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Aug 28 06 11:21a Julie Huber • 268-3880 p.13 <br /> Slate al Califarnw—Environmentol Prolecdon Agmy i ea In6hV<1L005 On back O a e d. <br /> Form Approved OMB No.2050-0039.IEcpiras 9-3D-991 9 0epanmanrd Toai<Sub4waev Comrol <br /> Pease print�Form der!gned rx use on elite 112•pik'l D' iw. Soxamenta,C.ilornea <br /> UNIFORM HAZARDOUS 1. Gnnxabi,not r.US EPA ID No. I -un'. No. 2. Page I moo in the shaded areas <br /> WASTE MANIFEST 71. <br /> 8 3 l n not:equird by hderai law. <br /> 1 aF 1 <br /> 3. Generawrs Nome and Moiling Addms A. Slab Maniest Document Number Q 3 7 9 3 Q 49 9 <br /> AMERICAN VALLEY WASTE OILING f� <br /> C P.0 BOX 340 L. Smote Genonmr's ID <br /> 4. Generators PFone i 8001 7:32`4645 DELHI, CA 95315 t. <br /> N S. Tmmpwler I Company Name 6. US EPA 10 Number C.'Srdb Twti,.,we,IDan <br /> esary .I <br /> an <br /> a AMERICAN VALLEY WASTE OIL C L 010101 7 D. Tran p.Mrs Phone 800-732;4645 <br /> ae 7. Trar..porter 2 Cannon.,Name S. IFS EPA ID Nu%6er E. Slab Transporbh IDR carved.F <br /> �a F. Tronspwei s Phone <br /> 9. D.,' sled Favl y Nome and Sib Address 10. US EPA ID Number G. Stare Faciliy's 0�Od RIVE�RE3ANKOILTRANSFER 1 q 1 <br /> 'n- 2 5300 CLAUS ROAD H. Fildliv.Pi... <br /> TD RIVERBANK, CA 95367 ICIAL 0101011191 c 3 1 a 209.863-E1181 <br /> \—' 12. Containers 13. Total 14. Un❑ <br /> 11. US DOT D.,criplion lineuding Paper 5hippitp Name,Hazard Clau,and ID Nam6erl Na Type Quantity WrN.m t. Wash Number <br /> `V= NON-RCRA HAZARDOUS WASTE LIQUID sob 221 <br /> G (USED OIL) 1 •f 'I' O EPA/01h. <br /> oN b State <br /> an E EPA/Other <br /> N R <br /> a A a I Stale <br /> 0o T <br /> m O EPA/C+., <br /> R i <br /> Fd Sw le <br /> Z j f <br /> w EPA/Orher <br /> V <br /> A Addklund Desmipnar,for M.I.H.6 Lisnd Above v K Handling Cod.,For Wades Lioed Above <br /> USED OIL &WATER 01 b' <br /> a _ . <br /> 0 <br /> W <br /> Q <br /> 15. Special Handling lnstruclion.and Addigoiwl lnformnion <br /> r <br /> z GLOVES <br /> = EMERGENCY PHONE 209-667-6857 <br /> 16. GFAEid,and S CERTIFICATION: .11 tp.chky in <br /> P.lheeonlxtfoF tranport ykish yaccond ding to pp ica.le Weobove by pd noiloippingemeandnn d.m. packed, <br /> Q mmkd,and labeled,and on in all rospecb in proper wndrien for tronsporl by highvmy attading to appicvbk Inlernotbnal and nolloml government ngulariom. <br /> V <br /> J IF I am v logequanliy generator,I eaAiFy Ihat I have a Pecs to reduce he volume and maid,of...%generotd m the dean.I haus debrmixd to be aconomicolly <br /> .C. pmnim61e and that I oe eeeid the pxgwble..h.d= letim,.wage,a disposal curr.ntly ovoila6e Io me which mininisaa Chep nt and lumm Ihrvor Io humvn 6eohl, <br /> and the anvinrmenl;OR,it4.o moll q...tity g own,I have mode a goad foirdi efkrt to minimize .egsz ganention a a eat 1M best anne vmnn.00t mMhod that is <br /> O <br /> avviehle to me hot n fiord. <br /> y Prinbd/Typd m �� Sigmrure / 01 <br /> �1 �ay Yeah <br /> Z V�f f <br /> W T 17. lroampowle,l ckm eat of Rec 1 r OF Molwi,6 <br /> i Prmhod/Ty / / %l / Signone, i an D44 Yeary <br /> w S / ✓/ / i `T `� <br /> LL a IS. Tran orb,2Acknowid ame'u of Recel rot Moed.L <br /> O R PHMW/Typed Nome - &gmmro Mamh Dvy Year <br /> H F <br /> P <br /> V19. D'ucraponay Indication Spon <br /> z F <br /> — A <br /> c <br /> 1 P ' <br /> L <br /> 1 20. Fa Oil,Owner or Cwmw,Cerhik.lmn aF rewi of hazardous matwi.h mverod h the.manif.v mae t as nosed in Item 19. <br /> m-.6- Day Ywr <br /> Y (J (f ` <br /> DO NOT WRITE BELOW THIS UNE. <br /> Zs�'v 3•r"ck:: Ye16v,: iSCF SENDS THIS COPY TO GENERATOR WIT'nly 3C DAYS. <br /> C 8022A lll991 IG....Mors who soonnit hexa:dace.vas:. L-, tran.porr xPalstare. <br /> P'x ece completed copy o •hs can, and tend to DTSC wilhlo 30 ;uy,I <br /> EPA 87022A <br />