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Jun -09-08 09:27am From -ONYX ENVIRONMENTA VICES <br />..A I.. ".. nn .Ila 14, n11nh% bwwdlaA <br />+6263344318 <br />9 HII 11111111111111 IF Hill 111 111 <br />�8 P. 02/02 F-077 <br />ItVn. <br />Form Aperohnad. OMB N0.21150-0039 <br />Q0025u8983 VES w <br />EPA Form 87UUtiZZ thwy 3)` yl....1.w.......,.._._. '-7IPR-�$7�l18" .... ' '!{'E3Y 1 An '•4% <br />i <br />I <br />I 1 <br />I I <br />l <br />UNIFORM 1'OanenhrclPNurnow <br />2. Paget of <br />9.Emagerrc.YRa,Fnnes,Phona <br />WASTE MANIFEST C A (,. 0 0 0 2 5.3;9,:4 5 <br />1 <br />(877) 818-0087 <br />5. Generator's Name and Moping Address ppb p Generators Site Addren(It Orment than mailing address) <br />pUSTWES <br />4P0IP&ECY7�a3f <br />SAME <br />T�RgAGY, CA <br />200 8313-8824_ <br />Generatah8hon.: <br />0. ranapoder 1 comwy Noma U.S. EPAID Number <br />gT(JRQEnh) ANQ SC]N.INC. C A D Q 0 4 7 7 8 7 4 2 <br />7. Transporterl Cmidony Nanta ll.S. EPAID tar or <br />a. Designated Fact/ Name and Site Address VECNJA ES'MCHNICAL SOLUTIONS US. EPA IO Number <br />1704 W. FIRST'51REET <br />Reel 3?a.F1�,T' AZUSA. CA 0176 C A O a a 9 8 a 2 0 a 3 <br />Fads tPhono: <br />ga. <br />gin US. DOT Oascdpgml WAdirg Proper ShlPpinO Name; Hamad pees, ID Number, <br />10, Cormorant <br />It. Total <br />1 12. Unit <br />ig Wesle Cortes <br />No. <br />Type <br />HM <br />anu Packing armp (If any)) <br />quo" <br />WIAaI. <br />1. - 1DQUSNf,1jjUilflpIUjVETM0LE]M <br />34_ <br />ao <br />HYDROCARBONS, N(4TER), NONE, NONE <br />qq�� <br />[..CI <br />A <br />u�i <br />z <br />cD <br />0. <br />4- <br />14. LlHandlagmwmdaasaniAddidanalIion 1)W38745A:REC-WATER4HENS)-- ER Service Contracted by VESTS <br />#3 e <br />16. GENERATOW31MFTEROR'e CERTIFICATION: ) hereby dodoes, metme makers, of this o *mflera am luny and acmraldy a -sawed abova by the pmper anlpping name, end use gessmeq packaged, - <br />marked and Isbs,hNplacaNetl, =4 we In U rea'pacla In prapermnuni fpr Sol arcading to applicable intemalmalan i national governmental ragatab=. dasprt saipmant entl I am Ilre Rimary <br />EapWor, I cmbfy thelthe mmants of Into consignment mnerm to ge mme of ma afhtched EPAAcknowmtgTmalt I. <br />I. rally that the waste mlrlmidawsiatmaant Warman! In 40 Ci 16217(-)(1l em a large auanmyewuratorl bl ante Nssaistutinfity, generated is mre. <br />cementer Oamfs Pdnwypral Name Signeeae < Marsh Pay Year <br />jal~ <br />16.Inlemelbna SMpmante Li1mPadro U.S. 1:16fmn 5. Podef-nnyleri: <br />Transports signature (Nr exports adi Dale leaving U.S.: <br />17. iranspMarNd.noxkdgmantal Rewipt of Materials <br />Trans"r1r lyPnMsdn'Wed Sig Moan Day Year <br />zanspar2P <br />Signature Mane) y Year <br />d <br />Ia. cleclepancy <br />1Sa. DRaepanq lndiwtlon Space quan�ry❑Residue ❑PalalRgeNon ❑Fuliftgeclion <br />--(���7yy- <br />�y MidlandRefmalmH her: <br />1 .Albmek ailinror <br />,M,Ge I US. EPA In Number <br />U <br />fecplgh Phone: MWh Day Year <br />10c.8 neNra olAaemalaF (a tlnarala <br />Hig. <br />HazaNaue Report Management Method Cured (i.e.. rude, lot hetatdoua walla eeaeoem, disposal, and tecgol Woo l <br />3.aT <br />20. pWgnafod Fadaky O.maragpxatan Ca*AtIIn of feWptofhamfdwa meiedala re•:aeed by a�neNrempt ae read I <br />I <br />nINATIOM STATEOF RENUIFIED) <br />EPA Form 87UUtiZZ thwy 3)` yl....1.w.......,.._._. '-7IPR-�$7�l18" .... ' '!{'E3Y 1 An '•4% <br />i <br />I <br />I 1 <br />I I <br />l <br />