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<br /> LiE,N'E R A T 0 R;
<br /> DRIVER AUTHORIZED
<br /> SIGNATURE DATE SIGNATURE a.T*
<br /> DISPQSAL 1 AECYCIING FA ILI Y
<br /> 0 DK-DiXON �ASEIURY ENVIRONMENTAL 0 RIVEFOMK OIL TRANSFER 0 YUMA YES LLC �] .��r'r-s ,_,D . TIPIL �f.�DR
<br /> 73W CHEV13ON WAY 1920 MORGAN RD, 530 �4US RD, 6500 US HWY 95 ti= INDUST iIAL❑i�
<br /> DIXON,CA 9 CERES, CA9-5358
<br /> RIVERBANK. CA95367 YUMA.AZ 85355 N TON•CA 95
<br /> 707-883-W= 209.883-8181 928.344-9828
<br /> EPA+ 000393680 000190816 EPAO AZR000521146
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