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NON-HAZARDOUS 1.Generator's US EPA ID No. 2.Pagel 3.Document Number <br /> Of <br /> WASTE MANIFEST 1 <br /> NH— NO- 45131 <br /> 4.Generator's Nam a .� Add <br /> 37-1 l a f�'ficea v�� <br /> Generator's Phone — Gi — tp'Z <br /> 5.Transporter Company Name 8. US EPA ID Number 7.Transporter Phone <br /> CLEARWATER ENVIRONMENTAL CAR000007013 (510)797-8511 <br /> 8.Designated Facility Name and Site Address 9. US EPA ID Number 10.Facility's Phone <br /> ALVISO INDEPENDENT OIL <br /> 5002 ARCHER STREET <br /> G ALVISO, CA 95002 CAL000161743 (510) 797-8511 <br /> E 11.Waste Shipping Name and Description 12.Containers 13. 14Total it <br /> E No. I Type Quantity— WWoI <br /> R a. <br /> T Non-Hazardous waste, liquid <br /> 0 001 TT G <br /> R b. <br /> 15.Special Handling Instructions and Additional Information Handling Codes for Wastes Listed Above <br /> Wear PPE 8 11b <br /> Emergency Contact <br /> (510) 797-8511 <br /> Attn: Kirk Hayward 7 <br /> 16.GENERATOR'S CERTIFICATION: I certify the materials described above on this manifest are not su lect to state or federal regulations foyreporting groper disposal of Hazardous Waste. <br /> Printedrryp ame \ Signature �� �� <br /> A <br /> N <br /> S 17.Transporter Acknowledgement of Receipt of Matari Is <br /> O n9ted/Ty ed Name ,� Signature - <br /> R _ Month Da <br /> R P 1l�'.�- ✓ = <br /> 18.Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> 1 <br /> L <br /> 1 <br /> T <br /> Y 19.Facility 0 or or Operator:Certification of receipt of waste materials covered by this manifes a pt as noted In Item <br /> rint ped Name ' <br /> Month De Year <br /> WHITE—ORIGINAL(Return to Generator) YELLOW—TSDF(Retain Copy) INK—TRANSPORTER COPY GOLDENROD—GENERATOR'S COPY <br />