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10/26/2000 07:59 2093695797 POSILEZ PAGE 05 <br /> $teteo{ Prosection Agi �,/ See Instructions on back of finsi 6. Department of Toxla Sobaware Cmtlml <br /> Form Appro+ed OMR No.2DSD-0039(Expires 9-30991 S.'rorm a,Califami. <br /> p euro print or type. Foran deigned Far use an slit.02-pi ypewdtec <br /> 1. GeMroro:s US EPA Ib Na. Monihsl Doumwt No. 2. Peps I Information in the shaded meas <br /> As UNIFORM HAZARDOUS is not requi.sd by Federal law. <br /> WASTE MANIFEST Q Q (J p 0 <br /> 3. Gene.aroYa Name and wading Pddnm 1 Aja V nor 4)f' T20 <br /> c p y d ec.X s e,*#, �a 9 5a�37 <br /> Ni 4. Generoror'+ Ihari p 1�7�7r9�f ■F.. . �;R} # l}$� it <br /> N 5. Tremporser t Compony Nome 6. US EPA Ib Num6or �:^t� sy:pyl' :F!7 <br /> ors <br /> oa LCC <br /> o6 "RiCI:ii V:,L .CY:'VASTE OIL <br /> ]. Tntnporse.2 Compete/Name B. U3 EPA ID <br /> wtY y *1 <br /> Q �R� si itis 7�F•: <br /> U 9 Designemd Facility Notes and Sire Address la. US EPA Ib Number Y t P!i, <br /> NUUS IRIZ`S LAVICC GL GO.INU <br /> no 7FX)S. 4OTO ST �lFF �RRif y T M¢ <br /> A,CA 90023 JDJO 9 9 4 S 2 <br /> �� 12: Containers 13. Triol <br /> U 11. US OOT Description(Including Proper Shipping Nome,Hazard Class,and ID Number) T Quanta Wt/yd <br /> 7Z NO"CRA HAZARDOUS WASTE LIQUIO .. r T <br /> r) G <br /> C e (USED ETHYLENE GLYCOL ) U 0 T T T . <br /> ti b « , <br /> w <br /> v R <br /> a A {. <br /> o T <br /> m O <br /> R .p <br /> u <br /> Z i$X <br /> Y. <br /> a <br /> u .r <br /> O15, 5pedol Handling Insmuctictm and Additional 1-turmotion <br /> GLQVE13 <br /> zE'MCRGENCY PHONE 2091387.8867 <br /> 1e. oENEMTOR'B ClRTIPIGTIOH: (hereby Bolan that the mnlwM of this mn+i nmmt f.11,and accungly described also"by proper+hipping came and are<6seifid,peaked, <br /> Umarked,and labeled,and are in all n mi in proper mndihan for tmnsport by highway acmrding to apphcoble international and notional)government rpulatiena. <br /> If Iam a(urge gwality genemror, nrlify That I haw a program in plain so rydvos the varum.oad in itiy of waste generated b the degree I hew determined b be xmossicidiy <br /> Ha pmCkobb and that I bave salecbd the practicable meshed <br /> Ton <br /> storage,or disposal currently available M me whirl m n' 'x10 the prow,and hdure threat a human t.alth <br /> O and the enulronni OR,if I am a sato I quantity generaser,1 have mode o good Faith effort to minlml.my waste genercdon a,sd select the 6e,t waste moa.gemaM mehod that is <br /> available to ma and that 1 can.Hord. <br /> y Prin /Typed__N{{°me I Slgnaturo e J I't°nd' /Day 5P`1 <br /> r9 <br /> Z <br /> w 117. Tem error I Aaknowled man,of Rosi of Maserials <br /> W j Printed/Typed N r si"s re Month /Day v r <br /> 91(9 <br /> w P <br /> Ira <br /> sty 1 1$. Transporter 2 A<knowkd amens of Rosi t of Moseria6 <br /> 0 1 Prinaid/Typed Name Signoturs Month Day year <br /> to E <br /> R <br /> Up 19. Diareponcy Indimtian Span <br /> A <br /> C <br /> 20. Fccili Ower.r O resorce $caYaa e{veai ,of haz.rd materiels cave is os Am t as noted in Item 19, <br /> T Prinsed/Typ�Nor Signose ( Moe6 Day Year <br /> Q { q R.. ) g <br /> DO NOT WRITE S UNE. <br /> FLOW HIS <br /> tvllnw- TSDF $PND": ?Illi COpY IY5 Q.F'PiF,RA".;rR WITMN :it) I',AYF <br /> ,dna ..ho .°6mil huzn,daes Moon, Im e ah 1110,1 <br /> C <br /> 01` 0022A(A/971 <br /> trnrlo;? ,."pleserl r:npY n4 Ihi.. ropy r,".d sur,�i1inf U15:. w�dnl�, 30 Jays <br /> EPA$700-22 <br />