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11ammenlotProtectionAgency <br /> .,"No.200-00391Expires 9-30-991 See Instructions on back ct?f a 6. Department of Task substances Cam, <br /> ,r type. fern designed for use oa elite(12-pikhl g iter. Sacramento,' Sacramento,California <br /> I. eraloi s US EPA ID No. ManifDo <br /> est cument N, 2. Page I Information in the shaded armor <br /> UNIFORM HAZARDOUS (� �) is not required by Federal law. <br /> WASTE MANIFEST ' ,�� Q o z(? j Q 7 C7 / 151 of 1 <br /> 3. Generabrs Nanta and Moiling Address - ba r A Slbte"jk.1• umenf Number 98081551 <br /> HsKTtSv.rk^c °p` <br /> PD � rS f� <br /> o .5 T"v f,A, -yi C A ijl;s, lro«warorclo _ <br /> `n sci?" <br /> ul 4. Generator's Phone( x+4 1 C14'/E— e5 96 g s 2a �. . <br /> h m <br /> S. Traponer I Company Nome 6. US EPA ID Number lyl(LyTy sPorhT;j D <br /> o ECOLOGY CONTROL INDUSTRIES A $ 3 0 1 7 3510-235-1393 <br /> 7. Transposer 2 Company Name 8. US EPA ID Number t9RaXTsn <br /> :.1�'72ra"6'yi�s"a :c�YS <br /> '--�V <br /> Ntesimtated.Fp4iI1!q .ren and Site Address 10. US EPA ID Number E%y STq` Ffxl �T <br /> 17Q i Illa+??IIJJUU�IYtl ,i``Illty .`fA44 6 b.3 <br /> 0Z 255 PARR BL'/D �C <br /> -jo RICHMOND, CA W01 A 0101914,616 3 1912 I } 51=4 235=1383 <br /> �Q Canminem 13. Total 14. Unit <br /> V 11. US DOT Dauription(indeding Proper Shipping Nanta,Hazard Class,and ID Numberl Na.NoT Quantity WI/Vol in4es <br /> WASTE EMPTY STORAGE TAINK <br /> n3 c ",ton-RCRA hazardous waste solid j P" o A b n $ P EP W ,; - <br /> r E <br /> 7:. <br /> v R <br /> e A <br /> 0o T <br /> m O 4L <br /> = f <br /> R <br /> d. <br /> w _ <br /> Z <br /> n <br /> s <br /> F�1 <br /> T'�'i'ttvk`Lo-� �`v�'v�"�'�t' <br /> K t t t <br /> � l <br /> Q \y' � � •A ` J i�l4,t , 7 Vii Y <br /> Z eiai Hot.di$Iancg Ilk) diom o cA lYioenoWlTRainfmgn <br /> ,vhen handling. SITELOCATION: /a 3 `Ee5T' <br /> pp <br /> < 24 Hour Emergency Telephone Number: ZOL)— 6—85 80 STocKtc A <br /> Z <br /> w 24 Hour Emergency Contact: "T CNcRTMe,3,4., Fol".p ERG# 171 <br /> x <br /> J 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and azz.antely described above by proper shipping name and are classified,packed, <br /> Q marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and national government regulations. <br /> V <br /> If I oat a largegacatiy generator,I certify that I have a pro gman in place to ndvice the rot and to iciy of waste generated to the degree I have determined to be economically <br /> a.. practicable and that It. elected the practica6le method.7neatmenp storoga, dis rrendy available to me which m n' zes the present and future threat to human hwbh <br /> and the eswironment;OR,IF I am a mall quantity generator,I have made a goadjasih affo to minium"my waste gam r tion�and selwl the best waste management method that is <br /> ad <br /> 0 bte to an.and that I can afford. <br /> } Pri y d Nanta Si 61 f <br /> Z <br /> w 7 17. Tramscrier 1 Aclus.led onto.of Receipt of Matenals <br /> W <br /> 4 Printel/Typed Name Signature r ' Month Day a. <br /> w s �'. 144 12 1 G✓..co^� 3 Z <br /> P <br /> a 18. TransporM 2 Acknowledgement of Receipt of Materials <br /> O A Printed/Typed Nome Signature Month Day Year <br /> w E <br /> N R <br /> Laj 19. Discmponcy Indication Space <br /> Z F <br /> A <br /> C <br /> I <br /> L <br /> 1 20. F.61r,Owner or Operator Cesificatbn of mcsu t of hazardous materials covered by this maattest except as noted in Item 19. <br /> P,inted/TN('o� SignaNr� nth Day Year <br /> DO NOT WRITE BELOW THIS LINE. <br /> Whim TSDF SENDS THIS COPY TO 3TSC WITHIN :0 DA'!S. <br /> DTSC 8022A 14/971 To: P.O. Box 3000, Sacrament., CA 9531'_ <br /> EPA 8700-22 <br />