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Pa, <br /> Fta»pf Cd5 -a—Env rp�ntel 39.(Ex it Age ry Department of Toaic Substances Cor <br /> oes{e�t]jY+ed B No.2060-003Q(Ezp u 930-99) f, See Instructions on back age 6. <br /> PI r type. Form des 06edifar use on d'te(12-pildle vPeeriter. Socramenb,California <br /> UNIF RM HAZARDOUS 1. Gene a ofs US EPA ID Na. Manifest Document No. 2. Page 1 Informofion in the shaded areas <br /> I, <br /> not regeired by Federal law. <br /> MANIFEST, CA11,10101011[1 11011151` '1 or I <br /> 3. Gen me and Moiling Address <br /> U S• RENTALS1854 1. <br /> 0 2081 E. CHARTER NAY, STOCKTON, CA 95205-7025 8. Stet. enures ,ID y,p <br /> a. Generator',Phone 1 209) 943-9241 _ <br /> n <br /> A S. rbnsponer 1 Company Name - 6. US EP ID Number C. State Transporter's ID <br /> VICESul <br /> D. Transporter',Phone <br /> G <br /> 7. Transporter 2 Company Name 8. US EPA ID Nvmber E, State Transporter's ID <br /> J <br /> F.Tran,porkr's Phone <br /> Q <br /> U <br /> 9. Designated Facility Nome and Site Address 10. US EPA ID Number G. Slate Fociliy's ID <br /> ,_45 D/K ENVIRONMENTAL Q <br /> ulZ 3650 EAST 26Ty STREET, LOS ANGELES, CA 90023 H. F«iiy,Phone <br /> �0I CATU8713n131316 1 011 <br /> V 11. US DOT Description(including Pro Skipping Nom•,Hazard Class,and ID Number 12. Co^tel ner, 13. Total 141/U. nit <br /> P (i 8 Wr PPi g I Na. T Ouoatity WVol I. Waste Number <br /> 117= N3F—RCRA I;AZ.ARi:OL:S WASTE SOLID stale 352 <br /> CO— <br /> 3 E (ABSORBEN7, OIL) NAF.RG96$171 ^ EPA/Other N/A <br /> 07 !� <br /> oN Is. Stale <br /> m E <br /> a <br /> R <br /> EPA/other <br /> A t <br /> IT C.RMN OlWIL1ElED state <br /> T FOR RECYC!1",G/TREA <br /> a DiK ENV-, tTc 1MEhTAT?kE A/cher <br /> WAL • III, <br /> ILS r <br /> W d. L c��� C <br /> Nor.- <br /> Lk <br /> d. <br /> PL Rti I f� 7; s ARP a/other <br /> v QLJ"' ry r..t,E iQ t rri, it ,t AM As <br /> w <br /> Z Addiranal De,r.pYon,lar Mise r 080033681 <br /> 6314 6 <br /> N <br /> W <br /> a <br /> 0 15. Special Handling Instructions and Additional Information <br /> 5 I l8G <br /> Z F,ANDLERS BE 40 HOUR OS11A/SARA TRAINED <br /> W AND USE NIOSH APPROVED PPE. Sit tel j 3308 <br /> PNERGENCY CONTACT: 916 371-5747 <br /> Q16. GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully a d accurolely described above by proper shipping name cndarsclassified,packed, <br /> lJ marked,and labeled,and are in all respect,in proper condition for transport by highway according to applicable international and national government regvlalions. <br /> -�+ If I am a large quanliy generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined Is be«onomicollY <br /> ti practicable and that I hhave selected the practicable method o treatment,storage,or disposal currently available to me which minimizes the present and future threat to human heal <br /> M <br /> and the environment;OR,if I am a small quantity generator,I have mode a good faith effort to minimize my waste generation and select the best waste management method that is <br /> available to,as.and that I can afford. <br /> 0 <br /> y Printed/Typed Name Sign 1 Month Doty Year <br /> V 6oc,i L &4s\\s 2tLCd 1 L L• <br /> r (D 1 17. Tmnspoi Acknowled emenl m t o Ieriab I8 <br /> w i Printed/Typed No N4 Month Day Year <br /> W B 18. Trans rte 2 <br /> Mowedgement of Receipt of Materials <br /> 0 1 Printed/Typed Nome Signature Month Day Year <br /> w [ <br /> ys R <br /> V19. Discrepancy Indication Space <br /> Z F <br /> A <br /> C <br /> 1 <br /> L <br /> 120. Facility Owner or <br /> Operator Certification of receipt of hazardous materials covered 6,this manifest except as noted in Nem 19. <br /> T Printed typed Name Signaters Month Doty Year <br /> DO NOT WkITE B66W THIS LINE. <br /> Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS, <br /> DISC 8022A(d/97) (Generators who submit hazardous waste for transport out-of-state, <br /> EPA 8700-22 produce completed copy of this copy and send to DTSC within 30 days.) <br />