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Stare of Colllornio--Enviroam.mal Pralectlon Agency <br /> .F.,m Appnwd OMB No.2050-0039(Epi...94096) s See Instructions On back of page 6. Depa,mum of Tcxfc Subooncen Cam, <br /> Hees.01A or type. Fern designed for use an dile(12,1 aewrAee Socramemo.California <br /> UNIFORM HAZARDOUS::j' Ganare r`0SAPA-ID No. Manifest Doctmi o. 2. page 1 Informarion in the shaded areas <br /> is not required by Federal law. <br /> WASTE MANIFEST <br /> of <br /> 7.'Ganerators Nome and Mailing Addresr ^ .'a�5}efe. ni1dit: Irie6f N6mbe't'� !r_ <br /> MUM PEAL. ESTATE/U—TiAUL INTERNATIONAL d .:��Ou 5 <br /> 2721 N. CENTRAL, AVE. , 0700: PHOENIX, AZ 85004 i'sioesGmieboflD' 9t <br /> M1 4. Gen<rato;s Phom (603 263-6647 <br /> rad 5. Transporter 1 Company Name 6. US EPA ID Number C't'StctslTronip'ortdri:-IDrF'::�:` 'r� - 3 <br /> J <br /> T) I V rodfpo`rfeti Phbde.' Te <br /> J7. Transporter 2 Company Name S. U$EPA ID Number <br /> Q ell ofd' Yeritpc(,fer,'3D <br /> Z9. Designated Facility Nama and Sift Address 10. US EPA ID Number <br /> o DeMENNO/KERDOON g. <br /> LL 2000 N. ALAMEDA ST. tr crElli/ vdFe <br /> u COMPTON, CA 40222 ICIAITIO18 10101113131512 . <br /> a12. Contain.. 13. Total 14. Unit <br /> Z 11. US DOT Description(including Proper Shipping Nome,Hazard Class,and ID Number) No. I Type Ouonriy WtN.1 <br /> = Stale` <br /> ~ (OIL & WATER) NON—R.C.R.A. <br /> 3 c FA7.ARDOUS WASTE LIQUID O O i T G EPA' <br /> ON E L5 in <br /> m N b. i5klw ' <br /> �a E <br /> NIt EPA7, <br /> A <br /> so T C. <br /> O <br /> R a/Gee <br /> W <br /> Z <br /> Z d. <br /> W <br /> U <br /> W IPA Olfieia t� <br /> 1 Addi116na1 Detmpiknsfoil,A1ak'I L'sled Above} i ,s#u�`a„^-h c'` at--^c-�ify '^' #ftT r4r A".c Hsmdling wCodst`fef Wastes Lsied.Abo'C7 .e �++ <br /> ,yet .,�<��'��T A �. •"(: <br /> M w`G'-����//��w���rrpp:� ��cu-�j� �..•eitsv .r«^,F' a.n .g ;+s. - w3 , b `c f�< Cif x <br /> 2' <br /> 15. Special Handling Instructions and Additional Information <br /> i DON PROPER PROTECTIVE GEAR U—Haul 709--83 <br /> NO SMOKING: E.R.G. #.27 450 N. Cherokee <br /> EMERGENCY #: Lodi, CA <br /> -' 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described abom by proper shipping name and are classified, <br /> Upacked•marked,and labeled,and are in all respects in proper condition for transport by highway according sa applicable international and national govemment regulations. <br /> If I am a large quantity generator, I certify that I ham a program'in place to reduce the volume and toxicity of wane generated to the degree I have determined to be <br /> d economically practicable and that I have selected the practicable method of treatment,storage.or disposal currently aresilable to me which minimizes the present and future <br /> N threat to human health and the enviromaentn OR,-d-rom a small quantity generator, I ham made a good faith effort to minimize my waste generation and select the best <br /> tY ! waste management method that is available to me and that I can off'rd. <br /> O doted/Typed Na / ignatvre Month D Year <br /> % _ %.'. <br /> i t l `i <br /> wA 17. Tnmspcxtr 1 Ackn doement of Receicst of Materiols / <br /> 0 ^ Prinftd/Typad Name ! $ignafur f' / Month Day Year <br /> sly � 18.�Trons iter 2 Acknhowled emenr of Recai t of Matedols ' <br /> W 1 Printed/Typed Nome Sigmomme Momh Day Year <br /> 0 i <br /> 0 19. Discrepancy kdleatlon Space <br /> U F <br /> A <br /> Z C <br /> — I <br /> L <br /> 1 20. Faeil' Owner er Operator Certification of recei t of hwardous materials eomred by this manifest except as noted in Item 19. <br /> T Prtnted/Typed Name SigmNro MonthDay Year <br /> Y <br /> 2_1 <br /> DO NOT WRITE BELOW THIS�LINE. <br /> DISC 8022A (1/93) <br /> EPA 8700-22 Green: TRANSPORTER RETAINS <br />