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<br /> I UNIFORM HAZARDOUS 1 Generator',US EPA ID No. Mam1n,Document Na 2. Page I Informeuon m the Waded.seas
<br /> WASTE MANIFEST (�V, / 8 net mawred by cederal:aw
<br /> 3I s of
<br /> 3 Gene.a!o:s Name and M.dmg Addreu A. State Manifest Document Number
<br /> VESPINT
<br /> 4101ARCHROAD 98770937
<br /> STOCRTON CA,95215 B. SIGN Gene.tar's ID
<br /> a Generwo:, FM1a•e 1289 965-4000RED MARTINEZ
<br /> II
<br /> 5. Tran,,.,,, I C,rr,. y Name 6. US EPA ID Number C. 51.1.Tronsponee,10
<br /> NATIONAL RESOURCES INC. 1112111 458—"77C 1 5 8 9 3 D. Transporter'.Phone
<br /> 7 Transppr•er 3 Company Ncme B US EPA ID Number E. Slat.Tmnaporters ID
<br /> <' 1 1 ) I I I I I I I I IF, T,.n,po,n,,,Phone
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<br /> 9 De.igaa.cd F ,,Namm and Sire Aadresr 10 'JS EPA ID Number G. Stole Fodiiry's 10
<br /> �j AMERICAN RECOVERY INC. `` D Q �7�Di
<br /> F 0 3033 BRAW. MISSION RD. .CA,91803 6 '� 9 4 4 6 7 1 8 H. Facility's Ph... -
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<br /> Q 71. US D07 Doiptl
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<br /> nuding Proper Shipping Name,Hazard us Claand ID Numbed 12: Containers 13. Total le
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<br /> Vol I. Wash Number
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<br /> Z dViM FLIIDl11 LMID�LG.S sto 214
<br /> (LLIPAATIC, AOMTIC 9DUAM11[) EPA/aper
<br /> 3 1111993 PG II Q 7 D N G 1
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<br /> Z Ad 'ti I d ti m far M rei�ab Li,Nd A6o.a K. Handling Code.for Waste,Listed Above L
<br /> 114 WM MLTOT, LP.1 - 99-M
<br /> le. Di way, MMIS 9911115111115 d. �IZ-
<br /> 0 15. Special Handling Instructions and Additional Information
<br /> "C)ERGi1128 11d)ERGt 128
<br /> i AVOID CONTACT NEAR APPROPRIATE PERSONAL
<br /> EMMERGENCY, CAVE LLUCHEKTTRREC ATI800C424-9OF
<br /> 408 -
<br /> • Q 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and pecurately dnnib.d above by prap.r,hipping name and are claaiLed,pocked,
<br /> V ,marked.and labeled,and are in oil respects in proper condition For transport y highway according to app, intemotional and national government regulafiens.
<br /> J II I am o large quantity generator.I certify that I hove a program in place to reduce the..lune and to.ici,y of waste generated to the degree I have determined to be econ.rr; o.lY
<br /> -\•a practico61e and that o-e..laced he practicobie method of IremmemN,storage,or disposal currently available me which m,nimizes the pand future threw to human health
<br /> Qe and the environmenl,OR,J I am o small goar,y generator,I have made a good Faith effort to minimize my waste genawnan and select,he resent best waste monagement method that is
<br /> available to me and that I can alford
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<br /> a N 17, Trans iter 1 Ac4eowia ant of Receipt of Materialsas B Printd/Typed N.R.. Signwu.
<br /> I R PATI / �• Mantis 7.1Year
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<br /> 0 18. Lansparter 2 Acknowiedaement of Recelw of Materials
<br /> 0, E Printed/Typed Na. . $ignatvre Mon•h Lv y ea'
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<br /> V 19. Discnt,ctr,r ^d�:ot,on Space
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<br /> TP0. Focidp O\' eon O e• o,ren.r,cp•,cn { linter of hazardous maser �s covered b thi.nani(est a etas noted in Oem 19
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<br /> DO NOT WRITE BELOW THIS LINE.
<br /> DTSC 8022A 14/971
<br /> EPA 8700-22
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