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r <br /> Generator Information <br /> E <br /> t <br /> Name: Advanced Geo <br /> Address: Various Sites <br /> Description of water: Non-Haz purge water LIST Sites <br /> Basis for determination that water is non haz : Analytical <br /> { Generator/Authorized agent G �c <br /> Print sign date <br /> Transporter Information: <br /> Company name: American Valley Waste Oil <br /> Truck Id( Driver 4&r ' <br /> Print sign date <br /> l <br /> Total Gallons <br /> r <br /> L U Facility Information <br /> Cascade General Inc Approval Number 700-011 <br /> E` 5555 N. Channel <br /> Portland,OR 97217 <br /> ORD 18761934 <br /> Via Railcar# GATX68329 <br /> Received by: <br /> Print full name and sign date <br />