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12/03/88 13:14 FAX 714 520 3570 SHELL HAZ WASTE 1pj vino <br />.. e.mx.w„ petty _ <br />Fam <br />4-0011—e..d OMF No17ow-=9 (E p "aft) See Insfruceians an back of <br />Pisme prin m NPa. Ee^. d—Yed far vtt eWN (120 ) Mla.mis.- Ib J! 6. <br />94. 7 TPR sr C. <br />1. Gwwads US I:PA 1D No., , / `��enm, Cdlan:a <br />T[7UNIFORM HAZARDOUS M DKvnrd Na. 2. Pepe 1 W.. - n w the d.aded Dram <br />WASTE MANIFEST a ear I wed by Fedmd 10 . <br />... .__ al zl cI DI d <br />U <br />O <br />v A <br />z C <br />1 <br />T <br />SHELL OIL COMPANY <br />HAZARDOUS WASTE DEPT. <br />P.O. BOX 4848 <br />1 � S'2•DI—'%Z1 pu6ti T M T`O qp <br />S. Teppparear 1 [empes, Name b. 1/S WAD Nvm&r <br />LAIDLAW ENVIRONMENTAL SERVICES I C� A� D� 0I 0� 0� 0� <br />7. Trveperyr 2 CO"'Pm9 Norm & US EWA ID h6nb.e <br />9- F—* N . wed She Addeo 10. US WA 10 NNnbes <br />ERICKSON, INC. <br />255 PARR BLVD. CAD 009466392 <br />11. US DOT Ow 06- C�9 peeper SNWIh Nemo. Mamrd CIM. a W 10 Mp ) 12. Ceh <br />-RCRA HAZAP,DOUS WAST SOLID,, <br />M <br />I <br />15. SPecd MendGq hlw0v and Addbeavl Wdermplion <br />u. read lh. Ude <br />Wryd <br />FVT <br />op <br />P <br />AVOID CONTACT WITH SKIN/EYES `AGILITY; <br />SERVICE STATION <br />24 HOUR EMEP,GENCY PHONE NUMBER (800) 424-9300 <br />3011 W" BENJAMIN HOLT � z <br />4MINATOWS CERi1MCAT101{ 1 h. u t, Vrn I., as <br />L <br />b7 dedera N m ev cmM vF f ftarmp aw o2 fa117 and aacarerely de.cnbad dnw <br />pO,hwi. mvSad, vatl labeled, and ass in n msp.eO ^ P'vW ca.rFuen fw trwapvP br N9h"a7 xca.dwq m epdica6le Iaderel, POR and enesnngnel io..s. era dmdrmd. <br />ea°'q'^rtdy6pO Te h'ble Mel I ceml, than I ha.a a pOprmrr in plrct R r cq rhe "'h. Vw 1.4d y of mode p.Wod b hrO <br />o• WMW the proffcpple mewed d traebnmh. t apa,a( , cI T dj9 I have dnm.n+.M h be <br />mored b hemen fi- 1* aM Ma em+ranmua; Nreae, s. d' r a.m abk m ma ..hwlr m�hr.;,., dre pewd ob faNre <br />OR i I am a 1n.dl 9'r." gmre.dae, I have made a 9aad fviw dlvrt m minher've .aT .vPe 9 .mdie. � 1deC he hese <br />amem ~h d moa 6 a.wlv6k re me and Ihd t een aMvrd. <br />PlimeO read Name �-�-- <br />�< r _ 1-i 12 _ � <br />hmyI'll 11 <br />S grNre <br />!mor /A/ -J I � i I <br />Mm.h pay Yam <br />Spec <br />il <br />�K ddIin! Asmw <br />20475244404*3982 JB DO NOT 17 eH W20475244404*3982 DO NOT 17 W T• <br />DISC Iium (7192 <br />FPA 11700-22 <br />Whn . TSDF SENDS THIS COPY TO DTSC WITHIN 30 0111- <br />U, P.O. 110. 3000, Sacrame,.,.. G 95912 <br />