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r� <br /> Generator Information 8958653 <br /> Name Flame Liquor <br /> Address 1301 West Kettleman lane Lodi <br /> Description of water Non-Haz purge water UST Sites <br /> Basis for determination that water is non haz Analytical <br /> Generator/Authonzed argent -e/t- t�_� r <br /> Print 1'�t- <br /> sign e <br /> Transporter Information <br /> Company name American Valley Waste Oil <br /> Truck Id Dnver <br /> Pn nt sign d <br /> Total Gallons / 7 ('C) . <br /> • Facility Information <br /> Cascade Genera! Inc Approval Number 800-030 <br /> 5555 N Channel <br /> Portland, OR 97217 <br /> ORD 19761934 <br /> Via Railcar 9 <br /> Received by. t,l <br /> Print full name and sign date <br />