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Q ' Z 0 15. Special Handling Instnxtias and Additional Information Qct H ) S•99�M Sob Xo eI Q WM M.Own,9 6�Gcr.Bs A3 PB05ECTZvs ZLLJ I PBOF= # (i4 3 z�Ze$� (b 32Z 85/ DOT MW l ►q 1-71 i t b) r.7 J 16. GENERATOR'S CE1tT10FICAT10Ns 1 hereby daciarethd the contents of the configrrnenf anfully, and occur described -above by propsr.Rhipp-rrd arodmtufrad;, d packed, marked, and lohiQ csnd'ar`a in o8 respects in proper condition for transport by highway according to applicable federal. dale and ifhlenraffeedXobsr 'i U -rrr• t I _ , ,, gra• y - - • .. �':�r j :yt� _ .. > If lam o large quantrty gerwra/or, cer}ify that I haves a program in place to reduce the volurm and toxicity of wase generated to_dra:depl)�i� economically practrc ;ole and that I '.hs'prac*Cble method of trea."ent or deoosal currepAw ow le to me which. W.:aed firlorec ," a" threat to human haahFr and the mvbanwK: OR, if I am a smell qua*ty I ds o a' eff ro nrnirn' wade ' the' best wast! medio�`tbcf k avor9" ro me and that 1 can afford. - O rimed/Typed Name SigrgN U T 17. - Transpo~ 1 Acknowledgimerd at Receipt of Materials — --^- ' - - LU- A Printed Nene /TY1'hed 1 LU P WR 18. Tram 2 Ackno of Receiptof Materials T Prmrled/Typd Name ,M> Signature _ - Fti'■"'t_.-K;Yq�, j 19. Discrepancy Indication Space 1 20. Facility Owner or •CMification of receipt of hazardous materials covered by this aharifest ex as noted in Mem-19:'--"= + T PriMed/Typad Nacos Sjgrwwro Md�b _sl, h Year Y r ii r s - - �b r -c: - -- DO-NOT WRRE"BELOW THIS UNE. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 3Q DAYS `rSC 8022A (7!92) 'Generators ,y . <uomit hazardous waste for transport otrtof-state. A 8700-22 produce compieted copy of this copy and send to DTSC within 30: days.) State o Lt Ca 'fornw--Em MnmsnAd Protection,Agency '- a . _.�- .:.�.- •� : •�. Forrrh A�proved.OMB No. 2030-0039 (Expire 9.3494) -. .. . See Instructions Ott bac ;gage 6. v • frbw nrR or . - Departmental; Toxic. swwa raw Com - P hPe• Form designed for rse on M. (12pr ""writer. �wornia .. URM HAZARDOUS I' G'enerator's US EPA ID No. Manifest Document No. 2. Page 1 4nformc�tors d areas In the dwc �MASTE-MANIFEST G 9 is nat,.qum.d 6y Federal low. -- D10 0 - af< -- 3. 'Generator's Name and Mailing Address Fox . ozi; ve✓ pAtkr co. 9`l2 5. S CE,ki� AK: Ri cR 45366 W) i 4. Generator's Phone ( , // `m / --- - - -- - -- S. Transporter 1 Company Name b. US EPA ID Number co '_' J pMp,��r�.�� r+�..e' vM M u- �iC EN a jWjnKaw iAT rX3N0L=xd 4 � y Q7. Transporter 2 Company Name .8. US EPA ID Number U - r 9nQte 3 Narrro and SrM. Address -..7 10.- US EPA 10 Number - - (n O 2081 B" BDAD r"j� � V BAS? PALO ALSO. -C 94303 = j - Z 11. US DOT P ' Name. Hazard Class, and ID Number 12. Containers 13„sjotal 1 Descnphon ( ,. raper Shipping ) - cs,. 3��v! T a- tuf}5 �'ii,rivicYl Men�u.l f4 NA 2A+�5 Su on - '"r° - f oE , t_CxIdtvrn d, vo P —�- _-- - - 00 N b. wow- RC_Aj91. o4z*dols wASAf 151-049 n E R A I rl ICtrl* Tco O R - U : 7 p_C 1/� � Y 4 .,y ;. ". 'tom J'✓ ' I ,., _ _ - _. `` n-�r� -c_ - . -z- x. _. sei;s•1- Qr-{ cFir^ } 3.1 _ ( .: Q ' Z 0 15. Special Handling Instnxtias and Additional Information Qct H ) S•99�M Sob Xo eI Q WM M.Own,9 6�Gcr.Bs A3 PB05ECTZvs ZLLJ I PBOF= # (i4 3 z�Ze$� (b 32Z 85/ DOT MW l ►q 1-71 i t b) r.7 J 16. GENERATOR'S CE1tT10FICAT10Ns 1 hereby daciarethd the contents of the configrrnenf anfully, and occur described -above by propsr.Rhipp-rrd arodmtufrad;, d packed, marked, and lohiQ csnd'ar`a in o8 respects in proper condition for transport by highway according to applicable federal. dale and ifhlenraffeedXobsr 'i U -rrr• t I _ , ,, gra• y - - • .. �':�r j :yt� _ .. > If lam o large quantrty gerwra/or, cer}ify that I haves a program in place to reduce the volurm and toxicity of wase generated to_dra:depl)�i� economically practrc ;ole and that I '.hs'prac*Cble method of trea."ent or deoosal currepAw ow le to me which. W.:aed firlorec ," a" threat to human haahFr and the mvbanwK: OR, if I am a smell qua*ty I ds o a' eff ro nrnirn' wade ' the' best wast! medio�`tbcf k avor9" ro me and that 1 can afford. - O rimed/Typed Name SigrgN U T 17. - Transpo~ 1 Acknowledgimerd at Receipt of Materials — --^- ' - - LU- A Printed Nene /TY1'hed 1 LU P WR 18. Tram 2 Ackno of Receiptof Materials T Prmrled/Typd Name ,M> Signature _ - Fti'■"'t_.-K;Yq�, j 19. Discrepancy Indication Space 1 20. Facility Owner or •CMification of receipt of hazardous materials covered by this aharifest ex as noted in Mem-19:'--"= + T PriMed/Typad Nacos Sjgrwwro Md�b _sl, h Year Y r ii r s - - �b r -c: - -- DO-NOT WRRE"BELOW THIS UNE. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 3Q DAYS `rSC 8022A (7!92) 'Generators ,y . <uomit hazardous waste for transport otrtof-state. A 8700-22 produce compieted copy of this copy and send to DTSC within 30: days.)