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SIaN el Caliiamia—EnyiranmEnrol Probchon AQEncy <br /> 3G'44�Q � See l,;�� FIS <br /> ♦OF�q�Ei@FodQM�No F030-0004I NpIl01Y' � lt� Oft back Of page d. Department olloxiESubdanulcontrol <br /> PIW pri9,1 or ly- Form designed for uu on elite 02 11x61 P.'i IiNr. / �� (1�7 •-Is Sac,amenb,California <br /> 4 I�AW,eraror'I US IPA ID No, Manli(('+d Dacuminl No. 3 Papa I for notion in the FhadEd arrol <br /> UNIFORM HAZARDOUS is not required by Federal low <br /> / WASTE MANIFEST g' s <br /> oteMc x3. Generator's Name and MaihnB Addrx;; , aifesl Document Nual23489069 <br /> is <br /> q ` 1111—✓.y1��J,F ( APO <br /> B. Srote Generoior'e ID <br /> h6 �< z-N- / /.tent/IIJ W� <br /> A. Generoroh net } <br /> N5 'Tnmsporkr 1 Company Name e. US EPA ID Number C. State Transport/s ID[Res.rved.l <br /> SWKRGRM l CAD 91812141113121612 D. Tronspo Ms Phone 510/795-4400 <br /> T 8. US EPA ID Number E. Stole Trampornr's ID Rererved.l <br /> M— I9fUVfW9F6RATIOEi & <br /> (0 RREDIATION, INC_ CAD 0 8 3 5 4 7 9 9 6 F. Tromp W PhPhane <br /> V U 9. Designated Facility Name surd Sire Address 10, US EPA ID Number G. Stale Ft ilit)'r ID <br /> a 2M NWAMS RM EAST D <br /> Z H. Fxiliy'r Phone <br /> qqo FMHU, N9 89408 INIVID191810181915 31318 775-575-2780 <br /> �Q12. Container, 13. Total 14. Unit <br /> U 11 US f�0i Description(including Proper Shipping Nam,Hazard Clan,and 10 Number) No. T Ouar% Wt/Vol I.Was%Number <br /> U <br /> Z 0 1 <br /> Slam <br /> _ dFA�F1I/L 1l�� U <br /> 3 G 3i UN17`(3 cr1 , EPA/OItW <br /> c E b stain <br /> o N <br /> Go E EPA/phot <br /> v R <br /> NV A C. Store <br /> o T <br /> m 0 I EPA/CBher <br /> W d. Stan, <br /> Z <br /> w EPA/O Mr <br /> U <br /> w <br /> H 1. Additional Dacripfi�far Matldal,Listed Above K Handling Coda for Wines Listed Above <br /> g lb /� U I b. <br /> N <br /> w ,P <br /> < 111A <br /> Z 15. Special Handling lmavelions and Additional In motion d., <br /> 4 S-R-O- <br /> 11a- <br /> Z 24 HOUR SHSRGHNCY CONTACT_PHILI�P�1030 INC� SOARSS 11b. <br /> WEAR PBOTSC M 131014QN6T& KYSWSAS SITS- 1 11d. <br /> Id, GENERATOR'S CERTIFICATION: I hereby dedme that the contents of this czatirment pro Fully and accurately descrilwdobove by proper shipping name and aredmAFied,packed, <br /> Q mocked,and labeled,onE are in all respect,In proper condition kr tromped by highway according to epplicob a international and national government ngu aliam. <br /> V <br /> If I am a large quontiq generator,I codify that I have o pr rom in place to reduce the volume and ho idly of waste generated to the degree I have determined to be economically <br /> o_ pr°di<oble end that 1 Iwve sekcled the radical method of treatment,storage,or disposal currently available to me which minimizes the present and fumrc threat to human l eole <br /> N <br /> and the environment;OR,if I am a sines I quantity generator,I have made a good(ailh effort to minimize my waste generation and select the best was*managemem method that i, <br /> mailable to are and that I can afford. <br /> Printed/Typed Name Sigrotar °^tom D°Y Ye°r <br /> 1 —/J <br /> Z <br /> w ; 17. Tran ter I cowled emer of Ream t of Materials <br /> E Prinkd/Typed Signa Day <br /> B <br /> w E <br /> IF <br /> a 18. Tres orb 2 A cowl ent of Recei t of Motrials <br /> 0 <br /> O T Prink aped me Signatures Moneta Day Year <br /> N 1 l © 5 <br /> V19, Discreponcy Indication S e <br /> Z P <br /> — A <br /> C <br /> I - <br /> 20. F Ii Own or of ert'talion res tofh r s of s -ledb this muni s ezce tin ted in <br /> 9 Month Oxy Year <br /> T Pri o /Typed No ignamr <br /> IF a 6 <br /> DO NOT WRITE BELOW THIS LINE. <br /> White: TSDF SENDS THIS COPY TO DTSC WITHIN 70 DAYS. <br /> To: P.O. Bax 7000,Sacramento, CA 95812 <br /> DTSC 8022A(1/99) <br /> EPA 8700-22 <br />