Laserfiche WebLink
1C/Cll/CI_tY14 :LtD: 1 g KHMU5 ENVIRONMENTAL SERO I CES 4 12099455656 Nd.162 D002 <br /> Stam oP'Callfornio--Envwannnentol Protection A en <br /> Form ADtprosted OMB Np.2650-0039 arcs 9-3999 See Instructions on back6. .DepanrmeAr of Toric Subsroncds CoAtrol <br /> Please prim or!'ype. F47 d.Rlpnpd for use on&tire 0 2.-pr+ nisi. 00 Socromenta,Californic <br /> 1. Generop�s U5 EPA ID Na. Manifest D(Yc-menFNo_ 2, Paige 1 Informolfoe in the shaded area& <br /> UNIFORM HAZARDOUS �( is not+epei�md 6r re&ral la,:.. <br /> .. ..WASTE. MANIFEST z. a., �• <br /> 3, Gengrao-e;SlamgapdhMoilingJlddress <br /> . 'LnyWrFsar'?"Ft�o.,lF�q�"1�+i�•�++ �1"�'� s� 4 ,may., <br /> +.11�7y�d�y'r.r�l <br /> r+7 <br /> A. (y6rleraTor's Kane 2 .!..`6] h h+��e7•T'r 3 �7ai:,.i• - �"; <br /> I! <br /> N 5.'Transporw 1 Co+Ap',�14y Name' .. 6. US EPA iD-N„m6er <br /> �` F: �{ kt9'�t"47>:1A90P!s3a.•` 4�k�..f:� tr - 7. <br /> 7. Tmntpoircr'l'6MP'a"Y hlurrte '' • B_ US EPA ID Number ' <br /> rR U 9 Designo •Fw4llryr Num.Ml S�q dlddrep lD: YS EPA 4D Nurhber <br /> Qii+17a)�flr;tr*r+liL�lf ►I T7'Nf�fpG ri <br /> VV Air l.o ( a � app '�'f rlary <br /> �� r 7'iG�YeMR"r 7!« 'i r•t�'• �7 _ .*' .^ti "ham � 7K�•J � . - <br /> 1 r 12.'Cnriloive$ 73.,Tafel • ',1.4. Unit' <br /> Q' 11. US DOT Deronp;on`rnEllldlne Proper Shipping Name Hoiard Clws�,and 11]Numbers., Na. T Pa /�� <br /> VV <br /> IrQilstilk � ,' xw-, <br /> E <br /> C4 <br /> E <br /> U-1 <br /> V) <br /> z< <br /> 0 <br /> V) <br /> M <br /> ac <br /> J <br /> 4 15,special Harrdtrog Irotrvctions ar d AddHiorwl lrrfarmorion } T <br /> .� �. � •,_ ,°i-l�i:i�?!'�ilit!�tf.f�:ir�'�Ih�1ie.'��i titieM$ir1F'�:',L�r7�;t"I'�q} <br /> Z =rls. rx'y.�,�lsu + f l .I ; �1..j, 4f C :�ojj, 'A.' <br /> L&I <br /> H ,.'' <br /> 1 Tis. GEHMTWS GEllnEte1tVO f6ercbr decbre'Nlot conroa*s of Nri,¢onsi r+mens are fNlh and accu de rfb�d'obo ro by proper eh" na++a+9A'dnd Are claanrF{vrf <br /> [� eepndle in I*Opar oon hon for tion rhlghvray'aehirrdSrrg ro'dpp taable ihtdrKaponal and her; pwwnl+enr.dgul�irionr <br /> d marked.ane bheledi'and`are In'off r .. <br /> 4. <br /> 2F1 amp Iarge.qu6Miryr'9 nenator,'I certi(y thbt4 ha"a p ram,n placa.�redone flra rofume and rozic;y o(vasse generated to the deproe I five d&lennined 10 be ecarjoetimll <br /> prdctica6le and Ntai!Fav!sefet"hd tlw roeficable method of treanneni,storage,or disposal curnenlly'eMoiloble to me v+hicf+minlmizas'Ihe preooN and future rMea4 to human♦reokF <br /> and the <br /> N rvnfn ai I,can a rd. .. negation and ieleet.rhe46eit l+oste'snonogwtlonl met6erd that;s <br /> and Iha enrirgr that;.OR,i( e. W a.0 QfMaf ly gOn6f010r,'.f kro'v'riWdiu:goad(Ofl( o(laA 10'4rinimibt'W1 waste ge , <br /> pj lyt, - <br /> Printed/fypea <br /> Yoor <br /> �ttr T` el 7.Tr'nns 1'Adcna i•bf Recel Mntaif.' -- . <br /> ( 11 r 6 Y4or <br /> °�y M y PCirt ,fT d Noma <br /> W .P. <br /> �. 'a' iter retia Ai lr d grnant b(aece of Matariel�. <br /> ' ''Printed/Typed I yonVa^ !fi„A _ <br /> Month Day �Qor <br /> t,) :� ..l3ir af►Cr'�4gi' I1:�P'!l%8poro,�: , .. , <br /> F: "ot t'•GAtliFedtian litcar o(hoeardous m ials aa.enad "' In moniiw t is mo 9. . <br /> Ilei _ 1 <br /> T Pr;n a/,LYp. . e• :(, l 5""!$RofUrc �� s✓ n t'' �r'�� <br /> . '. DO:NdT°.VI AiTE•BELOW:PHIS.LINE, <br /> DT5C 8022A!1/991 White; TSDF RETAINS <br /> EPA 8760--21 <br />