|
OCT. 2. 2009 2:23PM ITC4LISION DIVISION NO, 719 P. §
<br /> e9D$ d -01 e.(Form deQrladf far uea on elle(12•plleh gwdlDr, t '
<br /> r -PUIF MHAZAR0008 6A.Br�°r10Nuroar FormAPProved.OPABNo,2060-003Q
<br /> WAsfEMpIIIFEST 1, a +or 9,EmagenvyRaapanse Oma 9,MDMaatTmcA g umbar
<br /> :AFr^txi1+05R;r i—tc.Im,..eza^. ::c+x,
<br /> S,C+enareWre Nsmeand Maling Address ;I;,�., Lp;•,.•1,,• ,. ':t„ J JJK
<br /> '�'p1T•(:�t'i•T•(a'T�• TRurx CE m1y,'p:;{�
<br /> ''nCna21grB Bila Addldaa Rld Rsfdnf Vlen mailing Bdtl107)
<br /> GdI J 3 1.1¢I kvS u sTPE1',
<br /> Y I:ICii7fyh 0'••� x:1.14 r� . ,
<br /> sena ra f': ., � ^vY .:Kw'P-•81i6'S '
<br /> nspmMr,1 ComOamy'Namer. :: r .'•n• +.
<br /> FAP,•Tf 1,t:.^L'01427'i. •.i•,'A}'(:.Y:f.U 'tll:y.. •I• '• • •' .. ,' US.'EPA, uON'•
<br /> ranspaheracompany una .. ''' Jr. ,., . CftFHXJr3chb1R6+S.
<br /> U.9.FPA NUMelp
<br /> 1.Declgnaled Facil y sma drld 91e
<br /> PACIFIC PESDIACE r3ECOW'py , U.B.EPA ID NWnhar
<br /> ;7.150 EAST P.f Ca IytV0. C:ADC
<br /> 1.09, ADOCkES.J CA 90(bx,,3 w. ..,.. . ., „
<br /> Fadl 'a Ph*.. ".' I. '. f 4') fl<j5t^j'sl•4�j. ...,,,., .,
<br /> ga. sib PGkklgerB iferllmohMFl9✓'u'+Fm 6NADIDyN2AIs,H CIse�ID NUA1Del(„ ,,• '16,('pnta'rele", .
<br /> hM ddng 6oup lifenY)) ' Tbfa[,, ,11,UM 7a IYasM Cbdee
<br /> 1,rsyJ ( ;1� 1dH3:rP. .pp�trVF1: "tars+:ma��rci'p Na. qulrg� M,wI„
<br /> o r��1 x J �t i;+�Jl� { ;yp � . .. ,u1Dprx •„x.4a �u
<br /> ..,
<br /> 2 +,1W-.Ri�^6�'-• + .-r :�✓ . ptll ..�„r "' CS•q
<br /> 14.6Dat ldandimal Ona DA AdWOMM Inhnfmtlgl
<br /> 13tr.1'rJ
<br /> G•LLYW1' S, Ilk "I
<br /> 1.,a •FkOF1' y,y7l r t:i.u114INu
<br /> EJRruN., ".4t?. n.�W
<br /> �Ft.eN. PC1t?7'F''•Wt d,'i'Pv''CAPlC,•'�i ;aj�./Ardpr7:%�•- : 1-
<br /> 9 Ert,fi
<br /> 15. GENIepgTCR'9/OFRERCR'®CERRIMCATIONI,I MAm detlaro mal the mmm�lsaf WP rnndlgnmeMareadyand acnaa�lydescdhad abr+e Dy lAe ploparahlPpNg nemle,and are daeaimed,packagad,
<br /> WWI and laDeladlPlagldsd,aldareInallBrpedllnPtopnrmnchdonfarlanapodaaadhgmeDDltahldn�nHaanWandneCOnNgevammenelreguledonshi3111 RA M menamdlamN,pecks
<br /> Ecponar,I ml"al the mnlmts of d,Is temdgNpspt unhid-ty the boos oplha aDacned EPAACIalordedgmaM aI.CollsenL, �
<br /> emdfy Ihat the waste minlmhsllan stahsndm IdalWled(d AD CPR 2BT27(a)0(19m a Largs gOanRy ganamloR o1�(0)(df am a aifmll
<br /> GenerJlafalORarol'aP Iearfypotl Name / Wand gdnerala)le hue.
<br /> �1'”' Signaave . ,
<br /> �,., Monlm sy ear
<br /> vY. d J. ,• � r '1
<br /> ,.r 16.IMAmaGOnel•6ripmanN �--I .,�� �y�i
<br /> , --�'• Impamad,l, ❑&pM Mqn U.B;�....•,;:�.DOrtolan /axiC -.
<br /> Trans Pdara naw�
<br /> le(forcxp owns �'
<br /> w 17,TranapQWAdrm:6JsdgmantofReral „Gala leavingu•8.:
<br /> Pto(Mllellak
<br /> QQr.Tmnip t drlyped NBmo ,n / �•..�
<br /> ,gnalula
<br /> of PnmtOd/ryped Name r'� ,yj• f,,1�'
<br /> r aro
<br /> W Yea
<br /> TII,Discrepancy
<br /> 1Ba.Dscrepdncylntl ceGon 9p9t. �� LITYM ❑Reslduo ❑PaAaI Rale Gon
<br /> ❑Ful meson
<br /> = 18b.ANemalaPeallly lar6enemlor) M ^! feren NumDar.
<br /> U.9.E➢AI Numhcr
<br /> Fadllys ft,:
<br /> w 114 6lgnalura 0 OrmJm Fadllty(o,GenOrdbf)
<br /> ~ Mohlm Day
<br /> '9.Nmemous Wade Ropon MSM ant Method Cores O,a„totles(orhaaardogS Wada U nwt,C91130al,and mpye'hg, tams
<br /> a 1. t z -ptom,)
<br /> 1�I•J'� 3.
<br /> Y a
<br /> a7.Oeglgnared Faolly Own�rWDperdlar.Cerlfical OM afroc6l OlM'An'"smalsdals oo arcr1 by 110 mamlleslax -
<br /> D nlOd/pyped Nemo metas ndod in Ilam tes ,... ,
<br /> I?ignerure Ir f ,F Month a o
<br /> (1111 C C,+Jr1.In ,,,Jy Y,1 ✓ ° Y
<br /> .... r,,.• •"fin -..f,�t.,.�-�^'” � 1 � ✓ C^�(,i
<br /> 999-d Z00/l00'd 919 1 00 INN 91113-MH VId991E1 800E-100-
<br />
|