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Aug 28 06 11:24a Julie Huber 209-668-3880 p.20 <br /> Ass ,,Fannia—Emimnmenbl Pmtsclion Agenry <br /> Ap'priwd QMBNo.2050-00391E.Pim9-30-99) • See Instructions on back o0ge b. Depa7menlcf Tomic Svh9ancx Control <br /> Phase pdnr or Irpe..Fgrm designed Far....n dire 172-plhh)Npewrlter. Souamenlc,Ca6fom.a <br /> UNIFORM.HAZARDOU5 1. Generator's US EPA ID No. M.m6l Dacum_enl No. 2, Poge I Irla.mmlian in the shaded areas <br /> /� is ran required by Federal low. <br /> WSTE AMANIFEST 7 (_. Ohl f- tl �J 1101 a' 1 <br /> 3. G•eeralar's Name and Mailing Address A. State Manifed Document Nu.mbar 2 3 7 8� 9 K 4 <br /> AMERICAN VALLEY WASTE OIL INC V <br /> CD <br /> P.O BOX 340 B. Sidle Gerr•ta o s ID <br /> ICI 4. Generator's?..af 800) 7324645 OELIAI,CA 95315 <br /> r <br /> N 5, TmnsporW I Company Nome 6. US EPA 10 Num6er C. StaleTromporter's ID IReserved.I <br /> o AMERICAN VALLEY WASTE OIL C 0III pTgD Tmnsp°reir'sPhone 800-732-4645 <br /> 0 <br /> O0 7. Tmneporler 2 Campnny Name 8. US EPA ID Number E. Stas.Tronsporhr'a ro fR se ROK.) <br /> �= ` F. Trareponer's Phone <br /> �.s.�V <br /> 9 Fac II Name and Add 10. US EPA ID Number G. gh <br /> 3 J to Focill s ID rP <br /> RI�i�'�'�nrix OIL rRANs�ER <br /> )OZ 53010 CLADS ROAD H. F.4sys Phone <br /> p� RIVERBANK, CA 95367 C 1 9 209-863181 <br /> `O <br /> U 11: US DOT Doscriplian find Proper Shipping Name,Hazard Oe it,and ID Number) 12. Canmirtere 13. Txol 14. Unit <br /> No. T e Quantity WI/Vol 1. Waste Number <br /> V= NON-RCRA HAZARDOUS WASTE LIQUID Seats 221 <br /> 3 G USCU OIL) 1 T G EPA/06., <br /> oN Is. State <br /> as <br /> E - <br /> tc R EPA/0,6r <br /> v A - <br /> m O <br /> _ R EPA/Other <br /> E` d. State <br /> z <br /> W <br /> V EPA/Other <br /> W <br /> J. Additional Descrip m for Mabria6 Usted Above - K. Handling CodeBhr Wastes Usted Above <br /> USED OIL & WATER M b. <br /> w <br /> d... <br /> a <br /> Q15. Spedd Handling tn, u Boos and Addigonal lniormahan <br /> z GLOVES <br /> W EMERGENCY PHONE 209.667.3867 <br /> x <br /> 16. GENERATOR'S CERTIFICATION: I her•6yrledore 4.1 the .Not,aI Phispoed mem an lolly and acara�el dexribad above 6ypmpe.Shipp ng roma and ve danili•d.paled. <br /> Vmarked,and la6ekd,and are n dl mpects in proper cendifian kr tranaporl by highway accordlne to applicable in:•manono and national gowrnmenl ragulallons. <br /> J G am a large goantity genxvtsr,1 cxti(y,hat 1 how a pr tom in pkee b reduce the Imhmse and roaidN vF wash generated b the degree I haw determined to be econcmk-H <br /> i prac8ca61a and that I hove s•laehd 16e prodim6la method eF Irealmmq xoroge,ar dispoaol cumnlly amiloble b ne which minimims the present and fuNm Ihreat b Kumon healM <br /> and 16e enyirorsmenr OR,if I am a ..If gwnFty generator,I how mode a good Faith effod b minimize my wa gsnemr MfF�d' select the best waste mcnogemsmt me•hod thol is <br /> available o to me fno I omn csh rd / 1p <br /> y 7rint�, yp No sign aN Mc Doy yen, <br /> Z <br /> W n 14 <br /> T 1/. rons H•r] a ed emam of Rsc•I of Mahrml, <br /> Nina n SRrmtu� /� Ab D v Yea/� <br /> tl <br /> LL 0 18. Trsmijocri.r 2 Acini enl of R•csi of Maleriolr <br /> fl tlT Printed/Typed Nam• Signoturo Month Day yaor <br /> W E <br /> N p <br /> V19. Discrepancy lndiooKon Specs <br /> z F <br /> A <br /> C <br /> I <br /> L <br /> 20. Facility Owner er O ratar C•Hificxion of receipt of hammdout maleria6 cmIered by this manifest except as noted in Item 19. <br /> TVTyped Name Signotup Month Day <br /> DO NOT WRITE BELOW THIS LINE. <br /> I=II... TSDF SE.VOS T,IS '.O"' P; GENEPAT, P. ;;ITHIN 3C A'S <br /> DTSC 8022A 11/991 iGenembm woo wb:n�, n _ . : .u. to ' cur a''V00. <br /> EFA 8700-22 Psaducc 'on.a Ie Im.. coli � :_e <br /> 10 s:':ap; nxr. DTK wA... 3J dc'; <br />