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FEB -17-1908 22:57 <br />ze <br />EPA M 141, I'll -It <br />CIA <br />5, TVon3porf� I Company No -4 <br />US EPA ID Number <br />�WfC�--,RICAN VALLEY WASTE Olt <br />I- r <br />7i' TT"partec 2'Comiso�y Nome <br />c If[ Namearlel Site Address <br />Ia. US EPA ID Number <br />RIA—URR'lil- OIL C <br />Satc,ron,ento, California <br />Information in the Shaded areas <br />is not recluired byFecleralla-. <br />*r | | <br />`3, r*° : |/A. Un* <br />i5Fii',Sp&dtS1 Handling Instruc6ons and Additional Information <br />GLOVES <br />EMERGENCY PHONE 209 <br />int are fully crid accurately cloteribed above by Proper Ship md� Packed, <br />16re6y declare that the contents of Thi 11m <br />6,,d, and JaWed, and are if, kift t*Apects in proper condition lot 19..Sport <br />tied It <br />ify Ikol I have C pro?fom in place to reduce ll,a vcrlume� and ta.iriiy of waste generated to the d4gree I have clatermi to b <br />:M Firockable and ihat I love selected the Practicable method a IWIment, storage, at disposal currently avoilo6l* Ia me whicl) <br />nment; OP., if I am o. small quantity s.iAnnfator, I 16�* nade a good 611h, effort to minimiza my waite garteration end, <br />and the onviro <br />alt I can afford. <br />av ilable 10 me and that <br />-P, I L me, D13 <br />Ju <br />Noma <br />!4 <br />Month Day Year <br />NM <br />:119.: Discrepancy Indicoilort Space <br />Tadis Owner or us molftri Is covered by <br />month Day Year <br />W/77* Nome Signature <br />DO NOT WRITE BELOW THIS LINE. <br />iSC MATHIN 30 DAYS. <br />DTaC,'8Q22Ai (A-1-971 to: P.C. Box doo, Socrerme <br />TOTAL P.02 <br />