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10— 2-06; 4:49PM;YELLOW .913 344 Se14 # 13/ 33 <br /> j Aug 28 06 11:23a Julie Huber 2068-3880 p.18 <br /> StgM aI C0&-niia—EnAmccee tal Protection Agssq <br /> Foes Appeared OMB No;2:50-W79(Expires 9.30-991 See Insiruetions on back of page 6. wperm�.,,,al Toxic <br /> .;esa6,lan°e,ce°I <br /> Pleas kjp_Loe .. Id>tn dmgnea Farrem elib(I2,pimb)ypmw ileo SocramoWaa <br /> UNIFORM'HAZARoous I. Gonerarols US EPA IO No. Man;f.vo.crn.m No. 2. mg.1 Inf<rmotbn'n the shaded proms <br /> ^ ,1 ^ isnot required by Fedvolluw. <br /> WASTE MANIFEST E/ll Sit of 1 <br /> J. Gonxmorrs Name and bcailirg Address A. Smb PAmiles,Occumenl Nv,rbor 237934,44 <br /> . <br /> AMERICAN VALLEY WASTE OIL INC <br /> P.O BOX 940 <br /> +� 800 732-4616 DELHI,CA 96315 g' s'°'°G•tmrater't 1D <br /> n 4. Garomtoe,61no( h <br /> N S. TronsPwlrrl`Campany Name 6. US EPA ID Nom6or C. Stote Trensp«ler's[O 1perrved.] <br /> A <br /> ` AMERICAN VALLEY WASTE OILg . Tmmpoem'.Phone 800-742-464F <br /> - <br /> I W 7. Tranlponr 2 Ccn'sm,Name g. W EPA ID Number E. Stile T:empedsi s ID L�.J <br /> F. Tm.pomle Phone <br /> I 9 t <br /> 10. U5 EPA IC Number C. Slab F i0 s I <br /> C'�a RPOIE��'ll7'�SiCgP`�kA?��'tR 9 <br /> 1 Z 5300 CLAUS ROAD N. mciIV.phone <br /> N RIVERBANK,CA 96367 jq oI q q q q 11p p 1209.883-818 <br /> mU 11. W DOT Descalim(isduding Proper Shipping Name,Hazard Ck",and ID Num ror; 12. Cosrilnen 13. Total I Il:L'nit <br /> No. T a Q°an6 WI/Vol L W.V.Nom6er <br /> N= ° NON-RCRA HAZARDOUS WASTE LIQUID s'°'• 221 <br /> G (USED OIL) 0 0 1 T T L- yA/orbs <br /> E <br /> mN 6. stele <br /> m E <br /> NR -WA IN, <br /> v A <br /> co <br /> T ` Sam <br /> g O <br /> f R FPA/O16, <br /> Zd stat. <br /> II v <br /> erA/o16er <br /> Cis W <br /> Z d.:yWdt mal De aipliona or Ma mid Li4ed A6we 1, 1"69 Codes fsr Wastelbbd Aber <br /> 1 a i.. USED OIL&WATER016. <br /> { w <br /> I} � 15. Sp.eiel HOndhng lmlrue+ions old Fddplenel lnfaemettan <br /> 1 < GLOVES <br /> EMERGENCY PHONE 209-667-8857 <br /> 16. GENERATDp(8 CERTINCATIDNt I tmely JacIcte lhm the cmteats of this cons;gmml are Fully and aa°ioldy demnbed Awe by proper ahippinB tome.md°.a<ImuPnd,pnked, <br /> marked,oaiTlo6ehd,a�Id an in all rogeets in pm>w candiM:n ror Yampad ty highway aceddng la applicable infamo,fend ottd nolimal Gavemmem re0ulelions. <br /> .I �+ N I oe a IwOe gwnity generamq I cerlily that I have a peg ram in Place Io r.dude the volume and mziciry 01 wash generated:0 the degree I hon determined b 6e ecosomlmlb <br /> y pradim6le and IhN 1 hove nleded the Ptadim6le method of trmlmenh sbroge,ar disposal cwrocdy ovoillable r0 me which minimizes do Present and furore Ihreot Ic teen..baa. <br /> m oral the mvirommmr;OR,A I am a urea I gvonfit, ,,snow,I Foie mode o pond Teph efi to minleuza my waste gor.mmim and select the 6«t waa c manopemsm method that;s <br /> mnsilabte m ee and h can.Hand. <br /> Pdvted/T a Sgnamr / / M."Is Da✓� <br /> _ — v / 0J J Year <br /> W i —�_ _�_ <br /> i C d <br /> 0.T.'assmr 1 Adrnawl o area , Mar tai. <br /> I ,�,', M I PriN oma ° STgml.m Mm" l Yeo. <br /> e. Tram ror 2 Ackm»ded anent ed t d M er:06 YY[C <br /> T Ninted/TYped`bee 5:gnolwe Mon,h My Year <br /> W E <br /> < E <br /> U F 19. Dleuapaecy Indfeclian sp0ce <br /> z A , <br /> I <br /> L <br /> 1 20. Fx111 Owmrar volar Codi"nmtlon ofr of hazprcaul m0brials mvendh ,his mmilede reseed' lb,n 19. <br /> Y Pdnled/TypsdN /� � SignaNre /% Month Dry Yea, <br /> DO NOT WRITE BELOW THIS UNE. <br /> Yol;ew: TSDF SENDS 110; CDs" "O GENERATOR WITHIN 30 DAPS. <br /> DTSC SD22A 11/991 . �Gu-m'olon ..n n.hriF r mcous ,m for ..... <br /> EPA 8700-22 praduca mmphvuJ mPu et t-: way area :crd Ir, Disc snnv i0 doyy,) <br />