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the <br /> shaded arap1 <br /> wvi.'➢F¢C1r46nr:..=•EmrSrenm...[o4 Pror hOn•In <br /> ..,,,aor.sr.e prwn No.zUSD-cs0 <br /> f <br /> a9lof.Jwr o•��.I,�'99�'plrc�l q've"rirer. �.QR�` �AtOf1SU <br /> 11 �1 Ee�aialla , <br /> 1, fjnncrata!sU5E4A.4DNO. lAanittilDpcvmentl�a_ ���D4I��1�1T29�Y <br /> u1v1POBN1 y1AZA'RnouS <br /> WASTE PAARAFes't GSA 4 2 5 ? 6 $ Q al <br /> 3. Generator';Nam6 and Mailing Address ,. <br /> TULEBURG WAREHOUSE <br /> '301 S,. AURORA ST. , STOCKTON, CA. 95202 ,, <br /> Ln d. Crencrowr'g'Pf oac;209 4 6 6 0 433 <br /> a <br /> .5:Teo <br /> ncporter 1 Compony Name 6_ US EPA ID Number <br /> W NOR CAL OIL GAD 9 $2 4 17 2 55 y <br /> 7. Tranzparrer 2 Company Ncmc - <br /> S. US EPA ID Nue+t�6r )y t sY t <br /> Allv <br /> u ff <br /> Q 9. Designoled Facility Name and Si Addtess 1a. 05 EPA ID Numhcr "}; K- <br /> AMERICLEAN, INC. r <br /> 2570 ALMOND DR. _ > <br /> 1 <br /> SILVER .SpRInGS, NV 89429 INI Vp 19 2 3 58 411813 <br /> -� 4 i. U$DOT.Deic:ipfon(inCivdiny Preps Shipping Name,Haxvrd Class,and ID Nvesberl 12. COnlpinbrs 10. 7o[pI 1 d. Una x 7 <br /> 1.Ia. Type O.cettity v✓►/Nol ryh <br /> NO$f-RCRA HAZARDOUS WASTE LIQUID <br /> . (WATER S SLUDGE) 0 Ol T Tr .;. <br /> E ` <br /> N �E7A%pjqco <br /> I <br /> v R <br /> c. J <br /> Ordo <br /> d. s�o.. <br /> t. <br /> h .I <br /> 15. <br /> d�nglnzirvcnonsandAdditionallr{orrnantn � �• �' . >✓'S"aY?3'i: <br /> APPROPRIATE PROTECTIVE CLOTHING <br /> Z -FIMRGENC " SITE, T R' SE <br /> Y CONTACT_ {209)541-914582Q EBUSTAT��Ugy <br /> w SEE E.R.G. 171 E. FRONTAGE RD. STOCKTON, CA. <br /> � Z 6. GEwERATOR` <br /> ,Q S CFRrsFICAUON: I hereby de[Fdre that the eontenrz of this condi nment pre Full ` - <br /> V rrsarfttd.art(fabcled,and ore in ol!resPPdls in p.o g Y and o<wrarcly dasvibad above by proper yhipp7ag ncme ondoro clm;fFied,poC�ed, <br /> per condition for hanSpoN by 6iakwQr a«nrdir,3!o app3ieoblc in�arnarionpl vnd noetonal ao�6rnmcnr��ylario_n s. <br /> J foe q onRfy <br /> d 1F i om a Io � 6 ggryernror I cervi that t have o r ram in Ince b rcr ' <br /> rn Procsicable and that 1 ave ial led rh � P o� P lace rhp aaf�mc and raMle�ty of wo.Ie gen era[ed ro rhe degree I hove determined ro ba economical)y- <br /> _ Ond rhe bnvironmens. � e pracrrCoble method a Irbarmenl,xorogB,or de5posal Co rrenily nva4lahle>o ma which m�nimizcz Ilse preaHnf and ivrura rhreor to?,un.on heofeh _ <br /> .O -aveiloble ro me do AOR`.f I am n small gvanriry rjent:rarOr,I ha+e mode o 8aed faithcFFori to minimize my waft'genrrorion and select rfsa lxsr webM ntanpg.mcnl M,r6od rle.pf is <br /> d a mn afford. <br /> �.. - Prireed/TypEd o— <br /> zu D SirUnarvr a <br /> Z '. ��� O , / Atamh Year <br /> +L �c <br /> R 17: TrapF orscr 1 AcJrnovdnd ement of ReceiQc t areripl; <br /> UJ R Prinrrpd/Typod Nam, <br /> S gnarl ra <br /> U.r 3- Montle. Doy Year <br /> P <br /> ri C t B- Tran ocicnan.ied men' <br /> of Recd r of NlarBriols <br /> O T' '^ /Typeder Z me <br /> Signor <br /> R Gr ! �Mo. <br /> 17 F i9. Din panty lnd�coiwn Spa <br /> Z A <br /> t <br /> L _ <br /> 1 0. FOCili Owner be. do for Cnrli{icarion .recei of ha:nrdovs morerial <br /> T Prinicd/Typod Nome.. i covered b this I.. esr exce t os noted Pn I_em 1 9I I --- <br /> Y SignarorP <br /> Manch Doy veer <br /> DO WRITE 8 W THIS LINE_ <br /> orSC 6022.A (4/9?1 <br /> EPA <br /> \MiIMN aft OAYj. <br /> f,. ... .....��-. CA 9im 2 <br /> £d W02-S-90 8661 TT 66T6 LLS c02- : 'ON 3NOHd WOcid <br /> J <br />