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FROM : AMERICLEAN, INC. , • PHONE NO. : 702 577 9199 • Oct. 24 1997 oe:49AM P1
<br /> 3s..el Caklomie—En�•mmr.nol Prerernen A9lsYCw
<br /> 7oenrnem of Tos:c rwa, . ,
<br /> e Form App.a..e QwR Ne.2050- 91Eavlrn 9.30967 Sae InsTIVC}IDns On Sack OI page b. Subl
<br /> Pl.am pr'.0 or type. Form derlpmd fe•v,.w efm/129seh)hp� Sxrpmseq,Cafifornio
<br /> t, (isrmrmw',US EPA ID Ne. MonAen Decvv,.nr No. 2. Page 1 lnkrmmwn N the,kaded aroa,
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<br /> M HAZARDOUS Is rrm required by federal kw.
<br /> TE MANIFESY A C l r 5 3 $ ofame eve A1a:Gvg AddressA_ Sob Mv.fer Dawmrd def
<br /> SITY OF THE PACIFIC 9659153. Mendocino Avenue, Stockton, CA 95211 R_sPeNce�emar,+D
<br /> Phone (209 946-2541
<br /> t Company Nome 6. US EPA ID Number C-Shoe trmuporterr ID
<br /> �? NOR CAL OILD-►gmpabrP (209) 667-'6692—
<br /> CAD98241 721551
<br /> ..�U 7. T.,oner 2 Cempee,Nerve 6. US EPA ID Number
<br /> Q 9. Dmignmed Fadlirf Nome mrd Sim Address 10. US EPA ID Number r yky T
<br /> (� AMERICLEAN, INC.
<br /> 3)= 2570 Almond Dr.
<br /> I7� Silver Springs , NV 89429 1 NI V1 Q1 9181 21 31 51 81 8I '•'> Y p z7-96Q1° :
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<br /> O 15. Spulel Handinq Im"OtOns and Additmal Ddorm"m
<br /> a APPROPRIATE PROTECTIVE CLOTHING Job site: 811 Rd Presidents Circle
<br /> 2 "EMERGENCY CONTACT: (209) 541-9145" Stockton, CA 95211
<br /> SEE E.R.G. 171
<br /> 16. GAMMATOR'S CI R IEWATIODb I kereby dedere,Orbe eemems of Mus eav,,Er n,ars fully and acevra,elY dercnbed ab.—by pmpw d:pp:,rg.wme wd vr.dossi8cd,
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<br /> TSOf SENDS TM15 COPY TO DISC 'WITHIN 30 DAYS.
<br /> OTSC 8022A (1/93) Ta O. 3os 3000,Sw.emen:o, CA 93a7
<br /> SPA 0700-22
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