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<br /> Mle of Cdifomic—lnHronmental Prwncrt°^^1� See Instructions oback o+ry n bf 00' A.
<br /> arm Approved OM8 No.2850-003916rpir•.9-30-99i P Dspoilmm.l a(TaNc sab,lance,Cankal
<br /> emtea»print or lTpe• form de,iped fn,ure an-fit-112-pinh)typ SacrnmenW,C.Iifornio
<br /> UNIFORM HAZARDOUS 1. Genawbr's 113 CPA ID Na. M-niFear D«um-nt No. 2 Pape 1 Woronoff..in the ahold area,
<br /> ;,,..I reyuird by fadewl law.
<br /> WASTE MANIFEST -P7 (� d
<br /> 3. Gm•ralo/,Nam....d Malmo AaWress A. Slole.Alanifea Documenl.Numbcr
<br /> n.41.801 1111-•;Y:ROOM 1EIR12-1 —=t. HAIufON CA946f-3 B. Slate Gem.'aIw"lD .
<br /> d, Gen-dal e,Phan.I iris lye-77i? J �' .� "iI GsI a I 13I
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<br /> �m 6. US EPA ID Number C,'SIaN Toren N5 u•rv•
<br /> H 5 TrunapmN!1 Company Name pwterh
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<br /> 'i'.U]l0�%�•K`n+Kn rn`,GilSraCiT�S G` ^ lZ y 0. Transp°Mr'f Phani
<br /> Y TwmParw 2 Company Nom. - 8 US EPA ID Number E.'Slae Trcn.por(efi ID ,].
<br /> � I I I I I I I I I I '�:,'friipijsoiteY�P6erie' -
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<br /> 9 D•sipnaNd F«ility Name and SfN Asldrns 10. US EPA 10 Number
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<br /> _ (a G . 'x x 2 :
<br /> 11. US DOT Descri con I+nel din Proper Shipping Name,Hazard Ga ,and IP Number) 1N2..C2inTer. .13. Tally U. Unit
<br /> Cium,lity Wt/Vol
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<br /> '�'�`•�' _ _ _ 'n•'K.:Hantllin Cock.TarNi ial+e� •%.:•- 's�i,^r
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<br /> 4 .15. Spec_ol Hm,dliny Inslmc+ians and Addltia„al Information
<br /> U:�::�. -v9.rv.�r ._IrtfG_r-Y:r.n cnstinrvsnist syfhl(a hRi•��(I�:cn Tr1�G:Pe(1� Q•- ::C:3�J.•::CS Y:C �� - '•�'(t..'S.LC
<br /> _` `t eau. �rnsr �n�y nt(mbar y,r?• 777 de t :)P t:7fC sc/ $Elsey/ LG
<br /> 24. HOUR GONTAC C81f' DISPa•t:O I.j Cao%i`Yli�VDOT ERG-If 9'[=
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<br /> 16 GENERATOR`S CERTIFICATION: Iherehydeclar-Thal the ronbnO of this can,ig mem or-Fully and uccurulel Js.cn'bed above bproper ship imp name and are dm,i(id,p«ked.
<br /> -.16J, no lobd.4 and arc in.II raspech,in proper nondirinn hm
<br /> far opad by hiphwuy according to applipshl.iwl ..fion°Ir and nation.PBov.rnmem ngularions.
<br /> ` If I un,a large quun111Y p aa tor,I .only d'al 1 how o P"31..in plat.to r.rl.aa Ili.wIk m i and irntkity 1 vane ..rated I.In.degree I have determined 1.ba ecanamically
<br /> �S pr aticahlc and that I U. Ixled the r«lienbin mand d Iraalmwd,rtorapm,nr dispo 1 currently mailable to me which minim;mi the present and future threat I.hunwn 6.h(.x: aped the enawnm.,d;OR,if I am o--Z ei-mull,penewta,,I h.mds aa good faith Amrl M minimix.my Wo.le oeuerolion and salect the 6.,1 wase management methal that is
<br /> 1 avatlnhl.to me and thm I can afford. ...
<br /> Prinld/T pd Nom. Sign, Mang, Day Y.
<br /> {7Cally ail. _ r �_-A.�.-.�
<br /> 1 17. Twos rte 1 ncknowlem
<br /> d u .nt of Receipt of Mol"iols s 1
<br /> L + n+ Ignn Year
<br /> E 18. Ranla0116r 2 AalatoWls. .plirA of Recaipt° mwt ,.l,
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<br /> T Pdnld/fyped Name .. ......... Signator _._.- I 117 Year
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<br /> 19 D•naepmury l dicaltan Space
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<br /> I Fa<ili Owns m O -mord eertiFimnon of r«oi i aF haxardow malarids werd by Nihit maniere—Pio-noted in Item 19.
<br /> Pobtlerl%Iypd Name Si nature Mandy �Doy f Year
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<br /> DO N WRITE BELOW THIS LINE.
<br /> See,
<br /> OTSC W22A(1/991 Whita: TSOr SENDS THIS COPY TO DTSC WITIIIFI 30 DAY5
<br /> 'A 8700_22 % P O Box 3000 Sucmmento CA 95812
<br /> U. 10/06/04 WED 15:52 [T%/R% NO 84631 Q003
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