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' FROM AMERICAN VALLEY INC PHONE NO 209 668 3880 Jun 04 2001 09 24AM P1 <br /> _I " O- 02 - jS 5Oapol ate, <br /> Seaport Environmental <br />' NC)N-HAZARDOUS WATER TRANSPORT FORM <br /> CtlST'QMER INSORMATION <br /> GENERATOR JNEORMATIOS American Valley Waste Oil <br />' Pathic mint Mart <br /> 4511 Pacific AVG <br /> 51octi5tvr� it <br /> CPO <br /> C2 <br /> t}ESC21P r10N OF WArFR <br /> Nlorimnmq wctl deueiopmant <br /> NCN HAZAr1i7A1J!-NASTC WATER MONIr(JRING WELL PIIIgGE wp7FR/�NOr[)H aUGaRT RINSATE HANK rOVE NA E ABO <br /> lebCRI[lEn XE�a r71 IIS WATLA t*1AY Rptil rtCFta r�ER Qa FtiAIN j)iSSQLvED 2Uy 4(OX U)ANO DdES NU"kMEIT THE CRITER A NAZAktOC]t S WAS I ASRIA� <br />' SALCtd <br /> I$A I.JQ00 IN 12 ,CR Qt.1JR7 R F 7 OR ANY R 251 AOXLICABLE STATE LAW mAS Sf=EN PROPERLY OESCRISF-1) <br /> �LggStFIFO A,4Q PACKAGED ANO IS IN PROPER CONOlT10N FgRTRAN ,PORTATiON ACG0RL7JNG TO APPttc;!'`BLB <br /> ,FG,,LATl11N3 _:z� / h� <br /> GenBlalortAylhOlsSed Agent <br /> SITE INFORMATION GkGS9 <br /> 4611 Pacltic Ave TARE <br /> stochlan NET <br /> C3 <br /> TOTAL GALL-ONS <br /> 4�1u�r+M.0 si�3ssns cid i$u <br /> 1 TRANSPORTER INFORMATION <br /> 'Truck 1d <br /> Alneru:an V311by Waste Oil �Cl <br />' Int <br /> I <br /> RrPff data <br /> rtt tali n drpn <br /> TIME ouT <br />' TIME IN <br /> -nm tZPENT <br />' oISPOSAL FA.(:iUYy 1t4F0RMATI0N EPA ID CAL ooD032068 <br /> Approval tyulnb8r 30 <br /> Solids%M �PM�� <br /> Seaport �nr+ <br /> vlrornentaiL�..+—.� <br /> 875 Seaport Soulevard 2 - 6a1 L. Sh a �E <br /> ROdvuoad City Ca 94063 _------- -- <br /> Phone 2$50)384 1024 <br />' Solids Sttrcharg# <br /> fju$G <br />' RecC�vea E)y arta <br /> Print till narll0 b"Qn <br /> r if.T <br /> s� <br /> 1 µ <br /> 3 <br />