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. Central Valley Water Recovery, LLC <br /> 5300 Claus Road <br /> Riverbank, Ca 95367 <br /> Generator Information <br /> Name- Lodi Theatre <br /> Address 107 N School St Lodi, Ca 95240 <br /> Description of water Non-Haz purge water <br /> Basis for determination that water is non haz Analytical <br /> Generator/Authorized agent raj d� <br /> Print sign date <br /> Transporter Information <br /> Company name American Valley Waste Oil J I- <br /> Truck Id_�Driver <br /> Print sign date <br /> Total Gallons <br /> Facility Information <br /> Central Valley Water Recovery Approval Number 514 <br /> 5300 Claus Road <br /> Riverbank, Ca 95367 <br /> Received by <br /> Print full name and sign date <br /> I <br /> i <br /> I <br />