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..row`+s:9ilfvrnm—%mlronmanro4 Prm.cean Agan4 - See Instructions on back t .ge 6. Departmanf°r[axrc Svmr9n<m Comrd <br /> Farm A rowed CMB.No.:05t}p0191,6P ra+v.10 991 �r —� °vcranwmo.-'.0 ..ra <br /> Pla9»pj,+a-yp. i9rm das.gned tw vv un din t!?prckl yparnrer. <br /> 1. Gnawraor'a US EPA IQ Ne. Man.Fnss Dxrrmanr Ne. 2. Pvge f Infarmanan.n the shaded.vacs <br /> UNIFORM HAZARDOUS p s norqu.red by Fdis ;m <br /> � AjC0fWASTE MANIFEST 4iSt <br /> TI ( 91 1 <br /> f�rli rtddrw 5.���¢�`•F A• Smw htamkv Dxument Number 220�5ry�y c7OC c <br /> U <br /> 3 �r r e Y a r�ks °tAo_ <br /> Sd.4 ,m<r— <br /> tQ ,0t k?etla e`- eA.1 tr..td� , s, Smwcene,9rorsfD <br /> c C ,�/ r 1%�4-e`f-f'� Sdo a4c-6o^+ • ; [ k { !. 1 I <br /> ttel <br /> 'm I t a- �w r RG. Srou r ons rteh fD Reserved <br /> d. V5 EPA ID Number f>° <br /> [V�. S. Irons rM 1 G9mvvnY, <br /> of <br /> Ecoloav -0. ironapor!eYs Phonm <br /> ml Control Industries 9 812 0 3t0j1 .7 3 (5102 } 235-1393 <br /> o <br /> oI S. US EPA ID Number �E- Slraa imnxporrer`st6{Res_—rw.d.� <br /> m, �. T. hunaP°Rai 2 CumponY Name <br /> 7 I � ! F `r°n pvrw's Phons <br /> <IG. Sema 6iir�,10 <br /> V'.1 • aP.'m'Name and Siw Addream 10. tt3 EPA ID Numbs <br /> � I ` ECOLOGY CONTROL INDUSTRIES <br /> �a <br /> 21 255 PARR BLVD510 } 235-1393 <br /> �o� RICHMOND CA 94801 AID a Q 91415 6�319 2 ' � <br /> U y 12 Gb binmrs <br /> J<1 ❑S DOT Dawripl—Imcbding Pmper Ship",,q Name.Nasard C-A,ad ID Numbed Ne. Tv m C °mr WG Vo I 4'mw Number <br /> �INON RCRA HAZARDOUS WASTE SOLD e sta <br /> "NRSTE EMPTY STORAGE TANK P Arcrher <br /> m N c9Al9rhw <br /> Q1 R <br /> s( A <br /> d O EPA;Craw <br /> m <br /> + . <br /> Z 1 EPA,'Glhvr <br /> V' <br /> 'm Addit De+cnpffonz for tstnwriols Liatad Abets ,� (^ C. Handling C•des.For N9.rea Red Abawr <br /> 0, <br /> O TY _EMPTY STORAGE TANK A. <br /> TANKS HA'v'E BEEN INERTED <br /> ` WITH 15 LES CRY ICE PER IOW GALLONS CAPACITY = '� <br /> Z I 15 5 'o1 HPndhnq'nmoclnna and Addalonol InFmmonon ' <br /> O'I. iWEXX PROPER PROTECTIVE EQUIPMENT WHILE HANDLING. WEIGHTS OR VOLUMES ARE APPROXIMATE. <br /> i 124 HOUR EMERGENCY CONTACT: V. A- P` Tz '5 <br /> �k 121 HOUR EMERGENCY TELEPHONE NUMIER: a� ( 2 �3 I _ <br /> GENFRATalrS CERTIftOAnON: I hereby declare thotPhil ca fenls tri Phis c.P,l enl«efutly nd ocwrosa deserP6od o6awe 9y proper drrn_W 9 d P d <br /> d marked;and Ssbeled.vnd are ro vIt reap«R.n prapsr mndn{on br r msPW F+Y fiighway ae< r'ding b aPP tt9nle nwrnoFivnof trod notionm yr»+nmm.r eaq Iirtt ns. <br /> V <br /> it,oor 9 6G.gvonpt(generara,P carufy ba I haws 9 p*aq n pfacm b outs ha•d iaxrerq tri aaa+e q.rwr9wd w rbi dwgree 6avrd4pmrned n het etc <br /> rEv <br /> psaeOeabla and dwi t(rave etecrecF PM pr f!method of ireonm+nr,W°9 w diapo 1 c rmndy o.wtntrla:dm..mm...+lsidF eum+mins rM pre»ry 9^'t r9N<!IiuwP:str bum m <br /> d t a smotC gwn�N enmorcv I Ione madm good fyyh erTwf m e.my arnatm gmera8srt mwEsrkrr PM kesa.rmM mmgNmwnt mnlhcs shot i <br /> aaQ irw am r9n r.OR, K 9 <br /> i,d rhos l mn aHora. <br /> -Name r� 5 fe .L.Jiot.l.. e'�ni <br /> w ff R2. T#a TAeY neol Reeu toEMoferioly <br /> m rp $ignoNro <br /> :16 <br /> Da irnr <br /> fk E PriewdfTyped Noma jjI. (.� I`3 <br /> u- : t& Z A< r Mek a 9fMWerrPls Ae4A(h Cq. Y-10 F' PnnMdfTyped Name ,SrypoNre <br /> ua F <br /> VI 19. tSscwponcy Indicurimr Spvoe <br /> Z!-E <br /> _. A <br /> C ' <br /> f. Poen tJi.mn ar Csrific9rion of rem d mrdeus moNAata c9wered rhia mowitear ewc m na}md <br /> Fwrw Nnre t9. <br /> ,¢. Nmrw Monrh DvX " u <br /> DO NOT RITE BELOW THIS LINE. <br /> DISC 4027A 0 991 <br /> EPA aloe.-n. <br />