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fbrn E cep tipProtecton Agenry r �• <br /> m p d OM1 99RIIlo.RlflO-003F 1(ryim 9 30.99] � See InahvclicI on batt)of A6• /fir'" ' <br /> s Prldkor type, rm designed lar vse do eREe{12pischf.lt, wjmr DeParanenf of Toxic Subrtaaa}rt hnl'.^. <br /> 'Sacramento,Colifernla' <br /> 11�IFORM HAZARDOUS1:Ganararor'.US EPA Na. Manifest Document No 2. Pope I InFMmolion i.A.Aaded eas <br /> d by Federal kw <br /> ASTEFtANIFEST 0 it $ 7.. a not, <br /> . of 1 <br /> F o}N nd 'lin O/Add ]re tsTTN: }}OCcgp d <br /> � S <br /> z900 mow cCA 9494 PL, t400 AUG 1 7 2005 <br /> SAN RPIPIO P' CA 583 E Style anerated.ID <br /> A. Generator's Phone 1925 1 277-2305 �SAIV d"UAUUIdiCOUNTY. <br /> 1 5 Tianeporter I Cempdny Name C Slat Trgnrpaner�ID I ' <br /> (disk PArryaling servrgeul, Ina. <br /> � D transperter's Phone.(909)B73-414A <br /> . Tro spotter 1 Company Nq. U. US EPA ID.Number - E $tale iransporter's ID R s ry ] <br /> Loasp rrars Phone� �� <br /> 19. U^S EPe IDN..6., 6 Slate foci ity'sID <br /> zat ISO w11 TTih.. '� �� 4 4 u 1% I <br /> Q' iBtaGfem�2p- <br /> In • �d/fir N FgdlrysPhons <br /> ss4,=== 3K i r - <br /> •�S 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Num6eQ 12. Conlmne, 13. Total 14. Unit <br /> Z - — 8 W38 @ 80 No. T e Ouamity Wt/vol I Wane Number <br /> 3 G 27 <br /> of E /b , 00 P' h.r I <br /> E FILTER RECYCLING SERVI ES' IALTO F CILIT StateP <br /> R <br /> A #CAD982444481 HAST c.A P 0 IAT E <br /> 0 . <br /> T AND WILL ACC PT THIS W TE AS 9Mte <br /> ad <br /> c Alums, <br /> d _ <br /> L $[me <br /> V <br /> EPA/Other I <br /> z <br /> _0 Handling Cadet for Wastes Listed A6we <br /> 3 o It c d. <br /> P/U LOCATION: TOSC01 2705447 <br /> P- <br /> < 1469 1 Hmmm LN <br /> 24 Saar Rett maY aponae Re N ST Tie CA 95209 <br /> q 1 (909) 721-2038 <br /> 16. OENERATOR'SCERTIFICATION; Thereby declare Rnt the tonMhof this consienmenlan hdlg and acanhlYducnbd above 6y er slinging tames amdas,iliid,packed, <br /> markgd,and labeled,and on in all nspech in proper codilion for troospa,by highway according to applico6le m <br /> imeoNon I andpapnational gewmment regulmion. <br /> If-I am a large quaAlry generator,I certify that I haw a prooppnm In place to reduce the roluma and roaiciy of wash generated b Tho dog.I have determind to be economica11 <br /> "N Y Proct cable and that IT.ukcted the yyroctias6l.methodd treatment,storage,or disposd currently owllable to me which minim W.tka prowl andFvWn threat to humor <br /> allahealth <br /> and the environment; I am a small quantly getmrabr,.l haw made a good faith effort to minimize my wash generation and select the bast wash management method that's <br /> ee tome and that <br /> I can afford. age <br /> Prin T p Nomr <br /> Slgrwlan MomF pa Year•" <br /> w A�2r/NEz aio . z �� o <br /> 17. Tram orier 1 Ackstewled .1 d Recd of Materials <br /> a P'n /iy Na SI Month pay Year. I <br /> 1 / y <br /> w P 0 <br /> 18. Trans onar R Ask led ement d Recei 1 of MaMriob 1 <br /> W t 10 L3 <br /> gled/TYpd Name Signolure <br /> wG E Month : Day Year <br /> .0 It <br /> 19. Discrepancy Indication$pact <br /> t Z R <br /> _ A <br /> E <br /> 20. Fe 11, Owner or O for CeniRcation of recei t o hozadma,mmetiab toured b This egntfest ace t m m,t d in Intro l it J <br /> YPrinkd%iygd JI - _. S .. SI'gnaNn _, Month Doy Ywj J <br /> vWrmr <br /> DO.,-NOi RITE BELOW THIS LINE. <br /> Yellow TSDF.SENDS.THIS COPY TO GENERATOR WITHIN 30 DAYS <br /> 2A(1/991 - - '(Genoratars who submit hazardous waste for transport out-of-state <br /> 22 produce completed copy of''lhis copy and sand so DTSC wilhin 30�oylj ...... . <br /> r\ <br />