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10- 2-06; 4:49PM;YELLOW ;913 344 3614 11/ 33 <br /> Aug 28 06 11:24a Julie Huber • 1w 8-3880 p.20 <br /> $ryy-y(,�glifornia-EnNmnnanbl Ncmef ADeecy <br /> Approved PM6 Na.2050-003V JE p",930-99) See InS}Ncft005 on back 01'page 6. Oepohmem eF Toric S°6eramrm Canoe! <br /> itaaee pier or type.,fy;m desip«d Fw we en dim(11pirch)ypwdmr. ` Saaeme,.b,Cdiiom-o <br /> 1. Ownermer's US EPA ID Na. Manifml Dmumenl Na. 2, Page 1 10...fian in the shaded p.am <br /> t , UNIFORM.HAZARDOUS' in rd ma'-Ded 6y Pedeml lay. <br /> WASTE MANIFEST 7 <br /> 1 3. Gemmlarh Name and Mailing <br /> Add.. A Sbm Mmi6i 0«ument Nam6e' K <br /> i AMERICAN VALLEY WASTE OIL INC V <br /> P.0 90% 340 B. Stake Goeemloet ID <br /> 800 732.4645 DELHI, CA 95315 <br /> A. Ge°mdm's Pwe 1 1 <br /> T,.,penw I Company Name 6. US EPA 10 Number C. Stebtwepwlers ID(9au:•ed.I <br /> h <br /> Q? AMERICAN VALLEY WASTE OIL <br /> C 0 D. Trowpaner'sPhem 800-732-4645 <br /> 0 <br /> i m 7. Trompader 2 Compony Name 6. V3 EPA 1D Nnn6w E. Stat.Trmepwbr's 10(Pmuwa.l <br /> f <br /> F.Tromp"e.Phmo <br /> 9 Feds Namea dSim Add'ms 10. US EPA ID Nwe6er G. Sbm F«iliy.ID <br /> j �q Ri�E�t1A.NiZ0iL1°RANSFFR � A - 0 �,..� '1 <br /> l Z 5300 CLAUS ROAD H. ftetli .phone <br /> p0 RIVERBANK, CA 95867 1 C1 A 14 010101 1191 208-8638181 <br /> `•LL <br /> V 11. US DOT Descriptim(iaduding Proper Shippirp Name,Hoxad dG1F..d ID Nem6ml 12. CaMai.mn 13. Total 14. Un0 <br /> Ne. T e Oamgty WUVeI I.Wesco Number <br /> VZ NON-RCRA HAZARDOUS WASTE LIQUID state 221 <br /> 3 G ( USE[) OIL) 1 T G EPA/0161 <br /> o N <br /> m E Evayab.r <br /> N R <br /> Q A <br /> O T 1' <br /> Go O i' BA/Olbee - <br /> d. %to <br /> UFJA/0111m <br /> J.AddHlmA Dam m Fm Mamda6 Usmd Abare - K.Nordling Code`WaOes L;%W Abew <br /> USED OIL& WATER <br /> m <br /> W <br /> 1 q . <br /> 15. SpeNd Handllag lnshactlammd Add'eianol lniarmoHan <br /> < GLOVES <br /> 1 1z„ EMERGENCY PHONE 209567-8857 <br /> { <br /> I6. OFT19tATDl'S CEliIPIGIION: Ihme6y dadara thol the cameMsaf this,coesignmens ory lolly wdacumaly dexdhed a6a.e 6Y p'openhip 'ng name end we damilid.pac4ed, <br /> Umar4ed,and la6ebd,coot ore m ell rwpeds in pmpsr emdiden far uonapml by highway a<eardlnp b applimUe in omanaw.and nmiono�gorornmaril regaklians. <br /> j li I am a Jorge gnorti pmarolar,1 ceal(y 1F.ot 1 haw a pragram in pl<ee t9 reduce the':dome and roxkiy d wade ganemmd b the degrw I hma detmmbed b 6e rcmomieaXy <br /> a- pme6cobh and 1h.11 haw selected dm prodim6le method of trew.1,storage,w dispasel mrrtwdy amilo6le to n9 vhieh minimi:..the prem..and Femre d:rept b human hm llh <br /> N and the amirmmm�OR,IF I m.a small gwnFy generoror,I 169.v made a good Fagh eifed to taiv;mixe my S. tlw the bat vase memgemmt meshed 1ho1 is <br /> m mailable ro me a d)hat I oon mi" // <br /> 0 7rinle�, yp No i gignoN�e�- '/// Ma lDay Yeo' <br /> T 1,. roes iter3amend sot Aeni el Mamdalr _ III / <br /> Stgmmro i� Mo D y y <br /> t 0 IS.Trom mart A.6 con, D=eem- el Material. <br /> O ! Pdn1.d(Typed Name S;gnaNm Month Day Yeor <br /> 1 <br /> W [ <br /> F 19. 0hvepancy Indl<aH..Space <br /> Z A <br /> C <br /> 20. F«ffi Wm/m0 rater Cedificdion of recei tolhozardoer mabri s awred this monied exec tas acted in lhm l9. <br /> T rM typed Name Isigmlurp, Mmth Day <br /> DO NOT WRITE BELOW THIS LINE. <br /> Yello.. TSDF SENDS THIS —Y- I'-S OENEPAT•-OF: %-THIN 30 SAYS <br /> DISC 9022A(1/99) IGanurolan wm Proop. •¢:;__.: •s:,s Iv '-.; .:c °at-Y:- L^. <br /> EPA 6700-22 rl'xe ;on+c'v:c co ;po1n :np; nr: ur,: r; DTii wlrhm i•:tl ;.1 <br />