Laserfiche WebLink
Aug 28 06 1119a Julie Huber • <br /> y <br /> 3C 20,68-3880 p.8 <br /> 1.. > ,atter �._ . <br /> See Instructions on back ' page 6. Cepamm.nt of Ta r S bonen,C.M. <br /> km 9- -991 1.,rS ' <br /> rate neGle li Dpit<hl ypewrimr. Socro wo.Colifomio <br /> p <br /> a,in Ikeh.ded :e <br /> RDOUS 1' W^arolor's US EPA IDNo. ilost pocument No. 2. Paga1 Inf:rmotisam <br /> 7 8 1` Z isnarequlredbyFederollnw. <br /> MANIFEST <br /> A " cf 1 <br /> uraNo.and Mailing Address AMERICAN VALLEY WASTE OIL INC AStarts nanife,lDowmontNum6er ^A ^ <br /> > SU <br /> +' P.0 BOX,340 S. Sale Generate".ID <br /> 'LJ"J! L <br /> 600 732-4645 DELHI,CA%5316-- <br /> .'h - d. rRMfnlnf i Fine.I 1 <br /> f?' A S. Transpire,1 Company Name_ S. US EPA ID Number C. stale Tron.porter.IDR sated.] <br /> ur <br /> o AMERICAN VALLEY WASTE CIL ICI 7 ID. Tranlporlers Pham 800-7324645 <br /> o <br /> m 7. Trompor:a,2 Campo"Nome S. US EPA ID Number E.SatsTmnipwmrs ID 1R.rrmd.1 <br /> Q; F. Tronepanm s Pham <br /> 00V <br /> N 9RITalgggled pgclhly ypple q,1<L3la-AddrgyR 10. US EPA ID Number G. Stole F Ili 's I <br /> DTZ 531VV00 CCC�fjiLAA1VUKSCRTOLA1DfSPIVYFt H. ra<RirysPha^e <br /> CF)O <br /> E RIVERBANK, CA 06367 9 20&8635981 <br /> 12. Conminem 1 13. Tatd Id. Unit <br /> C06 J.1. US DOT Deecripl:an(innludiog Proper Shipping Name,Hamrd Class,and ID Numbed No. a Cm.wiy WI/C 1. Wade Number <br /> GVz <br /> NON-RCRA HAZARDOUS WASTE LIQUID Sero 32. <br /> (USEDOIL) 1 T G 7, Ce <br /> 3 <br /> E b Smm <br /> o N <br /> m E EPA/Other <br /> a R <br /> v A a Sate .. <br /> o T <br /> m O EPA/OtSer - <br /> R <br /> ti d. -a._ 't4s 3sore . <br /> w EPA/dher <br /> V <br /> 1.Addilibevl Daariplians for Malerkds Listed Abew K,:Harldlgg Code.for Wast..listed A6o.e <br /> 0 f USED OIL 14 WATER <br /> z15. Special Handling lnstruallo..and Additional lnhrmot;.n -- <br /> a GLOVES <br /> Z EMERGENCY PHONE 209-6678857 <br /> 14. GENERATOR'S CERTIFICATION: I hembY dedam that the comenh of alis consiggnament ore lolly and ac<unlety dwedbed above 6y proper slipping name and are cla sifiec,pocked. <br /> Q marked,and labeled,and ore in dl...peas in proper condilian for tmrspod py hlgh way according to applicable irNnwri9nol and nohow. government regulolions. <br /> V - <br /> 1. <br /> J K I am a large quamiy gmenfer, certify Slot I ham a p.ogram in place so reduce the rat me and I.Ant,of vns,IN g.n.,awd b IM degree I bave determined to be ecmw^icoll// <br /> a pratlicabls and that I hhors eeleemd the yraeinble medad a neown.,n.nh wnga,or dlspowl errantly miiloble b me which min:mins the preen.and futon Mreol m human Mahh <br /> N and the en.ironmeN; , if am a salt quamiy generator,I ha.e made a goad failh Girt to minimize my waste gemration and select H,beer.,ft manogemeN method that is <br /> available q me cera ' t/can afford. <br /> Pan7 P p. Signamn Ma91bi 0�7 Yec <br /> Z `/-T' I.J <br /> W T 17. Tram iter I A,, w msmt of Recce of Ma .••. <br /> R f4inmd No Signature Mans Dail Year <br /> S ,4 `�F d a <br /> W p <br /> st g IS. Truro er2A<knowlad mem of Rerei imof Mabriols <br /> O e P.I.No/Typed Name Sig.amre ` Manth Day Year <br /> Q r <br /> V 19. Disampancy Irdi=H.n Space <br /> Z F <br /> — A <br /> C <br /> I . <br /> L <br /> I 20. Folli OvnerorO armorCerdfimG ecei of lvradausmalwalscarend this w lexnoted iiriNm 19. <br /> T Printed/lYP✓1 ,/,, Signomrs MaNh, Do Year <br /> IT <br /> DO NOT WRITE BELOW THIS LINE. <br /> Yellow TSDF SENDS THIS COPY TO GENERATOR WGHIN 30 DAYS. <br /> IGenerotars-oho sons aa.rd.., ,rasa =or aansren acre1-0cre, <br /> DISC S@2A II/991 , produce completed copy of kis copy nod :end iC DTSC witain 30 cays.l <br /> EPA 9700-22- f. <br /> jt <br />