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reeeatd ProtedWn�PeKY fi a. 'tts": Of pP�. {��..j. .. cDfP. o•� ,Coikmle .,.�� <br /> 0 2QStY00.79'(ExplrP �. _ .N .� :ir1 tai T��7y 1ne I <br /> Fars deripned_1by ure m 11u/t /DP-T+ef - ion In Ike ` <br /> U$: �?�Plr4,����byr=XW- <br /> y <br /> UHNFORM"t H/�ZARDO uti h rw . r,edwu <br /> WASTE.rY+ANNEEsh CAC 0 01410 <br /> 9 9 .i 8 .1 f <br /> .. <br /> 3.C3 wotoe,Nan,mld#A-ling Address - <br /> PRODUCTION CAR CARE CENTER <br /> 1000 E. CHANNEL ST. �p STOM Mk CA .. <br /> ' 4. Geeratols Phone.(20W 943-7337 <br /> 3.Transporter 1:Company;NaresTransTransporter1 <br /> site <br /> ALLIED PETROLEUM <br /> 7. Transporter 2 Company,Name .- - —.as,US fvPA,lON <br /> t <br /> 9. EN�fIROPU me and <br /> sa.Aadt.et l,y.'4s A k' <br /> 13331 N HWY 33 7 <br /> t f' j <br /> PATTERSONPCA 95363 _ <br /> 12. Containen 13. Total 14, Unit <br /> 11. US DOT Ducriptbn("ding proper Shipping Name,tlasard t]gss,and ID.Number) - Na. 'T Qua Wt/Vol .1 Waste Number ✓ <br /> a. <br /> d. $ n <br /> 13. Special Handling han_ims and Additional in(ormalron <br /> .USE APPROPRIATE PROTECMEGEAR <br /> BUNK DESIGANTED FACIITY EHERGNECY CONTACT # (800) .874-4444 <br /> GENERTOR EMERGENCY CONTACT A . (209) '943-7337 <br /> 16. GENERATOR'S CERTINCATION: I hereby dodo.that the cont mh of this consignment we fully and accurately described above by proper shipping nouns and'm classified, <br /> packed,marked,and labeled,and ore in all respect,in proper condition for transport by highway according to applicable iMamationd and national g reg <br /> If I am a large quantity generator, I certify Mot I haw a program in place ro reduce the volume and toxicity of waste generated to Me degree I haw determined ro be <br /> economically procficcb!e and!hat I ha.+»lead the practicable method of heal <br /> h an .#Drage,or disposd cur=avaga roma which minimize.the present and"Is <br /> threat ro human heand pe enviroansntr OR,R 1 am a smog quantity ,I have made#,good la' olio mini my waste generation and select the best <br /> I wvsro mono em.rit malfiod'Nnaf is awRabk to,me aa <br /> d Mat !ca <br /> !noflad / . . Mom Uoy Y�- <br /> 1 14inted/T Sprwpwre.\ 9 <br /> T 17. Trans or e,1 Acknowi.d »mem of Recei t of Mahmiah . ._. _ - Month Day <br /> Pmrod/Type Signature 7 <br /> P .. .. _...._. _.�. _ _ .r <br /> O 18. d/T ypd Nome r 2 A<krwwled ement of Rec.i t of M miab .. _ _., ___. - -Moryh pay Year <br /> T PriNed{T <br /> R 9gatun <br /> 8 <br /> 19. Discrepancy indication Space <br /> F <br /> A <br /> C <br /> L <br /> I F I' er r r r e 'f' ati of reeei t of has does maroriais<owred b Mis manilest­anta nehd in liters <br /> a 19 -_. -Mwtlh Day <br /> T Prim.d/Typed Name ghofure / <br /> -- <br /> po 'KIRT WRITE.B_ 1(f ;CHIS TUNE. — <br /> G <br /> r reen. TRANSPORTER <br /> C 8012A (9/94) <br /> 8700--22 . <br /> 1 a ' <br />