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V <br /> d - <br /> Na b . . ...Me: t <br /> In <br /> Voice.- <br /> Address: -9hIPMentoate: 3443 <br /> 01Y,stateap. ,z— Driver <br /> signature(Prints • <br /> Site phone. <br /> Truck# <br /> PO# <br /> Hazardous Waste <br /> Waste LhIld als-d code CA Aflanife" <br /> fl-RCRA Hazardblis Wage L*1d 221 Quawly Units, <br /> RCRq Hareabod 00:Induftl ''JI(I price A.in <br /> ,WasteUqW -7etrnAkWA Get <br /> f <br /> %"CRA Ani) 134 <br /> 11,11,111hilli,Jque(0#&Wadi Gal <br /> RCRArdotis W221 <br /> aste SIDUds ContilMillatedGal <br /> Id 00.Fatilrolum(s) With Used Oil 2 <br /> Gal <br /> OMWO) <br /> dart <br /> Hamniow rest <br /> Eacir <br /> Sao","" <br /> lintswilbe spec"Fadonviac,., <br /> d*qWaFM&qNej ftied <br /> GE at me <br /> MOnlh <br /> Genera 18919AMIJAL month or <br /> ft PERIO t T&V]S <br /> Ining this ter Perma"hwNch REGEI <br /> nined by the ,the G F.L <br /> atorj�qjtjff generator,to tOr certifies CEWAG7e PATE ,MM'C'asa- P--tdt. <br /> be e00nok,,tyhat&Program has been <br /> es ft ail llaZardous Waste ra==bCi%,*s-'" AGE <br /> 10 reduce the FEB 17 2 016 <br /> G <br /> eorge W.Low j,3�inc Olidsted"ariftg Receipt 1. voluirtilorquaftly and'Mocity Of the h, <br /> 'nt+of Used oil Me .hereb profiled to meet the Waste Codes ENVIRONMENTAL <br /> Used to Y be tran, Y advises the Generat-ritlat x as listed r' <br /> i Used oiclor"ply with the Ported to a facility that is <br /> are required . More stringent requirem required HEACT14 1`11=04PTAPake— <br /> ra <br /> These include m to Meet those ents app; plY with <br /> more kable to hfederal1 11ulaI1111:11 <br /> Ire and stlingent leak d "ent hazardous wa ns a—pplica—hi.It—o— <br /> id+ Occidental argent is etectio requirements <br /> not left,to n and Ple"ritt ,and some : Ste F�anagement M <br /> these more stringent req send used 0# on requirements oilt-of-state facilities. C, <br /> ulmments. to out Of lita .engineering l4ciffib$that proos., <br /> Thie notiocaffo * slate facilitles;that.0 Cerwications Of tank 1, <br /> is for lnfOrvn8ffon only. Lowry Driver mply Only W4111he Feot... <br /> Signature x 1041, <br /> of Generator,Representative orAgent of r <br /> f <br /> Generator. <br /> 7.7 <br /> AJS Piker Prc MEMO <br /> 15131 E.C,,,k easing,Inc. Gii� <br /> Ind", Avenue,Bldg E CRf Recycling <br /> CA 917, 161 Hagen Drhm j <br /> 026-333,"17, 4S *Oodvqje <br /> n9 CAL000097432 %*9028 <br /> ]Sal Bloom 7164":iGS3 Naras: f <br /> Riverbank of#rre Address: <br /> Claus Road risfer 5300 <br /> Riverblulk CA 963g7 <br /> 209-893-8;�j 1*51 3-River Roedmit cliz state,Z* <br /> 91aftrameWcI CA <br /> 71-P47 ' 95691 <br /> CADO04C"0356S <br /> EPA to.- <br /> 77 <br />