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or <br /> $rote of California—Environmental Protection Agency See Instructions 00 bOC�c 7098 b. Departmsml .Toxic SCalifornia C' <br /> Form Approved OMB No.2050-0039(Expires 9.30-99) ` '�s - Vee/ Sacramearo, <br /> Please print or type. Form designd lar use on dih fI2-pltc,yI Gimhr. <br /> 1. Ganarabr's US EPA ID No. Manifest Document No. 2. Page I Inbrma4on in Iha shaded areas <br /> 2S B not required by Federal low <br /> UNIFORM HAZARDOUS q {J of 1 <br /> WASTE MANIFEST - <br /> A A. Stete Mrnihst Docu tit Number �s ey 9 0 6 dyIle <br /> • 3. Genaroroi s Nome and Mailing Address !�s(��✓f d'�' ,M M 'y5 � � � '., '(!r L VM u►Vy 3 <br /> k l Vll--L�L-te�ed FI ._ <br /> B: Sbh Genaratdr s ID <br /> A, General.,',Phone( 1 <br /> !� - b. US EPA ID Number C Smro Transparter's ID Reserved I '3�♦<h <br /> N 5. Transporter 1 Company Nome <br /> C? <br /> C tEM 0[Fd EI6VIRO,JhFEY�1 AL 3�tC F L 0 3 0 : 3 5 8 7 D Tan po er's Phone ,107 448-37W-1; <br /> 7. Transporter 2 C8. U$EPA ID Number f Sbro Tran'pgiro+'a ID Reserved 1 <br /> ompany.Nam. •' <br /> V F..Transparter's Phase <br /> N <br /> /e�Q 10. U$EPA tD Number G $role Facdiys ID ' <br /> U 9. B)e'g�aled.F�e�r�J�i'afifit ddress <br /> z 3550 EAST 26TH }ST'REET, LOS ANGELES, CA 40023 H. Foaihy,Phare <br /> C77 o <br /> GA T 0 8 0 C 3 3 6 8 1 Cs£se 871=x222 , <br /> Consamers 13, Terol 14. Una <br /> N Q 11. US DOT Description(including Pr per Shipping Name,Hazard Class,and ID Number) No. T e Quantity Wt/Vol I. Waste Number' <br /> Z a i ` y1 � ,'u Sloh"e/`f e.`.. <br /> 3 G Sbi. <br /> o N L" <br /> m E _ EPA/Other' <br /> wt <br /> 8 O EPA/Olbr <br /> R States <br /> W d. <br /> Z <br /> W EPA/011sir <br /> U <br /> W K Halling Codes For Wastes Listed Above - <br /> r� J.'Ad dN�io alD rlpfiona rials Listed AboveHarrill <br /> b.d <br /> W C. <br /> r„ <br /> Q <br /> 0 15. Special Handling Inatrudions and Addilionol Information <br /> H.ARDLERS TO BE TRAINED AIM GMAP. PPE. <br /> z ENERGENCY PH01 t 916-371-5747 <br /> 9Scaa 0`3 Q ID�s�FelC� <br /> _i ..` - Ib. GENERATOR'S bald,and ch i .11's' ect,in roper that condition <br /> contentsFor this y er <br /> high oy�according <br /> d ac to applicable <br /> dewHbed nbove land nations i overs a and aro classified,packed, <br /> Q ' marked,and labeled,and ors in all respects in proper condition for transport by highway acwrding ro applicable international and national gowrnmenl.rogulagons. <br /> If I am a Ivrge quontiy generator, certify Ihat l have a program in place to reduce the volume and toxicity of waste,generated to the degree I have determined b be sconamiccll <br /> Q. practicable and that hhove selected the Practicable method o treatment,storage,or disposal currently available b me which minimizes the present and future threat to human healt <br /> and the environment;OR,if am a sora quantity generator,I how made a good high a to minimize my wash generati nand select the best waste management method that <br /> as available to me and that I Vin-K-J. �.__ .•• _ _ <br /> $ignat It t I - --__ 9Mohs ints, �Tl <br /> >- P iorod/TypeB'Nama. � `1l G\�' !'7+j <br /> T 17rhr 1 Acknewled em f Recd ref M.1.6.6 <br /> W j Priors a Name Signoru 0a 0� g f <br /> B <br /> W S <br /> dj 18. Trans nor 2 Acknewled smart of Reaai t of Materials Monde Day Y <br /> R .:grub'. <br /> T Printed/Typed Nama <br /> W E <br /> R <br /> V19. Discrepancy lndlcmian$Pace <br /> Z F <br /> A <br /> C <br /> L <br /> 1 20. 1! crill,Owner or raror CI'll I tion of recei r of hazordom mohnals covered b this manitest exc I m noted in Item 19, Month Day y <br /> T Printed/Typed Name Signature <br /> IT <br /> DO NOT WRITE BELOW THIS LINE. <br /> Blue: GENERATOR SENDS THIS COPY TO DTSC WITHIN 30 DAY: <br /> �DTSC 8022A(1/99) To: P.O. Box 400, Sacramenro, CA 95812-0400 <br /> EPA 8700-22 n.tle^r`�s^as' �...st_ rit"i <br />