Laserfiche WebLink
Aug 28 06 11:22a Julie Huber 268-3880 p.15 <br /> State Califemia—Envlranmania l Proleclion Agency <br /> Farm App or ed OMB No.205000391Espim 9•]0991 _,SEIe'InslcVcfions on.back o Po9e b. Dg dnv.nr of Tosic Substances Cant,Haase print er ypez f«m dei d far aw on alis 112-p1m6)ypewril«. S.c,.mtma,Colil«ala <br /> 1. Gmerotee,US EPA ID No. M..;FW D..e,lN 2. page I Ir, natation in the.leaded erect <br /> UNIFORM HAZARDOUS r '/1 is nm required 6,Federal I. <br /> NIFEST ' <br /> WASTE MAd <br /> le3. Generalist's Name and Mailing Address A. Slab Mantle,[Document Number r� o r� <br /> AMERICAN VALLEY WASTE OIL INC 2 �$v <br /> B. Srom Genemwe,ID <br /> AI. General«'.Phone( auilI �•O SOX 540 _ . .I . <br /> N r? Hit CA <br /> 5.TmmWw I Company Nome b. Ui EPAIDNumber C. Slow TronsparlefsID19...n cfj <br /> h <br /> O <br /> 0. Tmmperter'.PhoneVASTE .' <br /> 0 <br /> G_ <br /> 7. n r 9mp.rry m - 1 N b "' ' E. Seals Transp.rtul lD _r r _ <br /> F. Tramponers Ph .. <br /> Cr)V 9. D.46acr cl F.diiy Name and Sim Add... 10. US EPA ID Number G. Stas Fxilint's ID <br /> �i RIVE:RSANK OIL'fRANSFER <br /> ,t-,4 W H. Facie s ne <br /> 1"o 5306 CLAUS ROAD <br /> V 11. lis t emnpnon in u 'ng roper Shipping Name.Hazard:"ass,an I umber 2. edloinen 8' 14. Unit _ <br /> Na. I Type 0...lity WI/Vo: I. Waste Number <br /> z_ o. Saw . <br /> L <br /> } G, NON-RCRA HAZARDOUS WASTE LIQUID EPA/Other Zzl _ <br /> ( USED OIL ) 4 cl 1 -it I a <br /> aq E b. -.role <br /> a N <br /> an E <br /> A Sane <br /> o T <br /> ° EPA/Okhw <br /> R <br /> Fd. $roro. <br /> z <br /> W <br /> V EPA{ph.r <br /> I Addi9cnef Descrlplions for Materiels listed Above K. Handiing case"for Wass.IEstd Above <br /> USED OIL&WATER 01 — <br /> ,p C. <br /> d. <br /> 0 15. Speda1111cadlinginstru6cei and Addig«mllnF«meson <br /> r= . <br /> Q ' <br /> z GLOVES <br /> w <br /> EMERGENCY PHONE 209-867.8857 <br /> Q16, OENEf1AlOCS CERTIFICATION: Ihere6y declon lh.t dte contelYsaf lhu conzignrminsaro fdlyad acwrmel dsseribed abws by preropship irg ern,.and are a.ssilld.peeled, <br /> l: marked,and I.6e6d,and are in aE rmpects Fn proper ct hien for transport by highwy acro ding is Opplleobte inarnalional and noiio�gonmm«l ragulalions. <br /> If 1 am a longs W tip Wormlike,I codify that I haw o program in place to reduce the volume and msicity of wsm generated m the degree I hove delermined in be econora call <br /> ei preeeea6le and that I Awa selamd the ppmdim6le mrhd d twhmnL tet«age.«disaer I wrraotly wettable le me.mich niniml...the proem aad lumre lhrmr le human hedlr <br /> ne ne and the environment,OR,if t am a sell quantity generamr,I have made a good idlh eRort b minimize my woes limitation ad select the best wasm management method:hot is <br /> 0 .0.61.e,me and that I ...+[and. <br /> O <br /> y Printed/ Na SilnaNre Mon on V. <br /> Z fr <br /> T 77. T,..po,wr 1 Acknaw6d emit eF Recei t o Mamria6 <br /> w i PrinMd/Ty am SigrMurs _ .-� Month Dcy Year <br /> w F <br /> a- 0 19. Tren rtor2Acknawled omens. Recei era Moreriol. <br /> O R Prised/iypd Name 5ignoluro Manlh Day year <br /> Q R <br /> U 19. Diswepwrylndication Space <br /> 2 F <br /> _ p <br /> C <br /> 1 <br /> L <br /> 1 20. Fadli Owner er O.eratar CaniRcaian aF neat l of hasaMo..malmiab any erod h this m.niFesr Kmpl as noted In him 19. <br /> T Priced Nome , Sign.ture Meath Day Yeor <br /> � IQ <br /> DO NOT WRITE BELOW THIS UNE. <br /> Y.:Ilaw TSDF S?-NCS :HU <'i'! fi:: GEPJE:;.1::=. wfrTt. J D.-is. <br /> DTSC 9022A 111991 IGu"«.'c s A. o.h i.ozar.Im.: .._ la. l'm:rprr :;enc,[ ;:am. <br /> EPA 9700-22 - ".2-'ccc«q lmcde�.o�•, .I .1;; 'cp; ww x 1. DISC 10 dc-.. . <br /> s <br />