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64/06/2664 08:63 26946711-18 AGE STOCKTON PAGE 02/6 . <br /> T ,f <br /> Riverbwk Oil Transfer <br /> 5300 Claus Road <br /> Riverbank,Ca 95367 <br /> i <br /> Generator Information <br /> Name: ADVANCED GPO VARIOUS <br /> Address: VARIOUS <br /> Description of water:Novo-Hax purge water UST.Sites <br /> Basis for deaennnnation that water i$non h"= MalYaical <br /> Generator/Autho6zed agent <br /> print sign date <br /> Transporter Information: <br /> Company name: American.Valley Waste Oil <br /> Truck Id 19 Driver cs�� <br /> Print sign date <br /> Total Gallons <br /> Facility Information <br /> Rtverbank Oil Transfer Approval Number 600-101 <br /> 5300 Claus Road <br /> Rbwbenk, Ca 45367 <br /> 209-863-8181 <br /> Received by: <br /> Print full name and sip <br /> .,. - . . date - ... <br /> I <br />