|
N
<br />00
<br />00
<br />a.�
<br />M
<br />N
<br />rn
<br />2
<br />12/03/88 13:14 FAX 714 520 3570
<br />Stat. ,l CaE�r Pl Rm,etiee Ayawl,
<br />Ferw APP.,.,d 0P1E No. 20.SYOLLSv (E.Pi•e vdo.wl,
<br />Pl.aee pr:e,: yp., boor dw.�f ir.�.�
<br />SHELL HAZ WASTE
<br />See Ins9rualillm on 60& OF DII& b„ _
<br />Z003
<br />CN4 (Jc4441o4*SJ1f2 JB DO NOT WRITE BROW THIS LINE
<br />Whim: T5DF SENDS MS COPY TO OTSC WITHIN 30 DAYS.
<br />915C 8022A It 1/91)
<br />EPA E>ot>-z1 To- P.O. ho. 3000. Socio ., CA 95812
<br />I. GWlermvla US EPA ID Na. Mo:/aY
<br />RDOUS DaaeaPF
<br />"a w• Calrlawe
<br />Pia 2. Pope Ira
<br />IFEST
<br />and m be Y aged o as
<br />d ed4 mgPi ea by Fede le,
<br />p D 9 8 1 4 5 9 E 1 3 2 41
<br />7. afirtd wddr.ea
<br />er 1
<br />p
<br />n
<br />EeN�
<br />SHELL_ OIL COMPANY
<br />Aisn.Fn, ioe,,M
<br />-. —u Rslb-.
<br />HAZARDOUS WASTE DEPT.
<br />^'��.,Y:,,'--s=�� •' ",�'
<br />h
<br />.0. BOY. 4848
<br />4, P
<br />.: ..
<br />w3we
<br />928
<br />O
<br />rwa,ah. i comp" Nam. 0. US EPA ID Naber
<br />li
<br />eal
<br />INC.
<br />). Trwepanw T Geyoo, Nue,
<br />U
<br />B. US EPA ID Number
<br />E•SbsTevepwT,ls-O "�- - {•yF7m,�TgJtr��.ii�!
<br />.)('+!�.
<br />.L
<br />9. geY9nsbd FmSy Name and Sic Addict 10.
<br />U5EPA ID Naw
<br />u{.
<br />ERICKSON, INC.
<br />b.
<br />255 PARR BLVD. CpD00946639Ez"51;
<br />ED. q&Agl1
<br />ppi*_
<br />11. US DOT D—Mie (' &&V Prap,r %*Al ll Naow, flomrd Or. aM ID F4wS 12.
<br />NO.
<br />13. Told 14. Unit
<br />T WI
<br />e
<br />r
<br />1 F
<br />.vlow:. y•, i
<br />'n5r.:ti.,.:
<br />ate..,•.: �,:,
<br />r p
<br />001
<br />Tj P @1810101 PoY
<br />r A
<br />A
<br />�A91Qier.. i•i
<br />t
<br />�V�tSCP�L'�S'�is
<br />i
<br />IL
<br />l
<br />'
<br />F4y .e 4�`'' rye• �1 .L ,�'
<br />♦;nrv7 r - -� i 1�.-.ri�xl/ye"'=
<br />v1"'sry'r"�'�` • ,., r 11• _+s� 3 } s..:�'SS.y aar -
<br />-Z H '•N
<br />*.^"Y°
<br />y Y ":".( j� ]Y1 G Y 1 4 dlih+' ek JR.�
<br />_ �R lw
<br />il-;--?'`4t,:
<br />1S spm Na aE.e b�a�, m d Asaxa ak hea aw a FACILITY:
<br />AVOID CONTACT WITH SKIN/EYES SERVICE STATION
<br />24 HOUR EMERGENCY PHONE NUMBER (800) 424-9300 3011 W. BENJAMIN HOLT
<br />STOCKTON, CA. 95209
<br />16. OBYEItATOWS �TilCAT10N: I he.aby dado, e dim da ca F th, cwn*p Pee fully ped owurmay do ,b,d .bare by WW lhippiq oom. Ped aro daailYd.
<br />P kvd. maned- w.d fob,I,d, and ore i oa mpl b b. Props cw.diiw. for Paelpad by hi9hwy accW6q m applicable f,&,W- You aed i w..miwd Ione
<br />If 1 om o "" rt"" 9er..atar, I ll"Fr doe I haw o Pregrwe M plWa m mduca de .elume wd roomy of Mme. g,rwraM1d m de de9me I ha.e dem+m.re i m M
<br />wo.weirvlly wock.ble wd dm I have uefened d, pmacolk madad of fnoamm,, emrape- ar dopoml cu' e y a.w1oM, m me d':r6 wh.ekN de P�.'sa and fuels
<br />dnat b humor. h,ollh and de en,imew.,m; OR, f I w a n.a grwaiy pe ewmvr, I lqn node o good fallb effort to mie�m¢, m, .mR gw+mliW and .kd de bele
<br />-401% uma m,Rd d.m 4 Y.aiabk to me wd bee I m. -HP d.
<br />PA /lyp,d Nor
<br />ON BEHALF OF Aanh Dal- Your
<br />T
<br />SHELLI CO.
<br />17. T. w 1 of Rec.: t or m.*&b
<br />T
<br />�AI
<br />N
<br />Neted/Typed Noes • L
<br />m �
<br />Aiateb Day. T
<br />s
<br />N c- 1
<br />i
<br />1 TmN 2 A of of MOW"
<br />P
<br />Prilso /Typed Name
<br />5ynomr.
<br />1A--; Day T,W
<br />E
<br />19. Dt ceepaay 1m im n Spee,
<br />F
<br />A
<br />C
<br />1
<br />L
<br />Ivivrfirl
<br />T
<br />Nr'�i•E
<br />I b
<br />o of'?( g
<br />CN4 (Jc4441o4*SJ1f2 JB DO NOT WRITE BROW THIS LINE
<br />Whim: T5DF SENDS MS COPY TO OTSC WITHIN 30 DAYS.
<br />915C 8022A It 1/91)
<br />EPA E>ot>-z1 To- P.O. ho. 3000. Socio ., CA 95812
<br />
|