Laserfiche WebLink
Aug 28 06 11:26a Julie Huber 268-3880 P26 <br /> f Stale of Caillooio—EnHromnental Numdian'A4.r 1-0 <br /> Form Approved CMB No.2D_L�riree 9130-p9) See Instructions on back o page 6. Deparlm.m al T..k s„aaanre.Can <br /> %ansa print ar ype._Fyyn desigmd hy�sP aq dib(11-pikhl ypewrf"r. Socmmanro,Cclllarnic <br /> UNIFORM HAZARDOUS. t. Gem.mntesUSEPA toN.. MoniFesrpocumenrNo. 2. pagel Iniormalioninthetradedareas <br /> Cis not required w Fedora.kw <br /> WASTE MANIFEST C A LI O 0�0 81 2 7 $ 7 8 I C ,rl ij ,{I <br /> 3. Genernto',Name and Mailing Address A. Swm Manifest Dwumenl Number 23392121 <br /> .e 3 3 Q V 2 1 2 1 <br /> AMERICAN VALLEY WASTE OIL INC L <br /> o! P.Q'BOx 340 B. Slate C n.rmw's ID <br /> 800 '732-4645 DELHI, CA 95315 <br /> A. Generator's Phone I I <br /> CV 5. Tranrpordr 1 Company None 6. US EPA ID Number C Stme Tronspar"h ID IR.,ead.1 <br /> � I <br /> o AMERICAN VALLEY WASTE OIL A L 0 0 0 8 2 7 ? 3 D, Trrnsawta..Phone =-73rD-4745 <br /> 0 4 <br /> m 7. -romparlar 2 Company Noma S. US EPA ID Nunaer E. State Trarsponer's 10[R.servec.] <br /> FIS <br /> ru Q F, Tramparler'v Phws <br /> t—t V Al.D.vlG9v Eac LM1.Jarneyad S b�ld n 10. US E?AID Nunax G. Acro Facilih's ID <br /> YCRonMll'VfL 1 Own IC A L Q�0�'-1 5 0 8 9 8 <br /> 5300 CLAUS ROAD <br /> F.. FacilitY's Phan. <br /> t�a RIVERBANK,CA 95367 I,A L 0 0 0 1 p 101al Ile 209-$83-6181 <br /> M U 11. US DOT Dwaiptwo lit,dW ing Proper Shipping Noma,Haard Clu»,and ID Nom6erl 12. Can•ainers 13. Toml 'a. Unit <br /> N No. Type Ouamily Wt/vd L Waste Non6er <br /> F NDN-RCRA HAZARDOUS WASTE LIQUID A'" 221 <br /> ( USED OIL ) 0 0 1 T 1' G EFA/Other <br /> 3 c 0 <br /> e10 <br /> m N b. Stale <br /> m E <br /> 4R FPAyOther <br /> A <br /> o' T c Ane <br /> ao O <br /> R <br /> PA/Other <br /> Zd' Slaw <br /> w <br /> V <br /> EPA/Other <br /> w <br /> sn L Additional Description,Lw Mawial,L'sIsdon Ab <br /> Z K Handlicg Cedes for WasNs bAbove <br /> o USED OIL 8,WAFER a. 01 b. <br /> H <br /> w <br /> 0. d. <br /> a <br /> 0 15. Spwkd Handling Inslroclions and Addilioml Intonation <br /> z GLOVES <br /> EMERGENCY PHONE 209.667-8857 <br /> x <br /> Q16. GENERATOR'S CERT6ICATION: liareby dechre lhm lh.ronfanrso(Alisxnignment on lolly and occura•e!ydexL6eda6ow 6y proper shipping nameondore douilied,packed, <br /> V morbd,od lo6.led,and am in a9 rospeas in propw condiHrn far transport by highway acrording to appl'sco6le in"rnwianal and national gavermnens regulafiena. <br /> If em o large quonlih gensre"r. nrli{y that 1 Mve a program in Fla.1.reduoe the volume and Wmiclly of waste generated"the degree I have determined to be xonomicallyy <br /> 11 pmt,k ble and Bwl 1 have seledd the praclicoble,method of aalmenr,snomg., .,disposal wrrondy availa6le to mo which minis izea Iha presam and lu•uro threat oa human.heohh <br /> w and 16 environment;02,If I am o small quonlih genen"r,I hme made a good faith effort to minimize my was"gene ratan and solea the heel wwla management method thal is <br /> O available to ms and that 1 mn q.,d. <br /> U P,,wd/Typ"Nom Sign.wm Mamh Coy Yeer <br /> ff IF <br /> (� N 17. Trarnixtrner 1 Acknowlew .mets'at R. I.1 Mo1.H.6 <br /> YPrinlaa/Typ.d Nome 3ignafuma Manch Doy Year. <br /> a S / D <br /> w 0 I8. Trrns ner2Achno�led a enc oFR ei of Narorials <br /> ML <br /> 0 , Prinled/Typd Name Signore Month Day Year <br /> w <br /> Q R <br /> V 19. Discrepancy Indication Space <br /> Z F <br /> — A <br /> C <br /> L <br /> I 20. Fadfi O.nm or Op,,atw C.7ilkadm of r,,n,&of haaardow morias mwred' niFes ..t w noted in it..19. <br /> T Rioted/Typd N Signutwe month Doy _ Year <br /> Y Gr�� U 3 0 D <br /> DO NOT WRITE BELOW THIS LINE. <br /> Y110'. TSF SENDS 'H..t CC11 <br /> CTSC 8022A Il/99) <br /> EPA 8700-22 ptadcc,. :anr..t..��, <br />