /> AMERICLEAN, INC. <br /> 2570 Almond Dr. V <br /> (n U 4pri NV 894 11. C.r16m^ l7. To W 14. U14 <br /> 1.O Z Il. US DOT D..W.(1•d•d^0 AM.,34Pn9 t,6-,Mowed Cbu,Md 10 Nemlw.) Ne. T Qw ' wgva <br /> im € a NON-RCRA HAZARDOUS WASTE LIQUID <br /> � (WATER & OIL) 0 0 1 T T G <br /> N b. <br /> S� R <br /> $ A <br /> O <br /> u <br /> ix <br /> N <br /> a <br /> IS. Saud Mondfi Sdrvda.l and Addb.o.d 1nb.a.ab, <br /> APPROPRIATE PROTECTIVE CLOTHING <br /> "EMERGENCY CONTACT: (209) 667-6692" <br /> w SEE E.R.G. PAGE 31 <br /> IA. eINMA7OR'S CERTMCATION: I Mbby dads.*.d dN caaenl.d IAN eslNlpnm.a ere Niy and aeareNk dnedbed ab. by pmW ohie ing nvrrd oed on 110%14fed, <br /> .( paard,ew.Ad,and lob.l„d e.d ea w ay.apaaa h pmp.r eendNlon la na.,�art by Mrcn..w/owd:rq N applknble ae.made,lal.I.d nml". ,pay.rnrnw regebllonf. <br /> u <br /> x 1 an. s 1.y q.mfly bw..rem.. I c. ioy M I Now o pay.m in da. b rade-a.e.glome and bniti y d .,orb gaaore ro dy dry, 1 ho dl N. ,.d In In <br /> gg em.k4lfy p.w*eobk ad da 14e.fekaad dw om deabl.m."d of aaarrn.d,rtaepe,N di.poeJ cvnemy afaSebN b nw.rAi1h rtw+aw M pr.faN and hma. <br /> r7r dn.ar ro Av,.an A.dlb and IA..mdrwm,-+:OR.rc 1 am a w,.d1 q,and� ov.rMer, I ho.e nwde a geed raM,aHorl ro ml.;w.'sa my voaro emerdw.end ilea rba 6ax <br /> ,+wN ewA.d d0 b."I*b ae and 11e1 I tae Mord. <br /> pn+•d/n7P.dNwrw Richard Thorpe agen or A"A Day Vw <br /> Mohammed Malik QlAlyukllll <br /> z 17. I.ftMW I A 'A R,,60 el N RA"S _ <br /> (.1 11v�Nd/TM.d Nam. AIDA" a V � Day Toa <br /> u l 3 <br /> Wto 1R. 1 A nwa d B..w.1 Akd.Aa4 INerR, Dvy Ypr <br /> t� T 9.:+.d/pMd Naa <br /> 11 . <br /> 19. Dbaa9e e.d;ewian Spee. <br /> s . <br /> 1 <br /> A - — <br /> 1 r a r G,atk I er w in New 19. <br /> T R None AbrdM V �� <br /> Y / <br /> 00 NOT WXFN IPLOW T IS UNE. <br /> r F SEND$ THIS COPT TO S WITHIN 70 DAYS. <br /> RNnA10- I1/95) <br /> Te, P.Oea.3WOD Socroalanro, CA959 <br /> SPAVa�2l <br />