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Stale of Colil xnio—fnvironmentol Protection Agency <br /> Form Approved OMB No.2050-OD39lfspirot 9.30.991 See Instructions on back of page 6. Department ofToeicSvbttoncetCannol <br /> Plea.e printer type, form desigmsd for ere on Ait f I2-pikhl rypewriter. Socramenlo,California <br /> �11�1-14910101 <br /> Genermor's US EPA ID No. Mord!.is Dxurn.nt No. 2. Pog.I Inlormotian in me shndvd Orval <br /> Is UNIFORM HAZARDOUS I a not tequiad by federal low, <br /> WASTE MANIFESTL6L6 0 or , <br /> 3. Generator i Nome and Mailing Addreti + x Slow hioni eHH—Decurnant Numfter <br /> saw �oreK�o L�lwlq�r Ccn. 7 �., 98166816:: <br /> �.c <br /> P o k o>r t $Ch 8 S 0.h to C r u z C .Q-N-6 6 E. Sro1►Gmena�ori 10. <br /> sry <br /> A. Genuora i Phone( 1 _ <br /> h <br /> C14 S. Iranspo"or I Company home 6. US EPA ID Number C. Syme Traaepon.rs IV. <br /> �E4��. A.Tronrporlere Paan. <br /> in ASBURY ENVIRONMENTAL SERVICES I320}afl5-3+� ?.; <br /> 7. Tauntpooer 7 Company Nome 8. US EPA ID Nvmbor E. Stale Transporter'&(D , <br /> d F.Too 1polmes,Phan.. <br /> O D. Datlgaoted Finality Nome and Sir.Addren 10. US EPA lD Number G. Stoll ioribly'e m- - - - - <br /> c--la RAMOS ENVIRONMENTIAL (�(0�$19EIDI0I3�!l_oliIel. <br /> oo Z 1515 MO RIVER AOA EST 514CRiPE GCA 9%91 H F•oellily's phone' <br /> �° IGA°NPIP`IIS(_ 1q (916)371-5747 <br /> O Q - 12- Cnnroieea 13. Tato! 11. Unit _ <br /> V 11.US t�T Description!including Proper Shipping Norm,Navord CIaU,end ID Number) <br /> No. Ty e Ouontiy WWoI h Waste Number <br /> CO <br /> i a. NON-RCRA HAZARDOUS WASTE, LIQUIO 5fa" <br /> 3 G (WATER,011-1 <br /> No Placard Required J TT vjQ G <br /> o N b. Slatr.: <br /> co E '.,. <br /> R EPA/plher <br /> �v A t ---------- <br /> a T State <br /> Q 0 <br /> 00 [PA/011ier' 7.77 <br /> R <br /> Lu d• Stale <br /> z <br /> V EPA/OI_her. <br /> u,I <br /> Z J:AddlF onaF D»eriptiam for Materials lhlod Above 9;Handling Codes for Waews Lhl.d Above <br /> till _ <br /> ix <br /> OZ 15. Spatial Handling Instructions and AdddionolIof rmolion d�33L�' <br /> '• '�►W�PeN�QQ �ttV11�EF".LvM.. <br /> z o>rwlss c ocnrlaas IF 8'C9�Sa �(ar f�tr1 R of 041SWUY COWAc MIL HA PlTR <br /> _ csao)ae�- �aa <br /> r 18. GENFRATOR'S CERTIIICATIONc lheubydeclare thanthe conlerttlofthis caralamenenlare fully and accuramIrdetcribedaboaebyproper thippingnomeand cimclmtified,pad.d, <br /> Umarked•and labeled,and are in all-mpncss in proper condition for tronspon by highway according to app icobb intetnationol and national government regulaGont, <br /> :e If I am a Inge quanlirr generatar,I certify Thal I have a pro99roan In place to reduce the volume and to 0i of waste generated to Ihn degree t hove determined to be economicallyy <br /> n- practicable and that I hove Waved the Practicable method of Ireolmora,storage,or disposal currently mailable to nae which minimizes the present and future threat to human heolrh <br /> N and the environments;OR,if I am a small quantity generator,I have made a good kith allots to minimfra my wamte generation and select the best wire manogaanent m.thod chat is <br /> avaitoble to me and that I can afford. <br /> .•. U <br /> Pirinted/Typej Na ,, Signuntre Momh Day Y.or <br /> ul S t F a <br /> w 1 17. Tram of er 1 Acinawled em.nt of tip$of Material _ <br /> w A Printed/TypdNumeL- getnf T A � Signasva Month Our Yoor <br /> 55 M t.1 f-i Ili <br /> I 19 15 <br /> w 0 t8. Irons otter 7 Ar nowld emml o! ,tai fol Malaeiol <br /> ePrinted/Ty ed Name Si nmure <br /> T P D Monde Oay your <br /> w E <br /> R _L-1 <br /> laj F 19. DltcrepanrylndcationSpace <br /> Z A <br /> C <br /> 1 <br /> L <br /> 1 2D. Facifi Owner or O ,rotor Gni!(arisen of taxa! I o hmordoos etaterials canard b ddt..... a ernat m noted in teem 19 <br /> T M-0-Illypod Name Signutur. MoNfr Do yr YeorQ <br /> Y <br /> UO NOT VARITTE BELOW THIS LINE, <br /> DISC 8022A f1/971 White: TSDF SENDS THI5 COPY TO DISC WITHIN 30 DAYS, <br /> EPA 8700-22 rr'-3��If,n k'G .! i�5; "11. ;)1 To: P.O.flax 3000,Sacramento,CA 95812 <br />