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BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL <br />�OED S4,yee U.S. ENVIRONMENTAL <br />OR ENTERA <br />PROTECTION AGENCY <br />SITE NAME NF_STIE BEVERAGE 0 <br />e <br />k.= 1991 Hazardous Waste Report <br />230 INDUSTRIAL AVE.,,CA <br />"'4,mcE. <br />EPA ID NO. iDJ ISto iqJ al I Iyl I {RIPION <br />6.._If <br />FORM <br />1. � <br />11 <br />WASTE GENERATION AND <br />G � MANAGEMENT <br />INSTRUCTIONS: Read the detailed instmetions beginning on page 13 of the 1991 Hazardous Waste Report booklet before completing this form. <br />Sec. A Wastedescriptlon FASTE LAB PAKS (FIAHAABLES, POISONS, TOXICS, CORROSIVES, REA IVES) <br />I Instruction Peg. 15 <br />B. EPA naxardous waste code P 101 01 p 10 10 12 I <br />4 &6° luxmtlas sell ced. <br />Pege 15 <br />Page 15 <br />IDI DI DI 31 I n 0 O 4 I D I 01 01 51 <br />I I I I It 21 21 I I 1 Il 13 12 1 <br />D. SlCcode <br />E. Origincode L]J <br />F. Source codeG. <br />Point al meesuremenl <br />K Farm code <br />I. FORA-radicacthe mixed <br />Pege 16 <br />Pege 16 <br />Pege 17 <br />Page 1T <br />P". 17 <br />P. 17 <br />121 nl til 5 <br />systemtype IM I IN IA 1 <br />to 19 14 1 <br />p <br />I$J <br />IBQ 0 1 1 <br />J. Repoded TR constituent <br />K CAS miters <br />1 I I I -t N �U 2. 1 1 1 1 1 1- <br />Page 18 <br />page tB 1. 1 1 <br />hTJ'T� <br />LB J <br />0. I I I I I I-INIAI-IJ e. 1 1 1 1 1 1-I NI A-" 5. I I I I 1 I-E�-1 1 <br />$ec. A. Quantity generated In 1990 <br />Instruction Page 16 <br />0 <br />B. Ou.mity generated In 1991 <br />Page 18 <br />C. 11OM W—hy <br />Page 19 <br />D. Did this sad do any of the following to this <br />web: beet on she, dispose on she, recycle <br />on she, or discharge to a serer/POTM <br />I 1 I I 12,617 1 91•LJ <br />I I I I I I 1 13171•LJ <br />1�T p _�1 �p � <br />t lI P r-1 • r- t--1 <br />Page 18 <br />❑ t Yes (C04S[i1NUE TO SYSTEM t) <br />❑ 1 M/gsI ❑ 2 19 <br />❑ 2 No (STOP TO SEC. AQ <br />ONSITE SYSTEM 1 <br />ON-SrTE SYSTEM 2 <br />On-site system time 0 tertuty insisted, disposed or recycled on site in 1991 <br />On-site system typo Chel 9eded, disposed w recycled on site in 1591 <br />Page 19 <br />Page 19 <br />�U <br />IMI INIAI I I I 1 1 1 1 1 N A•LJ <br />IMI NI TY I 1 1 1 1 1 1 1 I N <br />Sec. <br />A Wes any a this wesle shipped o f site m 1991? [XI Yes (C0t1TWE TD BOX BI <br />III <br />Instruction Page 20 ❑ 2 No PV TO SEC. M <br />Site <br />S. EPA to No. of facility caste tees shipped to <br />C. System type shipped to <br />D. Offsite awlleGlity, code <br />E. TOW quantity shipped in 1991 <br />1 <br />Page 20 <br />Page 20 - <br />Pege 21 <br />Ps9e 21 <br />1 <br />CL`1A <br />L L' I�� LLL7 <br />I M I n I d l Q I <br />LiJ <br />l l I 1 1 1 1 L21-5j-L-1 <br />Site <br />S. EPA ID No. of facility wast• was shipped to <br />G System type shipped to <br />D.Off-tile swteMhy code <br />E Total quentay shipped in 1991 <br />2 <br />Page 20 <br />Peg.A <br />Page 21 <br />Page 21 <br />47 3 2 <br />IMI I 1 1 <br />LJ <br />I I I 1 1 1 1 11121. LJ <br />Sec. <br />A �LLL_1LLed.JJJ N 1891 rasuh in minimrsalion d Nia vwsta? ❑ 1 Yes poNnNlETo Box Ii) - - <br />IV <br />Inslnuctlon Pege 22 :K] 2 No (Ties FORA IS COMPLETE) <br />a. Ac" <br />G Other affects <br />D. OuaMity meyded in 1881 due to new sctMlles <br />E Admity/pmductbn Mex <br />F. 1991 Source seduclbn quenthy, <br />Page 22 <br />Page 22 <br />Page 28 <br />Page 0 <br />Page 24 <br />IWINIAI 1W1 NIJA <br />❑ 1 Yes <br />❑2 No <br />I I 1 I 1 I I IN I A I <br />LN1A1 • LJ <br />I I I I 1 I I BQ IA I.1 1 <br />tWiNLAI lWINLAI <br />Comments: I.B.— D007, D008, DO09, D010, 8011, DO19, DO22, D039, D040 <br />I.C.— 135,181,212, 213, 214, 221, 223, 343, 352, 461, 551, 725, 741, 791 <br />Page 9 of 10 <br />