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Oct 10 05 04:45p Julie Huber 209-668-3880 p.2 Dr(� <br /> I <br /> , <br /> t <br /> I <br /> • <br /> Generator Information <br /> Name: RIVER CITY PETRO <br /> Address: 2211 N. WILSON WAY STOCKON � <br /> Description of water:Non-Haz purge water UST it <br /> Basis for determination tha W terAlis non haz: Anal is <br /> Generator/Authorized agent t PJC�{, <br /> Print strgn ate <br /> Transporter Information: <br /> Company name: American Valley Waste Oil <br /> Truck Id Driver b, -,-' s <br /> Print sign date <br /> Total Gallons 3 7 <br /> Facility Information <br /> Cascade General Inc Approval Number 700-094 <br /> 5555 N_ Channel <br /> Portland,OR 97217 <br /> ORD18761934 <br /> Via Railcar 4 <br /> Received by: <br /> -/"/ W <br /> Print full name and sign date <br /> i' <br />