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<br /> WASTE MANIFEST CAR 000 247 213 2 l �b �° U /1 • 01 dS344UU O
<br /> 5 . Generators Nam and Mallin Generators SiteAilbress if different than main starers
<br /> 2808 COUNTRY' C U L _ 2808 COUN� ' RY CLUB � LVa
<br /> ATTN : ICC RECEIVING
<br /> STOCKTON , CA 95204 STOCKTON , CA95204
<br /> GeneamrsPmna : ( 209) 461 - 5555
<br /> 6 . 1fanspoMrl Company Name US . EPAIDNumber
<br /> EQ INDUSTRIAL SERVICES MIK 435 642 742
<br /> ] . Transporter 2 CmmpanyTNam � 5 — -� si Tr / s US . EPAIONum ��3 � 363R
<br /> s . Dougnaletl radhy Name am SMAatlress . US ECOLOGY IDAHO , INC . U . S . EPAID Nambar
<br /> 20400 LEMLEY ROAD IDD 073114 654
<br /> GRAND VIEW, ID 83624
<br /> Facmry' si mae : (800 ) 2741516
<br /> as . as US . DOTDascription (indutling Proper Shipping Name , Heated Class , to Number, 11Conhmaa 11 . 11 12 , Unit 13 . Wasm Cotler
<br /> HM aMPassag Geup ( ifanr) ) , No , Type Dumb WAAbl .
<br /> X RQr UN1950 , Waste Aerosols , 2 . 1 ( DOTSP 11296) , ( RQ 001 DF 00013 P D001 D002 331
<br /> o D001 , DOM ERG #126
<br /> X RQ , UN1993 , Waste Flammable liquids , n . o . s . (Paton , Ethyl 001 DF 00005 P 13001 DO18 D035
<br /> Alcohol ) , 3 , PGII , RQ ( D001 ) , ERG #128
<br /> 0002 U154 343
<br /> X NQ , UN1851 , Waste Medicine , Liquid , Toxic , N . O . S (Silver, 001 DF 00010 P D007 D010 D011
<br /> Chromium ) , . 8 . 1 , PGIII , RQ ( D011 ) , ERG # 151
<br /> 331
<br /> R 4iQ , UN3248 , Waste Medicine , Liquid , Flammable , Toxic , n . o . s . 001 DF 00001 P Di D005 DI
<br /> ( Cresol , Resorcinol ) , 3 , ( 8 . 1 ) , PGIII , RQ ( D009 ) , ERG 0131
<br /> 13007 D008 311
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<br /> 60131 (/3
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<br /> EPA Forral 22 ( Rev. 3 - 05 ) Rreavious editions are obsolete . DESIGNATED FACILITY TO DESTINATON STATE IF RE UIRED )
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