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Slot of CalibrniQ—Environmental Protection Agency <br /> Farm Approved OMB No.2050-00391Eapires 9.30-991 See Instructions on back of -age b. Department of Toxic Substances Conn <br /> Pleow print or tyIoe. Form designed for use on elite(12-pitch writer. Sacramento,California <br /> UNIFORM HAZARDOUS 1. G"entr's US EPA ID No. Manifest Documem Nc 2. Page 1 S formation in rhe shaded areas <br /> seat.eq Jned by Federal law <br /> WASTE MANIFESTIC L 1 1 L 5 6 <br /> 3. Gn uci No.used Mailing Address A. Ste,Manifest Document Number 99169486 <br /> United Rentals <br /> 2081 B. Charter 'day, Stockton, Ca. 95205-7025 B. State Generator,to <br /> A. Generator's Phone( 209) 948-9241 <br /> N 5. Transporter 1 Company Name 6. US EPA ID Number C. Store Transporter',ID(Reserved.) <br /> N <br /> o <br /> RAMS �VZRONPIENPAL SERVICES D. Tronsportr's Phone <br /> o ' 91b 371';747 <br /> s� <br /> o0 7. Transporter 2 Company Name S. US EPA ID Number E. State Tramporism,ID Rew,ved.) <br /> It Q F. Tnnsporier's Phone <br /> co <br /> U 9. Des' noted Fa<ih Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> � a Pt FN75R'4*E.MAZ <br /> cr)_Z 3650 FAST 26TH STRnn I, LC'S ANGELES, CA 90023 H. Facility's Phone <br /> CAO 3 's (323) 268-5056 <br /> Q • 12. Containers 13. Toro[ :a. U^-+ <br /> V 11. US DOT Description lindoding Proper Shipping Name,Hazard Class,and ID Number) No. Type Quantity wt/'Jul L Waste Number <br /> a)Z o. state 35i <br /> = NOA—RCRA i:A7ARDOUS 14k.STE SOL1D - <br /> 3 G (Oily Solid) NAZRG964171 EPA/otherN/A <br /> 0 N b. sane <br /> oma E <br /> R EPA/Other <br /> A C. - state <br /> o T <br /> EPA/Other <br /> R <br /> w d. Store <br /> WZ <br /> EPA/Other <br /> Lis <br /> 'ss !" K. Handling Codes far Wastes Listed Above <br /> O <br /> a. b. <br /> m <br /> ce: c. all. <br /> Z <br /> Z 15. Special Handling Instructions and Additional Information <br /> a <br /> HANDLERS BE 40 HOUR OSHA/SARA TRAINED <br /> Z AND USE NIOSH APPROVED PPF, <br /> PMERGENCY CONTACT: (916) 371-5747 <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this coring tent are fully and accurate)Y described obey.by proper shipping name and are classified,packed, <br /> Vmarked,and labeled,and are in all respects in proper condition for transport by highway according b applicable international and nolionol government regulations. <br /> If I am a large quantity 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 to be economically <br /> a practicable and that)bane selected the practicable method o treatment,storage,or disposal currently available to me..kith minimize,the present and future threat to human health <br /> N and the environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method thor is <br /> W available to me and that I can afford. <br /> OPrintee'd//Typed Nome Signature Month Day Year <br /> w T 17. Transporter 1 Acknowlodgement of Receipt of Materials <br /> w <br /> A Printed/Typed Name s' nature Month Day Year <br /> w 0 18. Transporter 2 Acknowledgement of Receipt of Materials t <br /> R <br /> T Printed/Typed Nome Signature Month Day Year <br /> w E <br /> Q R <br /> V 79. Discrepancy Indication Space <br /> F <br /> Z <br /> — A <br /> C <br /> 20. Fxili Owner or rotor Certification of receipt of hazardous materials covered b this manifest except as noted in nem 19. <br /> T Printed/Typed Name Signator. Month Day Ymr <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> DISC 8022A(1/991 <br /> EPA 8700-22 <br />