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V$larb FCdR n6et. •+ ss _- 'c.w.s'eR![7PFa'9 `t'Itlo. +l� a8 r -t <br /> App OsrBNti.� 9.30-99r s y O ro $-OC'�IIS/ELIC 0/1 OINOC Of' O, h ' WT.61Rzs <br /> Please pre ty*,1F?-des(ppd' nds.on'elire 111pst 'Pew'^M ixe `,q:. hYy.tl' ""'T5�' '�`'ss R -+ a �oa hTagl, <br /> s3 Gmi s11S EPA ID No k, r Manifest Docume. f� a Infarmahon s )echo <br /> UNIFORM HAZARDOUS ,.y,. Is`/mt egartd Fe glow. <br /> ;W TE MANIFEST :�'' C A D 0 0 4 7 7 I <br /> F3. Generator's and Mailing AddrmsCAL TANK LINEESs IP.O. AOS 6245* ' , CA 95206 <br /> 4. Geeemtor's Phone 1209 ) 466-1554 <br /> 64 S. Tran;porter 1 Company Nam.. 6. US EPA ID Number r v <br /> m NOR CAL OIL, ItiC. A D 9 8 2 4 1 7 2 5 5 <br /> 0 <br /> 0 <br /> a0 7. Tnmportx 2 Company No. 8. US EPA ID Number <br /> V 9. Designated Facility Name and Sib Address 10. US EPA ID Number <br /> INDUSTRIAL =MICE OIL CO. <br /> n 1700 S. solo ST. <br /> —i°_ Los JNGEL ca 90023 <br /> �Q12. Container 13. Total U. Unit <br /> U 11. US DOT Dacriplien(including Prep.r Shipping Name,Hazard Class,and ID Number) No. - T '�Ovantiity - Wt/Vol <br /> 10 z <br /> NON-FCRA HAZARDOUS WASTE LIQUID .-, r ., rV' <br /> 3 G (WATER & SLUDGE) 0 0 1 T F T Q G <br /> E o b.N <br /> m E s <br /> s R - _ - <br /> v A <br /> S T c. <br /> F^) <br /> d. <br /> A <br /> U - ' r , r- <br /> •fid- >5 1 f.'P S _ ,{ <br /> N <br /> Z <br /> O <br /> d <br /> N <br /> W <br /> fY <br /> Q <br /> 0 15. Special Handling lndnu ions and Addifi s l 1nformo8on <br /> z A?PPDPRIATk PFbDTHCTIVE CLOTHING T kTS <br /> IIJCSC CONTACT: (209)541-9145d� 7 3145 S. EI DORADO ' F <br /> 5FP.E ,B.R.C. lel ' .-._0TOCKW10CA . + <br /> Q16. GENERATOR'S CEt11FICATION: I hereby declare that the contents of this conirraenf aro Fully and accurately described above by proper ship ome and an doss fieri p eked Zl[" <br /> U marked and labeled, ad aro in all respects in proper condition for transport by highway according b applicable international and nafsomPgwmgernment regulations <br /> -J :. .', _ ' ';_: aFa�'%�:3 .F4t•�xFs'�., 't Syvl t '4:.^'-- -::`: s�^.•. . . A� ^ <br /> If I am a large quan8y generator,I certify that I hwe a program in place"b reduce IM volume and toxicity of wash gen.rat d b'tlss rise I hwe determined b M econom¢ally <br /> ypracticable and that I%.selected the pncticoble method of treatma t,sforage,or disposal currently mmdable ro me which minimizes ISM present and Future threat ro humor Malar'�l <br /> O and the eto on.and t OR,if 1 am a smell gwnRy generator,I have made a good*i* b minimize my was*gemration and elect Lha best wastemanagement method tlmt-i> i; <br /> awitebk ro ms Arid that 1 con afford. <br /> VPrinted/T amen. >I $ignoNn. Mon` Day ear <br /> (� T <br /> If Trar4porher l Aclamv4 ement of Racei of Materials <br /> m R <br /> y� 4 Pdnted/Typad Noma Sig n . <br /> S JOE PUE= <br /> W P <br /> O0 18. Turns rte,2 Ackn emenf of Receipt of Materials - <br /> W T PHn*d/Typed Nom. Signa re Month Day ..Year <br /> Q R <br /> UP F9. Discrepancy Indication-Spoto <br /> I1 20. Facility Owner or Ocamaor CMificotion of recai t of hazardoustnmerials mored by tbi.m ifnt. as noted in Item 19. <br /> T I Prinhsd/Typed N - SignaNn •—i':� ,s th -Day Year <br /> DO NOT WRITE BELOW THIS LINE. ys: <br /> DISC 8022A (4/97) <br /> .EPA 8700-22 - Green: TRANSPORTER RETAIN§ <br /> • i - <br />