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;! Califgm .."ka. <br /> Rrolgipl -91, <br /> Form Apf6oAH ,2D80.OD39( hei 9i30.96) See Instructions an back of a 6. - <br /> r please prim or type. form dgsg s elPe(Ippltc6) .l DrIsmimwn of Tock Substances Control <br /> zz-- ScansmaMo,Cvlilomio <br /> UNI WRAC HAZARDQUS 1':Generafoes US EPAA ID No.1 1 e Document No.DocuNo. 2. Palle 1 nlo.a.in the shaded areas <br /> .WASTE MANIF Is not rod <br /> 8 375157 1 9:. r art JJ:d, <br /> 3. Ganerafor's NamaaM,- <br /> al A Item <br /> NEW SIERRA-PA$ER BOARD COMPANY <br /> C4 800'W.. CHURCH STREET, STOCKTON, CA 95203 <br /> f. Generators Phor Q09) 466-7088 <br /> 5,- ransporter 1 Compary Ntlme 6. US EPA ID Number <br /> m <br /> ..J <br /> Q 7. Transporter 2 Company Noma8. US EPA ID Number T - -- <br /> U <br /> 1) Z 9. Designated Facility Naive and Site Address 10. US EPA IO Number <br /> p o ENSCO WEST, INC. .,.' t, <br /> D1737 EAST DENNI, WILMINGTON, CA 90744 <br /> a <br /> a " A D 10 14 14 V4 12 19 13 15 5-99 <br /> Z 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Nymber) 12. C. 1.. 13. Total- "14:Unit -: , <br /> D Z - No. T (hanBty Wf/Yol :SYoKe Nem <br /> A '= <br /> RQ,IWASTE ENVIRONMENTALLY HAZARDOUS SU$STANCES Sl <br /> 3 GD004 N.O.S. , 9, UN3077 III cMa <br /> E- NA RG96 17 D 1� 9 <br /> co N11 za <br /> E <br /> tV R '17 <br /> Ao <br /> a <br /> m T o <br /> W <br /> H <br /> ,01 <br /> N <br /> Z <br /> 2 <br /> ., ra <br /> N <br /> es, <br /> W <br /> Y. <br /> J <br /> a <br /> Z <br /> Q 15. Special Hon mg haftm-ions and Additional Information - - <br /> Z HANDLERS BE 40 HOUR OSHA/SARA TRAINED <br /> AND USE NIOSH •APPROVED PPE. <br /> E Y CON'1� : 916 371-5747 " _ <br /> —' 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment am fully and mmrately described above by proper shipping name and a a classified, <br /> Q pocked,marked,and labeled,and are in-II respects in proper condition for transport by highway according to applicable international and ratiomi gow nuneM regulations. <br /> V <br /> If I am a large quantity generator, I cerfify that I haw a program in place to mduce the volume and toxicity of waste generated to the degree I have determ'vnd b 6e <br /> a «oramkalfy practicable and that I have selected the practicable method of treutme t,storage,or disposal currently dvoilable to which minimizes the present and fuNm„ <br /> N Mmaf to hum.health and the«vironmenn OR,if I am a small quantity generator, I have made a good faith effort m minimae my waste generation and select the bass <br /> K waste management method that is ovoilable m me and that I can afford - <br /> Pripad Name Signature 1 <br /> I C j Month Day Year <br /> r i <br /> Wit 17. Transporter 1 Acki'owled enters of Rami eat tdrissl. ._..... _ <br /> std <br /> 8 9mNra / - _- ._ :—Mamh-.a..—Day _. Year..,..-_ <br /> P <br /> W 0 18. Transporter 2 A<bawled anent of R«si t of Materials <br /> u. T Prinhd/Typ*cLName <br /> O t Day- <br /> E SignaNrs Month Year <br /> e <br /> N19. Discrepancy Indication Space <br /> V F <br /> A <br /> Z C - - <br /> L <br /> I 20. Focilmy Owner or Operator Certification of..ipt of hazardous mahriols cowered manifM'dis as noted in Beer 19. <br /> T Prinled/Typed me n <br /> Y .Monts Year <br /> DON ITE BELOW THI NE. <br /> Yellow: T SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. <br /> DTSC 8022A (1/95) \ - - nerators who submit hazardous waste for transport outof-r te, <br /> EPA 8700-22 roduce completed copy of this copy and Fend to DTSC within 30 days.) <br />