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s{1m9 eW / Ie+�iM1I and Welt■n Agency <br /> Fpthl APIDr E OMh No.2060--0039(Expires 9.30-9. <br /> ��!N ear qlm df yp (F'dm designed for use on slits(1'Y-06th typew tw). <br /> 'UNIFORM,HAZARDOUS Sena slot's US EPA ID Ne. Menitast P. Pups 1 1■fmlMtwe In NNI <br /> WA81yE"MANIFEST Document No. a <br /> is hot Hqw A, <br /> 9:.Cie nantor;e N■Me And FMI Address - 91aof <br /> Soltrae Qufek Labe 68186 Patterson Pass Rd, <br /> tetilrthJsoaro4 Trop, Livermores CA 94550 B 81i"4 <br /> t c 4•'tN6MNors Phone t <br /> .'� 9, Tdheportay 1.Company Name 6. US EPA ID NumberIL <br /> t.,TF■Mpwtef 2 CampanY Name 0. 9 PA ID. !1111 <br /> dr E,al■w'. <br /> G. Dtllgnated Facility Name and Site Address 70. U9 EPA 6] Number O. etelw ' <br /> Refineries Servide '" <br /> 1333111, gigb11111I 33, Patterson, CA 95313 <br /> + 71:US DDT Description(Including Proper Shipping Name,Hazard CIU",and W Number) 12. Co am8. 1 .. 4. <br /> No. Type UnD. <br /> '1[asardous Waste Liquid NOS OBH-8 AA 9189 <br /> E <br /> N <br /> A <br /> A <br /> D <br /> R e. <br /> d. <br /> Bpecl■1 tlentlPng 11 1711014 and Atlettlonatmlonnallon <br /> protestive gloves, safety glassss/gaggles, long-sleeved cloths { <br /> Job situ 1209 &, Hammes Lane, Stotkton <br /> and Am TOR'kOM CEtThFI d.Mark I hereby led,a n that the 4 resnte of nthis proper <br /> c ndit are tiny and accuretsy described.bore h RepM�9Nae <br /> • entl na f&MMMd,p■egula ions, ,and labeled,end ere In ap rUpama in ptlpar WhtlltIon for transport by highway accorolt ro■pp9e■IMe,, sty <br /> MIItMd gevammerN regulations, - <br /> l61'�uemlryr peneretw,1 csAiry Ihel i Mve•program M pleas to reduce IM volume end loxlelry of waste peltereted to this lesimis r 1y49 delarmeled <br /> to be UtMembasy ibaetbabN entl Ihet I have eslemed Iha DreG/1GDle melflod of Ire■Iment,etwa9e,or dla(Mael ounemy a lkbla lot"wmeb IlNnatlizae the <br /> pnasM ahtl idiots(Meet Ic human Matth end the snvlronment;OR,N 1 em•ema9 quemlry generator,I have made■gcotl f flan e9ot4td r mmemy.wasle <br /> 9enNelien■ntl Ulem Me best w■ate menapemenl method Mm N■wIA01a to me an0 Thal l ten BOOM. . <br /> Primes/TrPetl Name 8lpnatu 'DeY Ye■Y <br /> ,p 17. Tnnsportat AcknowletlpameM m Receipt of t els <br /> NIs <br /> Prim Typed Nems 91 <br /> ,;•8 i. !' <br /> O <br /> 0 ts, Tran art r2 AcxrtovA <br /> ad9emenl o/Receipt o1 MI PmdedlTYPed Name Spnature <br /> 19. Discrepancy indication Space <br /> g <br /> �.- Pg. Faolinr'Owner w Opentw Certification of receipt of hazardous metMab oorerW - <br /> M iMa manifest except as noted M hem IS- <br /> name <br /> ';Y PnnUtl/Typetl <br /> signature - 4 .-•Day rear <br /> 6022 A(1tae) <br /> EPA 9500-22 Do Not Write Below This Line <br /> - <br /> (Add 9.88)Previous editions are obsolete. Blue:GENERATOR.SENDS CHIS COPV�1'0 OM WITHIN 30 DAYS <br /> To: P.O. Box 400, Smramemo, CA 95812-0400 <br />