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5- 1-7 <br />50 -MN (Expkes 9-30-911) �Instnictlom'ohn blargiwf page 6. Toxic SLAStances <br />b-HeaM and Waare Agency <br />NaNo. Z" - <br />F r - de�� � LW on eft(12 <br />Plate' <br />'o Sacramento. t:-Owtomm amdesWWfbrLwcneft(1 <br />UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2 Pogo I tria—mXAM in #* *cried areas <br />I Is not required by Federal low. <br />WASTE MANIFEST Cl Al Di 9181114151919141 0, 01 0, 01 11 04 1 <br />Pd:h?raW& Name and MMc*V Addrm- <br />lair <br />h 9: To at t a Fa Ral <br />.:X <br />tchinson Topeka Santa Fe Railway . ... . <br />W P4O Last Cargine Dr. <br />asrBaga*"%no, )CA 92408 <br />I)illard Trucki!&, Inc. <br />FT Transpofter 2 Company Nam <br />& LIS EPA ID Number <br />r 0 VecycTIngeAtorporati <br />11,835 Ea reet <br />7 i , <br />'�Ignal Hill. CA 90806 <br />CL <br />*Nofi 1CRA Hazardous Waste S*ild <br />• <br />'Nftleum Recycling corpomtion1r A certifies that the <br />above mentioned waste,Cs), more sPecifically irdentifisd by <br />-reference to -the, waste m anmatf!At <br />d7ft7cled inamordance with the Provisionz dr 40CRF261.6 <br />and 26.4 pumant to 4WFR 261.3 (c) (2) h=ardous wade <br />generated fpm I A <br />—11- Congers1 13, Total 14. <br />No. Type I QLxrytftv -M� <br />010 11 DI M 2 <br />1 010115 , 10 - P <br />0 `Wear Proper protective equipment Job 0278/w A1 <br />'a <br />pproval No I I Emergency Contact: 510 634-6850 <br />-<11 r16. GENERATORS CERTIFICATION: I hereby declare that the contents of this consovnent are ft* and accuratey described above by proper O*phg ncff* aid as classfed, <br />z packed marked, and labeled, and cre in all respeti's in proper condition for transport by hohvway according to applicckple intemationd and national governinent ngulations. <br />0 <br />N I am a large quantity generator. I cedify that I have a program In ploce to reduce the vokao and toxicity of waste g2nerated'to the degree I hum deterrniried to be <br />z ad that <br />econonkaRy practicable ax# I have seated the practicable method of tisaftnent, storage, or disposal currentIV avok3ble to me which n**n#an <br />kw * present d futtse <br />LU threat to human health o1nd the environinent, OR. If I an a mx* quantity generator. I have mode a good faith effort to rninirnize rnV waste generation and select tte bed waft <br />rnarx3gernent <br />method that Is available to rnepnd that I can afford <br />Pdnte( <br />-j <br />a: <br />co T 17. Trc <br />0 R T Wie, <br />A <br />N <br />LU P0 T-8—Trc <br />LU <br />R Printer <br />w 0 T <br />LL E <br />R <br />F 19. DIS <br />A <br />L <br />1 20. Fo <br />T prVe( <br />kA <br />r I Acknowledgement of Receipt of Mate; <br />R43" & <br />r 2 Acknowlidgbrivent of Re cW of Materi <br />:y Indication Space <br />Y 11b CC> L C— <br />DO <br />DFS SD22A(12/90) <br />EPA 87OD-22 <br />11 <br />121 <br />nv <br />manin Luy <br />new <br />Month Day <br />Year <br />oy ff* rnanted except as noted in Rom 19, <br />Month YOM <br />BELOW THIS LINE. <br />Yellow. TSDF SENDS THIS COPY TO GENE THIN <br />