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<br />UUY-11-94 TUE 82:14 PM EN4IROPUR WEST PATTERSON 209 892 3892
<br />See Instructions an back Jlge 6.
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<br />DO_ NOT RIT. BELOW THIS UNE.
<br />pISC 20M (9yoz)
<br />i'A VW X22
<br />=EVC_ 'S _„P _ - ,:] 9-`s
<br />HAZARDOUS
<br />Oenetowr'a US EPA ID ffe_ Mooifos
<br />ea Daroo t No.
<br />2_ Pape i 1nfo.mwcn n dse shaded arws
<br />_ WASTE MANIFEST
<br />C A C1 1010101 81St 8101 916 �
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<br />3. G oss"- Name end Malep Addroa,
<br />A. Slay /Mr �e< poarrnnJ Nunyer
<br />THERESA M. MARLER
<br />93600192
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<br />540 N. SANTA CRUZ #123. LOS GATOS , CA. 95030
<br />R. Sloss Germeow<•c ID
<br />1408) 395-3991
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<br />PETROLEUM RECYCLING CORP. ICIA IT 10 18 10 JO111110 15 191D
<br />T-'°Or'{r A 692-6742
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<br />2. Troapen,r ] Cempeny Nome i. US FPA 10 Numier
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<br />9. Dodgrsoted Fa Eel' Nome and Sao Address 10. tM EPA ID Number
<br />G. Slom FaaTiy'a A 1
<br />PRC PATTERSON
<br />C A D1018)3111b16171218I
<br />13331 N. HWY 33
<br />N. Facilly, Phme
<br />PATTERSON CA. 95363 ICIAIDIO1813 1 616171218
<br />(209) 892-6742
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<br />L Add'Aional Deudptians fee Alplesida MW - - -
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<br />15. SPeciol H000l" Mnmctsona and Adddmnol Iefanulio
<br />24 HR EMERGENCY CONTACT: PRC PATTERSON (800) 874-4444
<br />24 HR EMERGENCY RESPONSE. CHEM TEL, INC. (800) 255-3924
<br />WEAR APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR
<br />M. GEPIERATOR'S CERTIFIUTIOW. I Ae<etsy decbm thus fm cmtenn of dsh canGgmnenl are fully and .,,4t' deutibed oboes by proper shippnp nomr and are <lovified,
<br />P-lW, .1k,oL and labeled end ae w aR mspeas in proper m daion for lrauspod by Aiphwy o,00r<L,q b aWk ubl. eaanmiend and rotimml poremmeru mgdaima.
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<br />11 1 om a (ergs W"ity goners0cf, 1 codify tha I Aew o proprom m plae to reduce f c wla.rm and w.icil' W woos, peoe<akd so the degree I bo.e lit ouo +d to be
<br />ec9mmkcly praaicoble and shot 1 Awe ,,laded the Woctimbl, meshed 04 Mo ot, ,W . or dilposol cunmdf/ awiloble to nes -hick mm osizes the mm.s oad have 1
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<br />wasx mono. ,Dams meMod shot is a e,..paW�. M ase end Moe 1 can oIford
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<br />AIQe-U JAJA!'B/i4 r-B�! 1i.S._i/.1.� /i /J -{n_ I ,i�4 I-? i{
<br />DO_ NOT RIT. BELOW THIS UNE.
<br />pISC 20M (9yoz)
<br />i'A VW X22
<br />=EVC_ 'S _„P _ - ,:] 9-`s
<br />
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