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Hug 30 02 CR: 49a Preferred Customer 209-668-3880 <br /> Sloe of Calikmio—Environm¢yyaoIProtmson AOancy back <br /> Form App-Yed OMB No.205C}D089 ff p 9"30 9 ? $D@ In5}rUCllOns On back Oge 6. D.porlmmd of T..i,subvonrn Go <br /> PlLrse print a e. Foml designed for un on dib(I Pp lSAI t)P^nTn•G 5acmmoNo,Coiilvniv <br /> ' 1. G.namW,US EPA to No. Monifest Dm.Mo tNo. <br /> UNIFORM HAZARDOUS 2. Pagel vrnmlion nlhc hedd cans <br /> WASTE MANIFEST J 7 Z Q ie nol Pei 6,F.d.'d kw. <br /> ). Gen.rolora Pbr).and Muling Addrirvx ' <br /> A. Slpla M.11W Dgmm.bl N9mhor 1$13 3 2 f <br /> AMERICAN VALLEY WASTEOILINC - <br /> " O BOLE 840 s:Sim.O?rlarptor.ID .... .... ... .. . • - <br /> ` c...rvNr•,Pho".f S)£LHI. CA 95315 <br /> 5. Tmmporfer I C.,.,Name d. US EPA ID N mber - C.SIPNTrubspeHar's ID 12m.n.d.] <br /> m <br /> o ` 4 Trortpnibl'{P5oy <br /> 0 <br /> _m 7. raps rt.r 1 WASTE- <br /> Cam Nome Sx <br /> P° Po^Y 8. US ERA ID Num. E. Sk4 Trbniporbrc ID IRIEe�d.I <br /> M 9. Oedgwtd Filly None old Sib Add.. 10. US EPA 10 Nvn6�- d"Slplr F IIyi ID' "' -� <br /> M Z RAMOS ENVIRONIMCNTAL SERVICES G G I <br /> �...I r< H.'Fadlny sPhare.. _ ... . . . <br /> 0 1535 SOUTH RIVER ROAD r WEST SA A NTQ 9A 1 <br /> U 11. US DDT D.P.,,pRnn(Indudieg FroP.r Shipping Non.,Hpwd Cl.,,and ID Num6.dNe C b!i n oe Omfw Wt/Val h Wosla Nembur <br /> C%LPe. <br /> i <br /> Z_ _ _. StoN. <br /> = NON-RCRA HAZARDOUS WASTE LIQUID 343_ <br /> 3 {USED ANTIFREEZE) 0 0 1 a EPA(OIM, <br /> a ISbtb <br /> m E <br /> v R EPA(ahur <br /> A <br /> o T .. .. .. . .. _.-- <br /> epic <br /> Po' <br /> FO <br /> R EPA(a6e.d. <br /> ; <br /> s <br /> Sloe ' <br /> Z <br /> U . EPA/Olhur — <br /> - J.-Adllnlondl Deur bon -. .. 16 .. .. .. <br /> Z V I fork"- i P1ed,A4?rP s,:; s i I K: itandl'ngi,Cpd for Wo lea Oiled Ahura <br /> Q ETHYLENE GLYCO 20-4076 <br /> a WATER: l9-5676 .. ' �. d. <br /> z OIL . 09 -05 <br /> Q 15, 3p.cia111.4ing lnprvctivm and Addfimvl lnlarmolhn <br /> F <br /> Q ' <br /> z GLOVES <br /> r EMERGENCY PHONE 209-66743857 <br /> r Id GENERATOR'S CEYTIfICATIOn: Ih.rd6Jdvdorerhgf the wn„nls of lhia svmipngeM o.fvl(�and attwmelyy d.rcriF.d^6me by pmpa chipping nmm and¢m dokufsd,vo�.d, <br /> m¢h.d,and lo6eled,and Oro in oll nspsch i^propq mndliog Iw Irymport y hlghwoy accordirp b¢ppliivbl..inmrnalivnel¢nd ueti¢nu gmernm.M mguvllom. <br /> J If 1 am a Ivrga 4lmnfiry ganuaw. curtify 16o hove a pr m iq pkq to redpce Iho volume¢nd pai5iry of wale g.......d to Ph.dW..1 boor demrminod Iv be acunmiicall <br /> d ymcti.o6la and 16 1 I have rel.d.d the yyrmlico6l.method of 1raaM1neN,sFor+�{o�di>po,ol currrmly q+vil�le a ma nhich Nnimizu Iha prosenr mid IuNre thrwr m humor heolt�i <br /> 0 and rho mvhvnm.nr,OR,iF o 0 of uv li abry I Lo gds obrl fa116 Hart wash onerafion and wloa Ihr 6m1 wcl.mono <br /> � vq- 4 ^ N BMIp /•T. R 8 . e, b p�inimiy my g gement rd6ud rhos i> <br /> � ovailv6le Io m.q.d Ih¢r l mn oflPrd. <br /> r PrinF. ,ycpcd Nfm(.r/{ M.Nh Doy Y.. <br /> V `�'o+A I, <br /> Z <br /> W T 17. Tranr ear l Aok.l.dooneur of R.ceinr of Zwl.l> <br /> rYq i hinl.dRypd Na'y� <br /> 0 P <br /> T Print. (Typd Noma Spnafun Month Day Yo <br /> u E <br /> 8 <br /> U I9. Diacropanry kdimsion Space - - <br /> Z F <br /> q <br /> C <br /> I <br /> L <br /> I 20. rai Owner w 0 cur 6rSGc¢So�¢F mm l of hsgdaur mabiiah<aiiied ”Ibis mantle .c i m noNd'n Ibm)9. <br /> c <br /> T Pr bd Pd Nam _. _. __ Si Eu .. - � <br /> twv <br /> D4 NOT WRITE BELOW THIS LINE. <br /> Yellow: TSUP SENDS THS COPY TC GEWRAfOP,N'ITdIN 3C DF.YS <br /> DTSC 802 A CI/991 {r rrarws who auh ail haprdou: wcva to, Ircnsaan.., f .::n. <br /> EPA 870;-22 produce cvmpfoud copy el Ihi,ropy nne :ev¢ I¢DISC wnr..n :J dcy._ <br />