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arm#.npnovea Vena jig.Ev7v—vvj Y..1 xp+res r-oveyl i moo+ + s •s++s++ ��y `n' <br /> Pl�ase.pririF oP typi: form desietted For ass di elite 112 pitch] <br /> a fest salwdedereas , <br /> y OM HA$ARDOUS ; r,i US EPA~ID No .*}_ y Maim s i �< r ern law }'71t <br /> WASTE MANIFEST t9181316 01015 9A <br /> 3. Genetator's Nanta and Mailing Address <br /> MISS IFO�N xU PLO, Ina. +� PA <br /> .� 4 <br /> 73- WO-St lAr*, ftboktcm, CA "210 <br /> I. Generator's Phone (209 476-2000 n^ ` c >" <br /> N S. Transporter 1 Company Name 6. US EPA M Number t,.;.Slifie ldtsepi5t eir�(Rasefved j s•,. �'rr�'_..,'V+,,,:;: <br /> W' YA L:r Fouricla'tian IblPitals, Northern Wi.fornia PAgian <br /> D Transporters Phone^pq � <br /> d Biomedical ET=rve!ering <br /> 7. Transporter 2 Company Name 8. US EPA ID Number E�State TransporhVi ID [Reserved.]7,L, <br /> Qf. Trcm porlePs Phone <br /> V 9- Designated Facility Name and Site Address 10. US EPA ID Number G. Slate Facility's ID - - - <br /> a Z S R 6-J9 3 9 <br /> Z 17;5 :spQnTad Stroof. H factysPhone <br /> L� _ <br /> �Q 5 ��L'4:tT:Q'lFsry C'�S,s 94710' J I} <br /> 12, Containers 13. Total 14. Unit - <br /> �}U <br /> 11. US DOT Description linclvding Proper Shipping Name,Hazard Class,and ID Numbed No. Type Quantity Wt/Val ( 1Nasle Number i - <br /> y Z a r, <br /> ULT. rdouo 74ste, Liquid, N-0. S. <br /> 3 G t k 10$;r?- Pr�, TTT, (Silver) 10XD f <br /> �1?� O 67 <br /> o N b. S � V"- <br /> 00 E EPA/Otftec� ?'s c <br /> CN <br /> C. <br /> m O ; <br /> _ -HA/0"W" '�J, s J, <br /> R h <br /> .y <br /> ce <br /> W d. <br /> UJ EPA/Odier �k&ej <br /> V AuYr+ r n�v f <br /> LU Y <br /> J-/Iddifiatal Dascrk6ons 6r Moswfols listed Above �i <br /> ; a ._'t ' S }' K tiarsdling Codes for Wastes Gated Above s� � <br /> O 11i. e�fAti �r. =Utero .3� sd �'#r. o b ,} <br /> d <br /> r c ' INV, <br /> s <br /> d 1V <br /> Z 15Speeci�all Hya�n'dling l,sshudion,and Additional Information �L�ANNDJ�09SPOSAL RESTRiCT1>N NOTFiCATi�4 <br /> "- V#4W T^ T prixettm*9u p~tt,(*Yes&Qagg4s) PkroAo ed Com.DOi x(A91 <br /> Z DOT ERG 1171 Tfaarsb y Group: Nonwo ttwe lar TrsWXt nt Sttn d. rd:22CCR 6626°-40 <br /> = Efltierf�xa►cmy oort w: 80-4214-43W S+1v+ci Content: 15D0- 5 C3 nrt ; <br /> t- <br /> 16. GENERATOR'S CERTUICA'IION: 1 6*"6y declare that the contents of this coni�grwnen!are fully orad ocevrrh described above by proper ahr'pping Hama ane are classified,packed, <br /> Umarked,and labeled,and aro in all respects in proper condition Far transport y6 Ir�lewv/eccordirg b appl�iea6k interrwtiaaal oad matiorwl government regulations. <br /> 1 If I am a kegs ctua fy gerwrator,I—*that I have a progrons in pion$0 ee1r Ow•alewe and taxiciy of wash generated to the degree I have determined to be econornicall <br /> CL prvchcab4e o,d that I"s leeted IFw practicable methodd at tnareewt,dorape,er Amp, , cwvwWy evoi66e b the which minimizes the present and Future thtrat to human health <br /> sand the en-hone wst:OR,9 1 am a arm A quontity gemeraW,I=rerit r 9.ed Friir Maw M ma m"M my yrasb p«wro6on and seiecf the best wxh momaganem method that is <br /> a' evvikable to mw end that I can afford. <br /> Q <br /> >- hirsledZyped Nome Year <br /> Z J, A F-, j ft, j 1/9, 1 30 C <br /> � <br /> 1 17. T 1 0! ssF <br /> o�c i pay Y <br /> - /-f <br /> l� <br /> su F YYY <br /> sa I IN. 1njwApjjjrW] 40 allNeserieFs <br /> d T Prinsed/Typed Names Si�alstre Month Day Year <br /> LU <br /> E <br /> � R <br /> V19. Discrepancy Indication Space <br /> Z F <br /> A <br /> C ' <br /> L <br /> 120. Foe ility Owner or Operator CertitcatiorL of rrcei t of 60=40461%�derids otrrwed tats rfest s in Na 9. <br /> 1 Year <br /> T Printed/Typed No <br /> 0 .f <br /> .QO NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A(1/99( Greeri:. '.TRANSPORTER-RETAIN$ '- <br /> EPA 8700=22 <br />