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Aug 28 06 11:23a Julie Huber •
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<br /> Sb to a(Culthaia—Environmental Protection Agency See Instructions on bk G a e 6.
<br /> FofrAppr"d OMB Nm 2-50-00391Eac
<br /> xpiras 930-991 p 9 Department el To:;c Suhslonw,cam
<br /> Plea,eprlplor .e. F4m Meigmdfor.eon elift ti2-pird+fgosr r,Rer. Sacromenso,Califanio
<br /> UNIFORM HAZARDOUS 1. Garr...W,Us EPA ID No. MMltesl Documapt Na. 2. Page 1 1.1crmatiao m the shaded areas
<br /> i,not required by Federal law.
<br /> WASTE MANIFEST (� of '1
<br /> ]. Genemmr4 Norm and Mailing Address A. Stale Manifest Dccument Number 23793494
<br /> AMGRICAN VALLEY WASTE OIL.1114C
<br /> P.O BOX 340 B. Stole Gemr.arh l0
<br /> " on 800 732-4645 DELHI,CA 96315
<br /> 4. Ge cvcr`.Phone I I'
<br /> r 5, Tm,,sa mr hCompany Name 6. Us EPA 10 Number C. Slme Tmnspacise,0 1Reterved.1
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<br /> o AMERICAN VALLEY WASTE OIL . Tronaporter'a Phan- 800-7.,' -4645
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<br /> I m 7. rru.,portar 2 Company Name E. US EPA ID Number E. Slate Tnon,pormi,ID
<br /> F.Tron,ponar's Phan.
<br /> �. 9RDwjRFLglad EacBihr Name aod5ibr€,�1,R 10. Us EPA ID Number G. slate F cil' s I
<br /> 1 Z 5300 CLAUS ROAD
<br /> 0)wH. F.;IiVa Phone
<br /> N0 RIVERBANK, CA 45367 Y '1 4 209-883-818
<br /> 00 Q 11. US DOT Des:ipbw lincluCnB Proper Shipping Nam.,Harvard Class,and ID Number'; 12. Camalnen 13. Total IA' Unit
<br /> U No. T e 0.00PI• WUV.1 1. Waste Number
<br /> NZ a. NON-RCRA HAZARDOUS WASTE LIQUID slate 221
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<br /> (USED OIL) 0 0 1 T T C. 5A101h„
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<br /> N R EPA/016,
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<br /> Z )../U131ianal Dsaaiplione for Mabnals LiUed Ab,. K. Ilmdlirg Cods,for Wostu Uaad PLove
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<br /> 0 15. sp.cialHo.dling lrik.twos aro'AddiK...I lnia,mallon
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<br /> w EMERGENCY PHONE 209-667-8857
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<br /> Q16. GENERATOR$ CERTIFICATION: lo.s�y deckre that the mnrenn of chi,corm9mmenl are Eully and occuiolely described above by p.vper shipping mme and an clasrls.d,packed.
<br /> U marked,anNlabeled,and or.in all respoals in pre,a.r conditan rw transportby hghway according la applicable iNerraiisr land national govema.nr�egoloslans.
<br /> Ifloan.Inge 9�nlly Baneramr, nrlify R,m]have a program in platy la ril the volume and woity of wasm generamd so the degree 1 hwa demrminod m he ecommiwlly
<br /> y pmtliaab6 and that 1 have eletled rhe pr«ticable rml6ad al Irealmanq smmge,ar dispawl cumntly avwlable to ms s,•hich minimizes the prment and f w,.threat m himan haallh
<br /> � and the.nrbonm.nr;OR,if 1 oma,ma l gwntily gevmmr,l haw moat a geed faith egos ro minimi.my,was*gen.rolion and s lacl the ben waste,conogea.ent m.rhod that is
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<br /> 1 20. Foali Owner or orator C.ItSmlion oft of hazorcaus mo4dola mvarodb +his manifest un tae nosed' Imm 19.
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<br /> eN SignaNre `i' Manch Day Yeo,
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<br /> DO NOT WRITE BELOW THIS LINE.
<br /> Yal:ow: TSDF $ENDS 1H15 CO" -0 G:NCRATC•R WITHIV 30 DAYS.
<br /> DTSC 80MA 11/991 ;Gaur.ors .,a :j,-u ro arc oc: .-.ear br uunsporr c,.-aFe'u
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