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Slate of Colifornio—Environmental Protection Agency <br /> Form Approved OMB No.2050-0039(Expires 9.30-99) See Instructions on backl•�age b. Department of Toxic Substances Control <br /> Please print or type. Form designed for use on elite(12-pitcft*W riser. Sacramento,California <br /> UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> WASTE MANIFEST CAL 00 8 2 8 8 7 9 2 0 0 0 is nal required by Federal low. <br /> L <br /> of <br /> 3. Generator's Name and Mailing Address <br /> Wight Enterprises I2 LLC ARCA 82308 25171644 <br /> A. Stole Manifest Document Number <br /> 0 18806 Lower Sacramento Rd. R. State Generators ID <br /> A. Generator's phone 1219 1993--7825 Woodbridge, CA 95258 <br /> N 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID[Reserved.] <br /> OPn <br /> $ BELSHIRE ENVIRONMENTAL SVCS. 1 D. Transporter's Phone 949-468-5211111111 <br /> act 7. Transporter 2 Company Name 8. US EPA ID Number E. State Tronsporler's ID IReserved.] <br /> QF. Transporter's Phone <br /> D U 9. Dasgag[ad F�acilijy N—ys e� and_Site Address 10. US EPA ID Number G. Stole Facility's ID <br /> Q �",� QEfLUI/l)11 <br /> Z2000 N. AL.AMEDA STREET H. Faailiy's Phone <br /> .40 COMPTON, CA 98222 L 316-337-7100 <br /> 7 Q12. Containers 13. Total 14. Unit <br /> q U 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) No. T e Quantity Wt/Vol I. Waste Number <br /> Gasoline Mixture state 134 <br /> 3 G 3 LIM1203 P.G. II (Not Regulated as a RCRA Waste) OP11 D f U d d e G EPA/Othe,axempt <br /> E <br /> m N Is. KjOn { C 'IZA IrkAZA2f>aJ5 v,),lSi <br /> NR O a aj, b v Z ( EPA/ghee <br /> v A Ckaw <br /> a T a I c 2 A NA O r1 `yf 1.. 's state '2 <br /> Non z Ou`, d 7 <br /> , R M D 002 " (y EPA/ t,k f•'N p' <br /> s <br /> � d. Srote <br /> Z <br /> w <br /> U EPA/Other <br /> w <br /> Z <br /> J. Additional Descriptions for Materials Listed Above K. Handling Codes kr Wastes Listed Above <br /> O b. <br /> w <br /> Srg 1128 <br /> Begalim and water mixture d. <br /> {.0 VIW7E O(c 1I >aT' a- <br /> 15. Special Handling Instructions and Additional Information <br /> z WEAR ALL APPROPRIATE 24 HOUR EMERGENCY PHONE: BESI# 123347 SITE.- 82308 <br /> w PROTECTTVE C1.OTHTWG 949-468-5206 (H-F Baa-Spa1 18806 Lower Sacramento Road <br /> 949-699-3706 (24-hours) Woodbridge, CA 95258 <br /> 16. GENERATOR'S CERTIFICATION: Ihereby declare that the contents of thisconsignmentare fully.ndacountelY described above by proper shipping name and are classified,packed, <br /> Vmarked,and labeled,and are in all respects in proper condition Far Iran sport by highway according to applicable international and nationaPgovernment regulations. <br /> IF am a large quantity generaror,I certify that I have o prrgr in place to reduce the volume and toxicity of waste generated to the degree I have determined to be eco nomica11 <br /> w practicable and that I have selected the Practicable method of treatment,storage,or disposal currently available to me which minimizes the present and Future threat to haman health <br /> and the environment;OR,if I am a sane I quantity generator,I have made a good Faith effort to minimize my waste generation and select the best waste management method that is <br /> uro fable to me and that 1 can afford. <br /> O <br /> T Printed/Typad Name Signature Month Day Year <br /> U <br /> Z <br /> W R 17 Trons -rte 1 Acknowled gement of Reaei t of Materials <br /> w , Pnn /Typed Nama ° j Signalurq „�.;. -;'s Monlb.. Day Year <br /> P <br /> LL 8 18. Transporter 2 Acknowledgement of Receipt of Materials <br /> 0 T Printed/Typed Nome Signature Month Day Year <br /> w E <br /> H R <br /> V19. Discrepancy Indication Space <br /> Z F <br /> — p <br /> C <br /> I <br /> L <br /> . FafOwner or O rater Certification of re esi t of hazardous materials covered b this manifest exca t as noted in Item 19. <br /> T [,!,o:, <br /> nted/Typed Nama Signature Month Day Year <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A 11/991 <br /> EPA 8700-22 Yellow: GENERATOR RETAINS <br />