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10- 2-06; 4:49PM;YELLOW ;913 344 3614 # 9/ 33 <br /> Aug 28 06 11:26a Julie Huber • 2068-3880 p.26 <br /> Sro1.d CafilervW-FnNram. lol Prvtec8ah'Agincy j r <br /> F.r Appm.dbMBNa.20e�� e,9,30-t9;) See Instructions on back of page 6. D.panm.nl21Te.1,s.,,,la„m,Cay <br /> Pl.vx pinl mype.,.Fm(n ds ignd/e+a.p eq dire -pikh/typ.wrifer. Serremenro,Ce lilorM <br /> ` UNIFORM HAZARDOUS t" G•nerew'JS EPA 10 No. dl.nikrt Demmonr No. 2. Page 1 roiormogen In M-,hadad m.mc <br /> ' WASTE MANIFEST CIA L10 010181217181718 C C-�- ( on in nol rogrired b;.FQaderP. km. <br /> 3. Gnemro',Name and Mailieg Address 0. sel•M.nife>,Davmml Number 23392121 3 3 V 2 [,2,L, <br /> AMERICAN VALLEY WASTE OIL INC L <br /> j o1 P.Q'80x 340 B. 51a1a Gm.rolah to <br /> 800 '732-4645 DELHI, CA 95315 <br /> I 'P. Genirawi.Pho..( I <br /> N 5. Tran,p,ler l C.Pany Nora 6. US EPA ID Nombm C. Stale Trensp.r,eh 101Ra,erved,l <br /> H <br /> o <br /> AMERICAN VALLEY WASTE OIL a L 0 0 0 S 2 7 7 8 0. Tr..a Wi, <br /> m7. -:ompaaer2Compo.y Nome S. US EPA ID Nuna.r E. Sola Trmspamer's IO lRmervec.J <br /> �f A <br /> /^y Q F. T. p000"•Phone <br /> rl V K iYC tll4lVllVIL 10. US VA ID N . G. S,eh Foci 10 <br /> 11VAIV.7CCfT 1C L 0 D '1 9 0 8 1 s <br /> Z 6300 CLAUS ROAD <br /> ere P. Facility•,Ph.n. <br /> Cn o RIVERBANK,CA 95387 JAIL 10 10 10 11 P10 8 1 6 209-8838181 <br /> CL')Q 12.Can'ainen 13.Total 1A. U.4 <br /> 11. 05 007(M,aipgon pn<ladWg Proper Shipping Name,Nmmd Cl..,and R)NunbeH <br /> N V No. Type Oaemiy I We/Vd L WofN Pknber <br /> 1 z NON-RCRA HAZARDOUS WASTE LIQUID yeW 221 <br /> ?i G (USED OIL) IOU 1 T TU 01 G EPA/Odm <br /> F <br /> o N h" sora <br /> w E <br /> .e R EPA/Olha <br /> v A c '- <br /> T swe <br /> w• O <br /> d. <br /> sm,• <br /> w <br /> V EPAlO,her , <br /> W <br /> iZ J.Addigonol QmtriFllon,for Maeri.h Lsbd Above - K. H.dl'rg Codu.F.r Wmtm Uskd Above <br /> o USED OIL&WATER 0.1 <br /> N <br /> x <br /> 1 e. d. <br /> 1 < <br /> 0 13. Spend Hoodlh i;Inalmd[om and AdiAlonol Inlarmolian <br /> a GLOVES <br /> i = EMERGENCY PHONE 20M6745657 - <br /> = 16. GEMPATOR'S CERTIFICATION, lierebyd•eI..lhol the amm�s aFrhi,mni9nmmtan lolly and axu.•e dy dexr:bed obam 6,proper,hippmg na..a+d are am,i(ied,pedm d, <br /> Vmorlud,and lohdd,.nd err.ie o'I ro,puk in Pmpw cendi8en ror vamp rW by hg, 11,..ing b applkoN.;ntw.1.a l and norional gavernmam rcgdeYoru. <br /> J IF I em o largo goeelity g.rrrelor.I m,ly dot 1 he..a preggrem in pl.:e le d..,h.roI..and wxi.'ly of w.,k gmmated to the degree 1 have determined to b.em..k.ft <br /> paolkable end whh m;K <br /> Ihal I hhow..644 the Pmcli:oble Ikd mevt aemmm,,,image,or 4.po,al curr.My..0.61.io me icnis.,th.pre,enr and Wmra,hnm ro hoover h.1,K <br /> ee and the mNro.mmI;OR.IF I am o,m.I quontiy genenror,1 how mode a geed Foal,-11.11 le-W-t- wv,1e gmmvt'm and take the be,l-fl-monagemenl melhod del k <br /> p m.ikble to me vnd dm l an.4ord. <br /> } Prinld/Typ.d Name Sigtwfu:e Menlh CaY Ye.r <br /> Z i �r� �x, <br /> M17. rrv. 0.1 l Adem d m•nt of Rm t.F M.l.ri.k <br /> W e PrinWa/Typad Name '5gnaivre Mend Coy Year <br /> G < <br /> P Ie.Tr , ner2AcWevk' emmt ofd ; of Moruiak <br /> I 0 Rj r&ftd/Typud Nome Sirnyur. Month Day Year <br /> w <br /> ar� 9 I <br /> laJ F _ 19. Oixrapoay 4diw11an Spots <br /> Z A <br /> C <br /> I <br /> L <br /> 1 20.Folli Ovmer er 0 atm Ceaifi .I rmei t of ha.mdou,m.Iwi.l,covered' 0.m I a,ne1.d in it..19. <br /> T Nw d/TypedN • Siglwlvm Mend Da Y <br /> Y U 3 61 T, Dar <br /> / DO NOT WRITE BELOW THIS LINE, <br /> Y'11.v TS?- SEN75 '45 ('cr- <br /> CTSC 802M 11:991 (Guwralan v"' a �' ,:Ino.: <br /> 1 PPA 11700-.2 pt od is convi v,.., <br /> I <br />