Laserfiche WebLink
1554 <br /> mmT wu Of" 1.Offerors ID Number Page 1 of 3.Emergency Response Phana 4 ng Nu <br /> �T '- <br /> 5.offerors Name and Maihng Address 0ftftme8 Ste Address(if ditmnt than mailing address) <br /> TIN, INC. (020--TRACY) I DAN AEREZ TIES, INC (#020—TRACY) I DAN PEREZ <br /> 400 WEST VALPICO ROAD—SITE 400 WEST VALPICO ROAD—SITE <br /> TRACY, CA 95376 TRACY CA 95375 <br /> Otttiroes Phone: (209)836-1971 GEN: 94495 <br /> 6.Transporter 1 Company Name U.S.EPA IP Number <br /> I <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> 8.Des0isted Facility Name and$its Address U.S.EPA ID Number <br /> HERITAGE ENVIRONMENTAL SERVICES LLC <br /> 294 E STOREY RD AZD081705402 <br /> Fad CDI�FOione <br /> one: AZ 8522^9— <br /> ga. 9b.U.S.DOT Description(Including Proper Shlpplrg Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit <br /> HM end Packing Group(If any)) No. T Quantity VYI Nd. <br /> 1. <br /> I <br /> (U 4 z3 tJ <br /> 2. <br /> X , <br /> SOL , , , <br /> 3. <br /> NON—DOT UNIVERSAL WASTE—MERCURY CONTAINING LAMPS f 2-0 P <br /> W ' <br /> 0 4. <br /> NON—DOT UNIVERSAL WASTE--MERCURY CONTAINING LAMPS <br /> I Inef 11 DP) <br /> 5. <br /> NON)--DOT/NON--RCRA REGULATED •3�� <br /> s. <br /> 7. <br /> 13.Spacial Handling Instructions and Addidonal Information <br /> 1.W 14_0275945 2.W15 0532319 3.W 16 9532317 4.W17 0532378 5.W 19 0259558 <br /> jl c�aC 'Pi <br /> t DF of , <br /> k <br /> 14. OFFEROWS CERTIFICATION: I hereby declare that the contents of this conaignmerd are fully end accurately described above by the proper shipping name,and are classified,packaged, <br /> marked and Iabeledlplacarded,and are in all respects in proper condition for transport according to applicable Wftghwf and nallonal govemmenV reguMions. <br /> Offerors PdnWTYT Namt - naturo Month Day Year <br /> 4M <br /> "i <br /> 16.F Adtrwwfedgment of Receipt of M <br /> Tran nty�lTyped Nam re Month ay ear <br /> !`1JVs <br /> Transporter 2 Printedliyped Name 319nalure Month Day Year <br /> 16.Discrepancy <br /> LL <br /> 17.Designated Facility Owner or operator.Certification of receipt of hazardous Bill of LadingRulanifest covered by the manifest except as noted in ilem 16 <br /> Pn'tedlfyped Name 5fgnature Month Day Year <br /> iyR 12 K J 'fir f M� <br /> f r x� DESIGNATED FACIi_ITY TO OFFEROR <br />