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10— 2-06; 4:49PM;YELLOW ;913 344 3614 tt 19/ 33 <br /> • <br /> Aug 28 06 11:18a Julie Huber 268-3860 p.6 <br /> p �� SmbdCdifomirEmirwm.ald ProtrcfS¢n Agvaey <br /> Y Fom 4,0.d OMS N. 20jD-0039'IEgJnr P-30991 Sea fnsfEveho '3RiTack of page 6. Departmental Ta.i<srs,Fmna¢r canon <br /> • Naaa.Print or yp.. Fon. n.d f¢BM On.lild112pikhl gpnnn,11w. ka ..Oto,C.11,1.ia <br /> 1. Gms.rolce,US EPA ID Na. MCM61 Dawmenl No. 2. Page 1 Inbmwlfon in the shaded mrw. <br /> 7=WASTEMANIFEST <br /> RDOUS I - I // � eQ boat roqui ed by Fed.ral low. <br /> ' ' $ Co [ l r7.� dmolor'aNameandMail'mgAddrou A.SlabM.,vk,1Dwam nlNumber 9�/{ <br /> AMERICAN VALLEY WASTE OIL INC 24 716.46 8 <br /> P.O GM S40 B. State Ganrabrs ID <br /> ! n d. Ganerolor's Ph:SOV) 7332-44d45 GE:1_HI CA D53115 A <br /> I t., 5. Tr°mpe.�erl Company Nom. d, US EPA IO Number C. Aoh iranpoM(r 161Pgervad.� <br /> J m <br /> D.Tr¢mpo:rai s Pham <br /> I $ AMEHICAN VALLEY WAST (At.. 4h lk I- D 13 12 1719 % 1 n ' <br /> 1 ]. Tramponer l Company Nam. 8. u5 EPA Num er E. Sr¢teTm ne/s ID Re..ned. <br /> mea 1_I <br /> 00�{ F. Tr¢mparl.rs Phone - <br /> G�'" 9. Deo n¢md Feelliy Nome and Sita Add a. 10, US EPAIDNumber G. Btak ai' SID <br /> L43d AMC ENVIROMME MTAL SERVICE <br /> ! c-4z 515SOUTHRIVER XOAQ,VY'coTSA(.lRM1A,ENT4DCAQ5d01 H. F.61hysPhme <br /> j N oICA P 10 14 14 3 5 50 015-3%1•-5747 <br /> 12. Caatars;m 13. Total )A.Unit <br /> NV 11. US DOT Descripn¢n(induding Proper Shipping Namm <br /> Name,Hard C1--, mn <br /> n,and ID N. No. T a Quo.Nly Wt./V-1 !.WM16 NPmber <br /> Z, °' NON-RCRAHAZARE)OUS WASTE LOAD S`d° '343 <br /> I <br /> ( USED ANTIFREiEZF,) 0 0 1 T T 3�' 8A/Dula: <br /> f chi E b. Stat. <br /> 1 o N <br /> i I m E EPA/Olhw - <br /> v R <br /> A c bwe <br /> d T <br /> m O EPA/Odl.r <br /> R <br /> 1 °G d. <br /> f sZsyy EPA/Olher: .' <br /> W <br /> AAforXandbg Ca Far Warbs U.W Abw. ' <br /> ddllim¢lOmmpl o <br /> ns M¢bn¢X MOW Abse. <br /> ETMIMEGOOM, 20•-40% <br /> m WATER <br /> OIL 01-.OB.II► <br /> a <br /> ZO 15.gp.cid Handling lmkuc80.s o.d AddDienal lnkrmerien _ ' <br /> r <br /> Z GLOVES <br /> w t71RIEftC3EhtiW PPFrPNE�BOLI-dtlR-tl09'7 <br /> x <br /> 16. GENEIATOR'S Q2TIFIUTION: 16eraby deelon llwr lh¢wMenb of thiwonupBnm.nt an wily and aeeureroly dewrihad abew by prepenhipPing name acdaro doui8ed,pocked. <br /> I mm6ad,and 1¢b", d ere 1..11respwX in prop,rnndillon for Im p.n M hi <br /> anghway¢O..an ro oppl;m61.iM.,wianal and notional gonernmew r.wIction, <br /> V <br /> 1 <br /> jif I am a krg.qw 1 gmeraler,I a ;Fy that I ha+ a program in plow 1°mduca IM vdurft Md wxieilY of.emN gw.maled to 1 degree 1 hme delerM nad'a 6e rnnomt 0 <br /> I pradi.bI,and Ih.1 M wlMed the�ndirobb mahad or Vwlment smmg.,or dlapMo�<uraMly araild,le to me wSich mieim¢u Ih.pnnN and bturc th.gal b Iwmen hea:IF <br /> and lh.amhonmeM;OR.eR I om a small quonliy gemralor,I hw.mode o pond Seth oNmr b minimMei van.gmerefim and a.l.n IM lost wane mmopemenl method that is <br /> _ am,1.61t.m.and ehet 1..16M. <br /> { O PrlMMUTyp.d Nertm Sigrwma / Momb Doy Yeor <br /> m ; 17.Tmm tler 1 Aehrbwk mmlof Rae¢; l of Md.riab <br /> °c E Ainr.d/Typ.d Nams SignaNre � McMh Day <br /> I �w <br /> ern �o OY <br /> w <br /> a18. AekmG <br /> d R.ed 1 of Mabriok <br /> Mm1A "S' Y7O R IY;,,M/Typed Name Signamro Y <br /> N <br /> V 19. Discropwry ladkanan Spaw <br /> Z F <br /> A <br /> C <br /> I y <br /> 1 <br /> .I 20. Fa'f nen or O .otter Cenificolim oFr ; I e ¢mrdom mebriab.waned b this ifw eaw os wlsd in ham 19. <br /> T Prin ypa N e 8i ndura % � Y.a <br /> Y J . <br /> DO NOT WRITE BELOW THIS LINE. <br /> "ollow TSDF SENDS THI. COPY 10 ro?I.1EF 4TUR �':151•. :u 0ar3. <br /> (Genarb ramaal: 0.:ehelu`N. <br /> DISC 8022A 01991 Pmducu xn'Pm m° .Z'y'j el Ihi,:our m14 :o:e u C 14 .1i114n 30 daya.) <br /> EPA 8700-22 <br />