|
S,.�,of ColiFarma—fs.ironmennd Promotion agency
<br /> Fw4.Apprwed Omd No..050-J019 iEapirw 7-JC�I See Instructions on back age 6.
<br /> Twig prim w Ype fO1^'�'g"��uxe un.IiM1(!2-prren�w.nM. `� Sucrom,na.CaFkrmv
<br /> fy I. Grmrvbi,US EPA N No. Momfest Document Na Z. Ppge j Mfwmwian:n the sbded wem
<br /> UNIFORM HAZARDOUS is rot rgwred by Federol.w.
<br /> WASTE MANIFEST ( 3 S '7 46 I al
<br /> 7 .nmvm/s Nomea Mod Addry, A. Stitt Mon,Fast Document Number
<br /> i��.�oa ,n^ eo, (n� y7 sS4c;0 22095764
<br /> , 'Ci 14S
<br /> hl C 6 .a•warols onn(4^�/� c�...� t I � c i
<br /> n I
<br /> 1:1 S, Tro.,,o ir I Co N,.Y Naar d. US EPA IP Numbw C. State Lonxport.f s ID I ed.i
<br /> h
<br /> om C :9 H 2i V $ 4 l N,T D. Transpanar s Pfwn.
<br /> , ECofcgvCctltrallAu'uss1Es (510) 235-1393
<br /> 7. AompxM Z Company Nam. d. US EPA Id Number E Shs irompwter',ID�,Rsar*,d.
<br /> "��.� I. Fr Tiowpmroia:Phones
<br /> Q
<br /> w U{ ?. Csiynorod F.Mly Nom.and Sir.Addres. 1.0, US EPA ID-Numbr G. SMm F.l y",:D
<br /> r)g ECOLOGY CONTROL INDUSTRIES !
<br /> qZ255 PARR BLVD N. Podt(ya Pho ,
<br /> 2 4:C'iMOND CA 94801 C A 0 Of 0 914 616!319 2E f 510 1235-1393
<br /> �QI ix. Canroimrs 17 Tamr intUcr
<br /> u1 !!. USCOTCescrio..(lndudirxg Propn$hipping.Name.H.d Clau,wii to Nib.1 No I Typ.�f Wu`/ol !I. Wmte'+umber
<br /> NON RCRA HAZARDOUS WASTE SOUR 512
<br /> 3 G ASTE EMPTY STORAGE TANK ( TP I Z00,01CP ," rahnr
<br /> E i
<br /> a N `
<br /> m E �
<br /> e=arc+hnr
<br /> R
<br /> a A 5.cm
<br /> o� T
<br /> 1
<br /> R 1 1 r E?AiOmer
<br /> 4
<br /> Z d
<br /> { i-Smrn
<br /> W I f EPa.':rher _
<br /> V
<br /> 1, addin D.unptions fes..l ,,owl.4x14 Ab. �.e, �"�// 7 K..tbnrding Cadet.far Wmtea 6,1ed.tba•a
<br /> Oz k4TY. . _EMPTY STORAGE TANK S�1Ybb L� ,
<br /> 0. 1 TANKS HAVE BEEN:NERTED FJ t
<br /> ITH 15 LBS DRY iCE PER tOW GALLONS CAPACITY - d-
<br /> DIS. 5 'al Handiimy msrrucnonx and Addlhonal lniwmerion
<br /> WEAR PROPER PROTECTIVE EQUIPMENT WHIL{/E HANDLING. WEIGHTS OR VOLUMES ARE APPROXIMATE
<br /> zi 24 HOUR EMERGENCY CONTACT: t w.�i.U� $ja ,1 S
<br /> NW 124 HOUR EMERGENCY TELEPHONE NUMBER: Q32S-2 fit} 2 1
<br /> i _ 4
<br /> id. GENERATOR'S CERTIFICATION:. t,h.reby dad—,.,hot the.canNMa of Phi.tom ants,.Fully ml accurate! de .rib dabove by p.m hipoxng nam,ando, cfas.IAiidi packed.
<br /> �g��a y a �
<br /> <� i! marked,and mbal.d,and ora.n alT mpacro pwpm condinart foo RansporY b;�.inglnuaY o¢ordmq�a oppl coots imemallonnl ondrvaficnoi&o+.xnmen,raguio�nx. -
<br /> V`-
<br /> tF am o laq.'..my gen -o.,I ceruFy net!hove a orosram�n p{acs ro,,duce:fro w nd tisk of maa:a g.,urotea to thn dagrw f he+a daMmtnad w Se.cmpm�
<br /> a ( prcceceblA and that F nave xalwa.d the a F.method at rr.wmemb swage.ur disposal cwrenNy o ailuble to mn.•.hick an ce.!6a praswo wed mm dxrmH to bw•+PM I
<br /> � p! 1
<br /> , and the w,'anmam,Qd;.f 1 am o.mali gvwMNmft y ganeraror,t fx�e mad4 x anod-Lbisk+f(W1 is �mm�:n.my«oob 3Merorian and»teci Mn best waxfi momogemaN rPNkad tKm re.
<br /> ¢ o*"w w m.and,hof i<an afford.
<br /> Q` Month Coy Year
<br /> i irin�pd/T d NaLaga�qm.x�
<br /> � yp, 44 (�S' na 'r. �
<br /> 61 7 Trans ter, A,i,,twhwimo of Rwdw oPMamrialn
<br /> esti � F Pna M1bme �SignaNrx lfondx pa X
<br /> P
<br /> u_ Y- :d. Trans rnr 2-Kina..astl rt of R ..pt of Matwra7s _
<br /> O f PrinNdiTyped Name Sismolu'.
<br /> R,
<br /> 24. Disuapanry Mdmtian Spars
<br /> I
<br /> j
<br /> �� 0wnar ar r-erdFcatiw.froeei of fwwrdoux maWbti co.+red this masibxt w nebd in Nan t9.
<br /> Nina. Si Nrt MpHh DoY year
<br /> DO NO RITE BELOW THIS UNE.
<br /> DISC 4024A It "I
<br /> SPA.4708—;f
<br />
|