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07/10/02 WED 15:30 FAX 805 525 4172 FGL ENVIRONMENTL 05 <br /> j t•~' X10_. <br /> ,aarWe <br /> (form de"I'"for use on elite t72o,ch)ryphnw,) `•o�1m..,a.oMe rro.mso-oa;v <br /> ,dFORM HAZARDOUS 21.Generators US EPA ID No. Manifest Document No 22.Page Information in the snaded <br /> WASTE MANIFEST <br /> ContlnuaUon Sheet CAL 9 2 3 0 4 3 6 7 0 •Z areas is not required by Federal <br /> f 1 9 7 1 7- 9 Z aw. <br /> 73.Oens Name <br /> FGL Environmental L.State Manifest Document Number <br /> Q -90 <br /> 2500 Stagecoach Road, Stockton, C=1 , 95215 M.s[ate Generators lD <br /> (209 ) 942-0181 <br /> 24 Transporter TCompany Name 25,US EPA ID Number N.State Transporters ID <br /> O.Transporters Phone <br /> _5,Transporter_Company Name 27.US EPA ID Number P.State Transporters ID <br /> O.Transporters Phone <br /> :S.US DOT Descripuon(Incn,drng Proper Snipping Name,Hazard Crass,and ID Number) 29.Com Me($ Teat Unit waste No. <br /> Na. T pe Ouac::N WVVQI unit <br /> _. I 11L�AS e c,Ylc t4u) ,�r�4tJ C, U148 I?Dzz <br /> 12. 1 UNz Ib, uo44 CLO <br /> N 001 D boil uo& <br /> i i0A5ie 4 �t V,cL .I Ltqui , nL05. <br /> $, U/J17 19 -DobZ <br /> �..1QV,la, er o5e,11�5 I IF DGX7yrJ' <br /> a UtJ2- ZU � 17601 <br /> Ao oa b ) 3F' cook IP DbUZ <br /> wnsia rrffoSlye l'lq,; ,QxidiZitos >!DS Cal <br /> �, u ►J 3rA 3, <br /> ; I <br /> 1 od +5 P <br /> I <br /> I <br /> 3.Additional Descriptions for Materials Listed Above yr. 28f) T.Handling Cocas for Wastes Listed Aoove <br /> Profiles 28c)1eB991o9(tx bL-7 28g ) <br /> 28 aY49%olt(/><7*AC L- 8 d)W 191,9 11111 •8 28h> <br /> 28b)b$9969(l3jz4(j:&-b 28e) 28i ) <br /> '-8.Special Handling Instructions and Additional Information <br /> �Rc+s 28a)153 z8b) 132, 28c ) 23d ) <br /> 28e)154 28f) 1g0 28g) 23h) 28- ) <br /> t3. Transporter _ Acknowledgement of Receipl of Materials Date <br /> PrintedrTyped Name Signature Monta Day Year <br /> I <br /> » Transporter Acknowleagemen t of Receipt of Materials Date <br /> Printed/Typed Name Signature Month Day Year <br /> :5. Discrepancy indication Space <br />