Laserfiche WebLink
Form Approved. OMR No. 20500039 <br />eal <br />vi al all <br />1. Gemnbr ID Number <br />2Paga ld <br />3. Emmgenq Response Phone a, gFTnl eel in<Nin N <br />UNIFORM HAZARDOUS <br />rer� <br />252 JJK <br />WASTEMANIFEST <br />CPA000172301..,;,,,,,_ ,. <br />j,' <br />.800-73$4845;_ V230 <br />5. Dona loM1 Name and Mailing Addles. CanallaneWm.. (a Camnal Nen mailleg mamml <br />AMERICAN VALLEY WASTE OIL, INC. <br />P.O. BOX 340 17420 BRADBURY RD <br />OELHIrCA 95315 TURLOCK, CA 05380 <br />camnbrs PIgn�100.731.4R45 <br />B. Tnmp,nar t Cumpeq Nama U.S. EFA ID Number <br />AMERICAN VALLEY WASTE CIL, INC. CAA000272302 <br />7. Tramponer 2 Compaq Name Me EPA 10 gal <br />S. Dnigamad Facpllrlo'tit ENVIRONMENTAL SERVICES-CERES U.S. PA ID NumNeater01L CAL0003e350D <br />1920 MORGROAD <br />AN <br />CERES. CA 95358 - <br />Fall ¢FNgm?0N-541.1M25 <br />Ba. <br />9b. V.S. DOi Oeempd.np .deq Eloper Shgpiq Nemo, NaxeN gee,IDNumbm, <br />10, Combine. <br />11.11obl <br />12.Unn <br />IB Weme Cmw <br />No. <br />type <br />NM <br />w4pook2q (raupgfany)) <br />Qaermty <br />vil <br />' <br />I. NON-RCRA.HAZARDOUS WASTE. JQUID <br />001 <br />1'T <br />G <br />221 <br />r <br />(UEl OI NIXED OIL) <br />z <br />2. <br />tD <br />3. <br />a. <br />1 H.MMp iaWcgcnsm ipwal lnbmuapn <br />NRUFILE•M tMER(iENCY CONI 'ACf-STEVE HUOEN <br />15, 0ENERATORSNFFERORS CERTIFICATION: I n.rew declare Nm be ween. cl W, xvmignmml an Noy IN im weNlp deewibW all by the "of ahipplq name, aN am deasigad, Pecnal <br />mafked end IBbeledlplewroetl, entlare in eq reepmbin pmpm wntli0on lof ban¢poM1eamNing Iq applicable IMemagonvaM mtlonel0ovea.MYdel re0aaggn¢.II expwl egpmanl4n'd I am Na Primary <br />EPAAdwr... <br />Exwnm,Iwhe"ll Ne wmmbo11ya <br />III w. <br />Normal 40 Cbbalmmoteeanadbd <br />Nimbi <br />Iwrtlylhel Newglafrdnlm^pori tlehmml Mentlfledln d0 CFR 262 27(1 Qllemalege quanYrygenefabr)a(bl (Illemaa IquenOMOeneretoUU6ue. <br />OenerebV aro a p0mi Ne a Ipmbre Day Yeer <br />al Iv O <br />I .MNrmuwel nipmems IwgMb LLs. ❑Fapod Oom u.s. Fonaenw7mn: <br />Temponer.i al (W fal ar ly): Dale brveng U.S.: <br />n. TImMaarAdameeapunlofRa lm Mal <br />riammihe 1 P4nbal Name 510 e Y Montle Day Yam <br />R <br />w <br />renwmm 2 Pmeatl YP me Mgnm.re MPnlh. DaY loaf <br />Diaaepal <br />i18. <br />tea. Dgcrepanry Xbiw5pn Space ❑ cluenti7 _ ❑T, a ❑Revd., ❑Pane Raw. ❑FWI Roil <br />l <br />Mandev Weal Numbm: <br />180.NbmaM FmlNrylw Gemfala7 US. EFAID Nkmhar <br />Ye , <br />u "I) <br />Finalye Pnone: <br />Ift nab^ olNlemab Fadlih(of Genenlal <br />MDMA Day Year <br />aw <br />2 <br />h10.Huardowgoal RepodMmegamenl McSmtl Cotlp else., wtlwbrhexmdo.exresle 8emmenl,dhpwN,ago regytpq ryabm,) <br />1. <br />2. 3. <br />4. <br />20. globa led Fal Wi m Oparebn CeNflwlbn 01 mi of bamNous mal wv.red by Ore malill8s Adad N i I U <br />1 ➢.d ams gnaNre Mmb Day Year <br />EFAFmm 8700 22 (Rea. 12-17) Pfavbus abalone ere 40501x10. UCSIUNHI GU bNULI I I I V CmN S e•mMnIF'[a I a T a clYl <br />