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Appnawd DN1s Ne.207P06T9(GpY.9a0%) See Instructions on bode of page 6. ` / A' <br /> type. I.—d dw d for we on.4b(12,.") +. Depva�r+a Tack S Admemm Camai <br /> Ssaanneru I.Casfo wo <br /> UNIFORM HAZARDOUS f-Oww'alor's US EPA ID No. f /� Mm)ifaY`Docv/m�eTl( 2. Pap,1 Ylyrr atq la <br /> Of <br /> WASTE MANIFEST 7'0 0 D Lf Z !.' Cl (1 (c 3 k not y" d M Fede d_low. <br /> ' <br /> 2. rs Name and Mai' Addrw <br /> tcL�"0 <br /> 5;w f4.e COAI, +No 6' 64 9 d5k- 3 <br /> A. Gemmaters prop. ( n ` <br /> S. T 1 Company -777 <br /> y Name 6. US EPA ID Nimib,r <br /> C � n, .^ r- <br /> 7. Traopmhr 2 Cepa"Name 8. eA EPA ID100 <br /> 4}d <br /> X19 Z 9. Deaynand facility Noor and See Addrns 10. US EPA ID Nim ben <br /> EricI m,inc. <br /> �.� 255 Parr Blvd. <br /> O)< &ichmond.CA. 94802 n 0 4 <br /> a r 11. US DOT D—Phoe(e-du&p Proper Shippey NoHazardss <br /> None. Clam,and ID Number) 12. Cawarn.rs 13. Tell U. Unit <br /> Na. T "/Vol <br /> O7°3 `NCM-RCRA Hazan3ws Waste Solid <br /> E Waste Ehpty Storace Tank. C T p Q P <br /> 0 N b <br /> 4 E <br /> R <br /> S{ A <br /> T <br /> �4 p <br /> � R ' <br /> [ d. <br /> u <br /> —1 <br /> W <br /> V) <br /> 7 <br /> 1. <br /> n <br /> TY <br /> J <br /> is. Special Hardt"Yuaudiaa and Additional bfermahm <br /> < Keep away frac sauces of ignition. Always mIut <br /> ar t Shen workin ora <br /> Z U.G.S.T. 's 24 Hr. Contact Name. — Phone ��C 1 — 7�7 o <br /> 14 <br /> IA CRIPINATOR'S C8ITa1CAT10N: 1 hereby declare that the earines of this casigmrrd as fuly od amaakly deaaibed oboe <br /> Pocked,marked,and labeled,and m it all r speete in proper coalition fa n h' by Prager shipping name ad are dmeiffd, <br /> � troupe by highway aaedknp b applicable iMerneeienlal and rroRad pownennera rpukaiaa. <br /> If I an a kmW quon*Dennator, I certify that I hoe a progran in Pba b,-data tba wdume and bcidly of wo0h,prrrabd b der doom I haw deMmkred ftbe <br /> p ereaaakaly prodicable and tha,I hove seleeled the practicable malhod of h-amea,staralp,w deposal carrm*ovakdd b ma whirl oinn th-p4m 6 ad funrre <br /> N d~b humor heakh ad ih-WM ammW;OR,R I an a small geredity gnaraor, I haw made a good foeh effort to Rimm,my werae generator and-,led the bed <br /> 7 pa�ew�as monagemomat nrMwd the k available to m,ad Xwt 1 cm afford. <br /> y/ /TyPd StYgnm+w Meeh Daia <br /> , Ye <br /> W117. T l Admawledgerment of R"pt of Material <br /> I'u If y �^_ / Sgnolun / / MorM Day Year <br /> '}w 0 IN. Ironspetw 2 Adoewladgermenl a Reveir of Materio6 -_ <br /> E fhkeed/Typed <br /> Now, Signature Meehry a <br /> DYear <br /> 1 <br /> 19. Dua"may kndicolim Span <br /> V p ' <br /> A <br /> ZC <br /> . 1 <br /> L <br /> 1 20. F-dW Owner or Operator Cenifkaien of of hazardous maredah covered by this mmifesf gopt as nod in ham 19. <br /> t P'iwd/TYWd SigroNre - MerM Day year <br /> DO NOT WRITE-BELOW THIS UNE. <br /> DTSC 6022A (1/93 Yellow: GENERATOR RETAINS <br /> EPA 9700-22 <br />