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a. <br />_Antaminited <br />or 14941 ted WasteDol <br />.. t; <br />kf- <br />% t f.Z dr„yi.�., a� . ,fi �,xa..`"Wit• ao-,��' i... ( tt � . : A nt.4 d`�A.tiy.,s. � -wr. 6 <br />, ZAN <br />i <br />r �1. <br />Qdlt�oaaf lhi4ffmatg <br />oft <br />`SFO -0 1 <br />ri> <br />LP <br />1V.. <br />EIIENERATOR'S, dartiFICATMIN: 1 hereby declare that the contents of this consignment are fully and accurately described aboby proper shipping <br />name classified, packed, mark 'and labeled, and are in all respects in proper condition for transport by higfbivay according to applicable <br />internationit and national government reg4tations. <br />it i am a large quantity generatorkl certify that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have <br />determinedto be economically practicable and that 1 have selected the practicable method of treatment, storage, or disposal currently available to - <br />me which minimizewthe present and future threat to human health and the environment; OR, if I am a small quantity generator, 1 have made:s good <br />faith effortJoRninimize my waste generation and select the best waste management method that is available to me and that i can afford.. <br />P 161ryped Name ire Month Day Year <br />IL <br />A ed/Typed Name Month Day Year <br />yy4P Dion <br />O p 18. Transporter 2 Acknowledgement of Receipt of aterials <br />R Printed/Typed Name Signature Month Day Year, <br />s <br />lb.,Discrepancy Indication Space <br />A <br />C <br />t - <br />t' : FaeiMy owner or Operator.Ceryflelfftlakof receipt of hazardous met d Cov by,thi anifest except as not in hem 19. <br />/Typed Nafne et * h Day Year <br />�,. <br />V <br />;. <br />DHS az w•tt if373 <br />EPA 8700-22 Yellow: TSDF SENDS THIS COPY" TO GENERATOR WITHIN 30 DAYS INfSTRUCT10THE 'SACK <br />(Rev. 9-88) Previous editions are obsolete. <br />�r <br />77,if0m <br />manifew 2. Pagetshaded <br />areas <br />WAS ANIFEST <br />C <br />"1°"t No. of <br />is not bYfederal low. <br />S. Qenerator°a as <br />p , 7 <br />Son C (�/_�: .. <br />g <br />} <br />0i &IE. Worth St. Stockton, CA 95205 <br />�.-senerators Phone <br />q <br />offer 1 ame 8. US EPA IQ NumberCQ <br />Q t <br />7. Transpo#W 2 Company Name 8. US EPA Number <br />T <br />9. Designated Facility Name and Site Address 10. US EPA ro Number <br />it IRate Facia <br />x , ; <br />-� <br />MGMIr 1 nt. Inc. <br />Vrd <br />CA 93239f <br />" <br />K <br />t� <br />Q <br />� <br />1 t _USd60T Desa°riptiori (InciudIng Proper Shipping Name, Hazard Class, and ID Numbed <br />12. Containers 3. Total <br />Quant <br />14. <br />Unit <br />u- <br />No. <br />Type <br />VWnt iY <br />a <br />a. <br />_Antaminited <br />or 14941 ted WasteDol <br />.. t; <br />kf- <br />% t f.Z dr„yi.�., a� . ,fi �,xa..`"Wit• ao-,��' i... ( tt � . : A nt.4 d`�A.tiy.,s. � -wr. 6 <br />, ZAN <br />i <br />r �1. <br />Qdlt�oaaf lhi4ffmatg <br />oft <br />`SFO -0 1 <br />ri> <br />LP <br />1V.. <br />EIIENERATOR'S, dartiFICATMIN: 1 hereby declare that the contents of this consignment are fully and accurately described aboby proper shipping <br />name classified, packed, mark 'and labeled, and are in all respects in proper condition for transport by higfbivay according to applicable <br />internationit and national government reg4tations. <br />it i am a large quantity generatorkl certify that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have <br />determinedto be economically practicable and that 1 have selected the practicable method of treatment, storage, or disposal currently available to - <br />me which minimizewthe present and future threat to human health and the environment; OR, if I am a small quantity generator, 1 have made:s good <br />faith effortJoRninimize my waste generation and select the best waste management method that is available to me and that i can afford.. <br />P 161ryped Name ire Month Day Year <br />IL <br />A ed/Typed Name Month Day Year <br />yy4P Dion <br />O p 18. Transporter 2 Acknowledgement of Receipt of aterials <br />R Printed/Typed Name Signature Month Day Year, <br />s <br />lb.,Discrepancy Indication Space <br />A <br />C <br />t - <br />t' : FaeiMy owner or Operator.Ceryflelfftlakof receipt of hazardous met d Cov by,thi anifest except as not in hem 19. <br />/Typed Nafne et * h Day Year <br />�,. <br />V <br />;. <br />DHS az w•tt if373 <br />EPA 8700-22 Yellow: TSDF SENDS THIS COPY" TO GENERATOR WITHIN 30 DAYS INfSTRUCT10THE 'SACK <br />(Rev. 9-88) Previous editions are obsolete. <br />