Laserfiche WebLink
Please print or type.;Farm designed for use an eGle[f2-pYetr)typewriter.] V4 YZ- 2.Sq I Z— <br /> 77v z-- <br /> !UNIFORMHAZARDOUS I-Genamivl8iVumber 2.Pa SCf 3. Fc m4"ved.0MBNo.205W39 <br /> cACleaseos93o 31 Phase A,rdanl�f{�st a � S 7 G B F <br /> WASTE tnnNlFlsr 1�,.� 2os-931-82D4 [J <br /> s.Genera'nrs Nan+e and MarrgAddress 4b1ASSOCIATED TRACTOR SERVICE,INC, mwGaddressl <br /> 1323 W CHARTER WAY <br /> STOCKTOM,CA 95205 <br /> Cteneramr'sPFure: <br /> 203.486-3003-105 <br /> s.Transporter 1 CcmvanY AMERICAN VALLEY WASTE-OIL,INC. us,EPA H]Number <br /> T.Tra*poreer z C.aopany Name <br /> CAL000418714 <br /> 21st Century Envlronmers#af Management oiCarfomfa LP il•s.!_Pato t+arrt5er <br /> CARI?00210817 <br /> a.t)esig++a�FaceyNsmeandsteAdaresa <br /> 21-TrCEMRY ENVIRONMEWALMGMTOFNEVALIA,LLC <br /> U.S.EPA1R ti�rrt5er <br /> 2095 NEW€-ANDS DR.EAST M1D98U885338 <br /> FERNLEY,w 89408 <br /> Fac�rtls Phone: 775-575-2760 <br /> 93. 5�US.(}QTpt {ripk�dux,}Froper Name,He2ard 01as5.lOkumbe <br /> HLi p-%k g Group(A my)] 1 Q,Cadalraers 11.Taal 12,W <br /> N0 TYpet 1 YHf1Uq. 13.Yiasta codes <br /> 1' NOI�RORA HAZARDOUS WASTE SOL10 �} DM �, 223 392 <br /> DIRT,OIL 8 GREASE926 <br /> ru <br /> � 2 - <br /> sa <br /> 4. <br /> 7e,ISpeaat lrS6VCZGrlssndRdd+ frtfemtiDign <br /> PROFILE#GR170R8.O4,D(RT,OIL&CREASE,ERS0171 <br /> CONTACT,ROCKY <br /> 15. (3HNERATOR'S1GfFEROR'SCERTIFlCAifUH:!he�ahydealxe R{al Tr9 ovnlenlS v17u5 Wrllslg_M�enf are i�r3y and anaxalely descr�edahe�e lTie <br /> rriarf�ed and� Alacarded,end a�in ail respecTa in Arepa'mnddi0n[arra by Proper stripping ruYrre,and are dessified,padtaQed. <br /> fi>�0rter 1 oartirythalvra as en s eilhlsaf&XMM!cmkrm m fhe km of Mea Ora OapfGcattle ii>�afatenea andnatlorsat9 nweatal regu€a50r�s.lte+pattshlprrent end 1 am the PrGnary <br /> E cel ryusai thewas a rszn4maffansEatsmem idan6fiadfna9 CPR 2t322T{a](llama �0f C,*WL <br /> Ge <br /> +ar9eauart49er�eraorlvr{b}{dtan,asrnsaa 'y isrrue. <br /> � lerrratiorral�iixt�Fs f[9!�'" <br /> � T ❑kn .9. ❑Fxpore from US. Pat of entrydesiC <br /> rd+rsp0rler si�nawe(kR 4 <br /> 17 TraospaterAdmo"7yd8n�nto€i o€1da!er4ats PamraA,pU.G. <br /> r tsar! <br /> NDar Ypr <br /> a r er sir+ 1 <br /> i8. ' <br /> 18a.OrstrepaxylnStaSanspat� ❑ Quantity ❑Type ❑Reatlua <br /> ❑Paro0R*ctia, ❑Fr,ae „ <br /> lab.AkemayeFacZ7y{aGeneralatJ tNa'feslRe Number. <br /> 24 US,EPA 10 Number <br /> L] <br /> Fa Crll'tys Phone; <br /> IR igmwreaf tiNernate Fas�lY tpr J eneralp] <br /> x Mwth NY Year <br /> 79.tia=arduI's tl6aleRa1:11;ji A{arngtnxm tde#W*des(Le.,We$ftt Wur&M wale NeaNxnL !,and <br /> 1. 2 acyclkV sWemsl <br /> 3. 4. <br /> 20, led F !Dior San d FcaelAt of ht7Afdorss maief�ts Dar w by the maridesl <br /> yped e+cospS asaotvd In ltcrq 78a ' �r <br /> Oy/ 1 <br /> EPA Farm 11M52(Rev.MS)Previous Klions ata obsolete. <br /> FP in 1• 9019 DESIGNATED FACILITY TO DESTINATiON STATE(IF REQUIRED) <br />