Laserfiche WebLink
` State of CaGfernia—Environmental Protection Agency <br /> roved QAB No.2050-0039(Expires 9-30-991 See Instructions on back of image b. Deparlm.mafmxiasa6m <br /> rnaesCa,- <br /> print or . Foi designed far a,e on afire 112-pikh vrisi Sacramento,California <br /> UNIFORM HAZARDOUS �rabrs US EPA ID No. Manifest Document No. 2. Page I Information in the shaded areas <br /> Is not required by Federal law. <br /> WASTE MANIFEST JA 4s 19 of <br /> 3. Genemtme,Nome and Mailing Address - A. State Manifest Documents!Number <br /> 98096073 <br /> U.S. Rentals <br /> Cs 2801 E. Charter Way, Stockton, Ca. 95206 B. stoteG.n.ator,ID <br /> h A. Generator's Phone ( ) 948_9241 <br /> n <br /> r <br /> S. Transporter 1 Company Nome 6. US EPA ID Number C. State Transporters ID <br /> h <br /> m D. Trcumparmi Pham <br /> O <br /> O <br /> C? 7, - S A tato r -' - E. State Tnnsporters b <br /> F. Tromporters Phone. <br /> Q <br /> M V 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> MZ Di ENVIRON?�NTAL <br /> Z H. Facility's Phone <br /> CD03650 EAST 26TH STREET, IAS ANG S 9 3 <br /> Q - 12. Containers 13. Total - 14. <br /> O V 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) No. Type Quantity WI/Vol I. Waste Number <br /> �= is. NON —RC"- HAZARDOUS WASTE SOLID Sant <br /> 3 G (011, Absorbent) <br /> NAERG961171 EPA/ahi <br /> E <br /> oN b. State <br /> m E EPA/Other <br /> v R <br /> < A c. state <br /> o T <br /> m O EPA/Other <br /> R <br /> d. Stant <br /> � <br /> Z <br /> V _ EPA/Odor <br /> K. Handling Codes For Wastes Listed Above <br /> Z <br /> O ? a. b. <br /> a <br /> N <br /> W <br /> Q <br /> Z 15. Special Handling Inskuctions and Additional Information <br /> Z HANDLERS BE 40 HOUR OSHA/SARA TRAINED <br /> = AND USE NIOSH APPROVED PPE. <br /> MRIGENQ 00aill (916) 371-5747 <br /> 16. GENERATOR'S CERTIFICATION: I herebydedarethut the contents oFthis coniresentare fully and accurate)y described above by proper shipping name and are classified,packed, <br /> Umarked,and labeled,and are in all respect,in proper condition for transport by highway according so applicable international and national government regulations. <br /> J IF I am a large quomiy generals"1 certify that I have o program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economicallyy <br /> a practicable and that)hwe selected the practicable method aF treatment,storage,or disposal currently available to me which minimizes the present and furore threat to human health <br /> and the environment;OR,if I am a smaquantity generator,I have made a good faith erhod to minimize my waste generation and select the best waste management method that is <br /> Qavailable to me and that I can afford. <br /> } Pri.ted/Typed Name s Signature Month Day Year <br /> V <br /> Z <br /> W T 17. iter 1 Ack oviledtiemse.)of Recei t of Materials <br /> W j Printed/Typod Name Sig'noture t Month Day Year <br /> W 1 i <br /> w 5 1- <br /> W B I8. Transporter 2 Ackiliciviechlecams,of Remi 1 of Materials <br /> O RT Printed/Typed Name Signori i 1 Month Day Year <br /> W <br /> N E <br /> Q 0. <br /> V 19. Discrepancy Indication span <br /> Z F <br /> - — A <br /> i t <br /> I <br /> L <br /> f 20. Facili Owner or retar Certification of rawi t of hazardom materials covered this manifest except as noted in Item 19. <br /> T Printed/Typed Name Signature Month Doy Yea. <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> i <br /> t_ <br /> DISC 8022A(4/971 <br /> EPA 8700-22 <br /> i <br />