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06/17/96 07,46 V464 8135 CRAIG & HAMILTON Z006 <br /> State a and welfare Agency tions on Back l 06 DWan'aent of HNlfh Benita+ <br /> Fam Apbmed OMB No.2080-00.79 Mxpkes 9.30,91 an Front of Page Tonle 5.0 �«�eoo.VoGpMW <br /> PIsaN print a". Mom desiowd ar me m haw(12p9Nr ty%hnw0w). <br /> - UNIFORM HAZARDOUS 1.tiwe a,eY.US FPA 0'156. Man N`t 2. paw+ Iiormicn m the+masa are <br /> WASTE MANIFEST p a 1 a let rewind by Federal awe <br /> 3. G h,,e a Nam and it m9 ��,/// JF Glia paeataw theater <br /> C�l�A�6 E yo r4 Mrpf Ce , �.rIoft` 9642'007 <br /> Tx Ivo. '✓4ion S7"fr,eT- ,rte kta)v t'N ier.o <br /> .. Generior'a PI,hN( p f 'R4��"Sthrai <br /> 6. Tranaportw,COP40W Nam a. US EPA m Nowbw <br /> E DILLARD TRIICRING C 9 1 2 TL;. _ 94AIP,,: '+' '4,dJ5g7,-•;,.,.,: <br /> lV <br /> T. Transporter 2 Co perry Names 9. US EPA m Nvelbe, <br /> t T <br /> s. OT teethe F,a9y Nma ane Sia Aloe" 10, US EPA m Nwobw <br /> Erickson. Inc. <br /> �K 255 Parr Blvd. <br /> Richmond, Cu. 94801 <br /> c C 00094 <br /> zz¢ r n fir:, <br /> V vOa, 12.CweaaM tS.Tai 14 i t- US DOT DescrWon pnpodmp Proper SMppbp Name.Heard Clw,and W Nmber) No. Try9 Quit lMd <br /> 7)v Waste Empty Storage Tanks <br /> 7)z i California Regulated Waste. Only . 010- <br /> N -P <br /> 11 ' <br /> E b. <br /> h <br /> -A <br /> w T <br /> N Q <br /> v P <br /> g <br /> 4 <br /> W d. <br /> z <br /> V <br /> W Atldal00al <br /> Y' J. fOf v f fr�� V y t w ! <br /> g EmptT 11 <br /> y�// f 4SIT <br /> taA1F r2682ad�L't �Plth lbs # q :�4' <br /> w dry ic� `rEmpt� Jak,'i2633;1ceith �c �:.1 '• <br /> O <br /> Y- ib. Specal larAYnp IaNrtrUlgaa gad AOOdionN alamadoh <br /> 2 <br /> ZW <br /> F <br /> J <br /> v <br /> OENERATOG'9 CPJryslCATUft I hweby dadare that the omtents of thia omelwwrm w rely sre Aeeonny dNehbed sbvw by proper shipping none <br /> and are ole$~pac"mediad.and IabeNd.and an In a9 respects in proper eenditgn for•trwapwt by highway acmrdUq to appft' miwfet 01,21 and <br /> Go rancher ow foraem re9.laUma. <br /> M N I m a-Un"awMy pnwiar;1 uNy our 1 Mn a grogram M pace to reduce UW volume-BIW toAciry of WafeTtweried to tie Mora*1 lyre dmlrcked <br /> 0 to be tow"Ricaby wW that I low selected the which sninknit"the <br /> Promo threat to human hMnn and the enviraunest:OR Mal Nina dWMity riven taw. Mw a good.or disoosal con"11,01111,Mtn MMr tommmbwa my warow <br /> V generation Nd 0~to bear Italian r <br /> an 9mem xeMa nd that avalaba tome MW tM1 Ica <br /> WPrateWTV- NwN $i Monts Day You <br /> to m I ! 3 <br /> W <br /> yi`r nT IT.Tfanapw,er i Aeieawaagswsi ON R~of matelot <br /> A PrMadiT aleere ippnatwa Mootn oar rear <br /> c a �V fYV C7 r h 1 f? <br /> !� p 18. Transporter 2 Acknowledgamai i Re09W d Materna <br /> .{ R <br /> T PrIMad/Typed Nanw fdmatwe Mme a" Year <br /> v <br /> E <br /> ,9. Oiw,epancr adiralbn <br /> SP-- <br /> A <br /> peta <br /> A <br /> A <br /> C <br /> I <br /> L <br /> I 20. Facilft Owner or op"u, Ilan of malpt at haanous mterals covered by man except he"led in sem 9., <br /> T <br /> Mooth My Yew <br /> n h Wwa.r^ <br /> D�e022 A(t V) Do Not Write Below This line <br /> EPA SVO0. 2 <br /> (Rev.WN)Previous edlfbos ere oboden. While:TSDF SENDS THIS COPY TO DOHS WITHIN 30 DAYS <br /> To: P.O. Box 3000, Swomrnk, CA 95812 <br />