7 ,
<br /> JAN 13 '98 1452 FR SK-7 501 209 545 3680TO 46492 5 P.03
<br /> S IJiwnPlWt or Iyp4T iat%e g Naa .Y, r r.IJ
<br /> ' Ale,
<br /> MAr1IFIFS
<br /> 3 Ce/n�eMbi�l}y 'tlnd FI It ,.ywti Cst,
<br /> y�q�JYy�y��JiM-/k h.: i:.
<br /> 'yK'-N
<br /> � lath atOlnl, lLL r`�VOI��P6t��i5y4b j'�wj.-ti 1' 1 1•
<br /> S Ta s;x, r-VGbhwpd-nft HairierA al 11. a USrEPA WNvm6m
<br /> e SAFETY KL3ZH ORPii ` I 8490 20
<br /> m z.Iraeeaener Tcemppny Nam: - e US FfA ID Plu b.r 1
<br /> aD
<br /> n, 9. allOnated,Fa—a ',mem she "s ; '718 501 1'6.lA EPA ID Na W,
<br /> gg �yiRy� y�+p
<br /> Ar
<br /> 051T
<br /> 1 GAT 000613968
<br /> -SAL , 1 r CA 95160'
<br /> y} * ? - 12 Censenen 13. Total 1A, unit
<br /> I] US DpTyncnpn (" ry¢ pm Sh pPOP, Ilo o.d C6 and ID Numbed
<br /> y, :Quantity Wr Vd
<br /> 1Nie�jk� N 38 l D�
<br /> (PF?ilOL6VM" °pG IIS
<br /> o n, (D039 b008✓DOQ40) E316;1ZE.)6..7•/GAL ' ._ �: u o a �'
<br /> r 6 d
<br /> WASTE °COM9tIS?28(,E��`IQ�tID 1i. 0. S.
<br /> m E (PETROLEUM NANTMA9 NA1Y893 GIi3(DOO1) AM 6`" RC1
<br /> R ( D006;D008>DQ�8,D0Y7D039jX040)(ERe4118) CID 11 a
<br /> 0001 Dr
<br /> ((d �flp[3yi)AS m 3 "* 7',W3-0W4vj
<br /> ( p ?( LZ
<br /> D006OD008;D018C�RG#1111). a a :51
<br /> W -
<br /> N
<br /> N
<br /> w ,
<br /> of
<br /> C - '$,i Ka.d1in,insr,..ficn. ndAddalenaltnlermanan sstrir R//TTtt 93940382 1-000-00
<br /> z EMERGENCY RESP 600-468-1760(14 MR). IF UNDELIVERABLE RETURN TO GENERATOR.
<br /> QId. GENERATISR'S CERTIFKA710N:-IMnby'dedera'MerMe cenn,nls dlhisconigrynmentan n,ly endaauwrellyy deKri6.d e6es.6y poem shi9ying.mme and era ebsefid,pecked,
<br /> V metkad,ejd la6dld,and on in all wrpech in proper CendlGan im nonspsnpy highway acmding m applicpbla inNrMllenal and rrononal gwmnmem ne,ulot:mr.
<br /> ec! It 1 em a lenge"Wfi gent a "I cdrdly that I Irate a Program In Place n,ndrce the-client-clie and roalclty d warm w ned b the degree I ham.e demnim id 6e scmKmirnlH
<br /> pracncabla and Moll l,a.a toloctad rhe p ackobt,melbad of Molmenr.rPo.ep.er diapew<umm11y ewilable a me..hr<bawmmrm im dro p..wnt a,d lulus rhrwr ro human Imldd,,
<br /> and i4m m,riwem nr;OR,ii 1 am a small gvmdily gMpabr.I ho• made a geKl fallh eRM b mimmiX my warn,ga em6on and KIKI Me Item ways men+omen!madMd that it
<br /> amilabltr noo-0 and Met Ion afford/. I
<br /> Z 9.imad/�y P Ce e� �,I.r Year
<br /> Day .
<br /> ,[.' irlO f
<br /> 1 17, Twm rat I Acknaw ma Receipt ounnials
<br /> i tri Rrped Neme c ';Y Sig I. / �_ 0 b- /Day Year
<br /> w ;
<br /> A. An, V�� 16 1
<br /> R 18. iron - 3Abknswled ameeraf ReMi nef Hen,rlab
<br /> Q 1 Piinend/Typed Nems SignoNra Menlh - Day Yam
<br /> N 'E
<br /> ,
<br /> V 19. DlKrepencY tndlmnan Specs -
<br /> F
<br /> o p
<br /> C
<br /> I
<br /> l
<br /> l TQ. Facili pmmm ,abr CeraPaaFm eft i Ief hatardws mat nab cs<aed Mb manihn.aK
<br /> T Fri ed/Typ.d Nems Sgnaan 6
<br /> y
<br /> DO NOT L IS LINE.
<br /> OTSC I012A t4/97) 11w. GENERATOR SENDS THIS.COW TO OTSC WITHIN 30 DAYS.
<br /> E9A.8700-22
<br /> �.` Ta: P.O. Boa ADO, Saewmanro.CA 95512-OACO
<br /> * TOTAL PAGE.03 >k>k
<br />
|