Laserfiche WebLink
Please pant or type. Form Apprvred.OMB No.2050*39 <br /> UNIFORM HAZARDOUS I.Gen.,,ID Number :Page t o! 3.En arga uy Ras361 Pre6.ne Mani(esI Tru g Number 4 G B F <br /> WASTE MANIFEST CAL000035904 2 209-239 <br /> 5.(3enewnrs Narns aal6la➢np Address General-,Is Sia address(if tXcrart Van ma Ira address) <br /> TUFF BOY,INC. <br /> 5151 EALMONDWOOD DRIVE <br /> MANTEC:A,CA 95337 <br /> GareraWs P.-oa.09.239.1361 <br /> E.ira,apxter 1 Ccmpeny Name U.S.EPA t0 Nnncer <br /> AMERICAN VALLEY WASTE OIL,INC. CAR000272302 <br /> i.Trataporte 2 Corloany Nrn U S.EPAID Ir.rrt;er <br /> WORLDWIDE RECOVERY SYSTEMS INC CAR000175422 <br /> S Despatad Fac'iq tame arra Sea Ae"less U S.E-A 10 Yulter <br /> YUMA YES LLC AZR000175422 <br /> 2730 E.13TH ST <br /> YUMA,A2 05305 <br /> Far:tq's Pacne928-642-8938 <br /> 9a 9d,U.S.COT Oesuictvrn t,,ta dirg Pwer Swor;Name.1-waru CI--10 f1i'lW. 14.Cons na'e 11 Taal 12,Una 13.Wasle Codes <br /> Hh1 aM Pacwta Group if any/) No Type chanty 4ANCl. <br /> do i NON•RCRA HAZARDOUS WASTE LIQUIDS,DIESEI.FUEL 5 DM 275 P 331 <br /> 0 <br /> Z 2 _ <br /> 3 — '-- <br /> a <br /> 71. rN1a1 M0Gd5rv} Wf�no ILar n r 'Ip•„lryl <br /> PROFILE# ((�5`J (�/ AGED DIESEL ERGH171 <br /> EMERGEN ACT:JOSH Z' <br /> 15 GENERATOR'SiOFFEROR'SCERTIFICATION:Ilbrebytlee'ara.at the conrentaWaMs tprrs5ranant are arty anlaccvra'ely 0escribsa aAr:e by ins proper sh�png Nme,eM ars cl,.svfad,packpgea. <br /> markod end Iabaladya:Nded.and are in at respecle toproper corrdlat foruarsronatcor0ingb applk yu inwritional o-d nasna'g"m-r.ental regilai.xrs..1 expat stupmeni a^.d am the Pdmry <br /> Ertonon I:enty that No Crynens of t1N catisigrn'bnt rndn:m to the terms N!M aratlred EPAAdasdnregmenl ct Carawa <br /> I wNfy Nal Na Haste m Nmiaeotl statement deMtwd 1r1:0 CFR 2fi2.U(aj(d t mt a iwga p,.anGtg ganeram0 a(o)(11 am a snsyl pod nur/ge�xratcq is trua. <br /> Gamrald?j,D% %PnnledTyeed Name Signature <br /> ,v., <br /> Id kaernaianalsnliene^la <br /> ❑ _ <br /> Import Ponofend <br /> to-U.S, E.wfromus. yiexi: <br /> ? T—corter agrohoa lb,o.pdrts)1--yrDare teavng U.S: <br /> re 17 TrmisperlerArkncy.W.7rmtor Remplof Rlaterots 3r h10nN Day a'y <br /> cz int na.I:x.1 yrec no }� / <br /> O <br /> rn 2'n•I(yrYTy Synao e i s• ��- / <br /> ji. 15tred l�l <br /> 1°a.Drscr }•Irrataeon Spate Manly �Tice _Rasoua ElPanid Re,e:•tion tJ Full Relecion <br /> f ldtireAl RA-e—NJrfrH,M: <br /> 18b.A.te=e FaMq(or Grinwaten U.S EPA ID Number <br /> J <br /> U <br /> s`t+. pa�llynProne f.vnid Day Yew <br /> w la Sgtwtuv ofAharrdlo atEur it,Genv,aIw) <br /> a <br /> z <br /> H19.Haxaraous Wide Repan h'a,agerrxM Atelhcd Codes(i.e.,cY.res is hvaraouf waste YaaMent,dBpasal,dna rac/dng syr:ants; <br /> t 2 y J. <br /> til Dasgnaled FadWOnneror0W51a:Cenfiw6dn 0!%oe f of hazardous materuis Wsered by tie man'est WN3 rdial in Item iSe <br /> PmWdQ •d Ye:v <br /> mo 5 alu r <br /> Abnlh Day <br /> C AQ22 t <br /> EPA <br /> Form 810J-22(Rev,12.17)Provuusedieonsare obsolele. +ili;illv`N A'I'GI)Fra°1.111'i(l.c:'P'sr1-MAN11-TiSi "1",1Ni"'. <br />