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a <br />Stole c€ Califon—Environmental Protection AIDtl I ` � 5 <br />g®ncY <br />CuNB No. 2050 0034 (Expires 4-31-94) ` Instructions on back o 9e 6• Department of Toxic Substances Control <br />,Pf~ print or type. form designodfor use on e1Ntr. 12 <br />DTSC 8022A (7/92) <br />EPA 8700-22 <br />DO NOT WRITE BELOW THIS L NE. <br />Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. <br />(Generators who submit hazardous waste for transport out-of-state, <br />produce completed copy of this copy and send to DTSC within 30 days.) <br />UNIFORM HAZARDOUS Generaror'x US EPA 10 No. Manifest Documen4 2. Page 1 <br />Information in the shaded areas <br />WASTE MANIFEST <br />td <br />is not required by Federal law. <br />C � D � ,F 1 � <br />� of <br />3. Generator's Name and Mailing Address' <br />Santa Fe Railway Company*66 <br />0 E. Carne ie 1)r. Sa.. Bernadino, Cry. 92408G <br />Gene G <br />4. r s Phone (714) <br />0ele <br />86-4056 <br />5. Transporter 1 Company Name b. US EPA ID Number <br />01 <br />7. Transporter 2 Company Name 8. US EPA ID Numterf <br /><. LIQ. <br />9. Designated Facility Name and Site Address 10. US EPA ID Numbers <br />A ropriate Technologies II:�.. <br />1700 Maxwell <br />Rd.��-, <br />Chula <br />` E� <br />Vista, CA. 92011 <br />P <br />�..��. <br />11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) <br />12. Containers <br />13. Total <br />14. Unit <br />r <br />No. <br />Type <br />Quant <br />Wt/Vol <br />a• VA-,As+e �Iaochloroh�plltrj /pltklU�C.! F)CJMW4gble 111vt4, <br />G <br />UN207-3 RQ(D001,U041) <br />P <br />, <br />E <br />ERV" 30 <br />I <br />ant <br />15 <br />�,. <br />N <br />b' S{� %%'�Wlt/10f 4h�1 t�Cfu? +tC Mi X1vlt' (,Cr <br />RVrvs�or�4 <br />! VNZ�f7 RG?�otz z� <br />7-t <br />_k),0, <br />T <br />C. I(AZrt (d 0✓5 Wa 54e I I p, S. (�( re -05 k) <br />� <br />O <br />Coln- N��llg�t <br />a� <br />R <br />E U��31 <br />DM <br />I 1 110 <br />d. ©U R(R1)F)A7pRDovSWASrE.ScXT1-7 <br />Lvbrl(U ,,q g r ease <br />P <br />' <br />� <br />p F <br />4 0 <br />. <br />4 Asannd.foons, Mott" ) Abasesi "lg,Kc flondimst Cordes for Wastes Listec! Aboswe <br />i_a.3_- b <br />. u <br />*{ -, _ <br />C d <br />,py <br />15. Special Handling Instructions and Additional Information <br />Z4 pr. tmc(3eAt1 Coo-f'u(q ' CrMe0+Ct (Z 09) 44(-7-56or4 <br />( eon Su{cf C�Ur Lt/h�tn fluv�i�r+r f1u2t,rpov tA1u5�sw . <br />16. GENERATOR'S CERTIFICATION: 1 hereby declare that the contents of the consignment ore fully and accurately described above by proper shipping name and are classified, <br />packed, marked, and labeled, and are in ail respects in proper condition for transport by highway according to applicable federal, state and international <br />laws, <br />If I am a large quantity generator, I certify that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be <br />economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future <br />threat to human health and the environment; OR, if I am a small quantity generator, 1 have made a good faith effort to minimize my waste generation and select the best <br />waste management method that is available to me and that I can afford. <br />Printed/Ty d Name <br />Sign re <br />r w�%lp <br />" o <br />Da Year <br />l,�'j <br />t <br />17. Tran orter—Acknowledgement of Receipt of Materials <br />NPrinted/Typed <br />Name �. <br />�t�'�Y <br />Signant <br />Month Day Year <br />P <br />'1 <br />O <br />0 <br />18. Transporter 2 Acknowledgement of Recei t of Materials <br />T <br />Printed/Typed Name <br />Signature <br />Month Day Year <br />t: <br />a <br />19. Discrepancy Indication Space <br />F <br />A <br />C <br />1 <br />L <br />1 <br />20ilityOwner or Operator Certification of receipt of hazardous materials covered bj this monifestftceot <br />as noted in Item 19. <br />TTRfinte <br />/Typed Nam ,D <br />Sign re <br />4 <br />Month Day Year <br />DTSC 8022A (7/92) <br />EPA 8700-22 <br />DO NOT WRITE BELOW THIS L NE. <br />Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. <br />(Generators who submit hazardous waste for transport out-of-state, <br />produce completed copy of this copy and send to DTSC within 30 days.) <br />