Laserfiche WebLink
J <br />J <br />�}U <br />YJQ <br />N0 <br />LM <br />MU <br />sr)= <br />co; <br />W .. <br />i] <br />IA^I� Q �ng� 3 70 7J Document No. <br />WASTE MANIFEST _ _ I tl�) �I —t - ! t of <br />3. Generator's Name and Mailing Address ' A. Slate <br />—state <br />4. GeM <br />natoi s Phone ( ) _ GA <br />6. Transporter t Company Nam411 6. US EPA 10 Number C. State <br />lated Facility Name and Site Address <br />I Ur <br />OF C91"Mi f CA, I IN <br />11. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number) <br />0. <br />N <br />E b. <br />R <br />A <br />T <br />O <br />R C. <br />Above <br />a-/ I- piL <br />p-Aoln- WPrTarQ• <br />IAlEfif /OSE"cTl✓t OvritR IJ6f�Q <br />FEB 21 1989 <br />ire0NMENTAL HE/ <br />is not required by Federal law <br />Document Number <br />88535254 <br />We ID <br />& 13 e 7 49,7s <br />G. Stat. Facility's ID �..; <br />I.I. amt ea <br />?. Containers 13. Total <br />Ouentity Und Waste No. <br />No. � Type Wt/Vol <br />a. <br />G 39-OAr #Sa 36 -A <br />b. <br />t8. <br />GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name <br />and are classified pecked, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and <br />national government regulations <br />If I am a large quantity generator. I cartity that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br />to be economically pracficabla and that I have selected the practicable method of treatment. storage. or disposal currenty available to me which minimizes the <br />T present and future threat to human health and the environment; OR. if I am a smell quantity generator, I have made a good faith effort to minimize my waste <br />U generation and select the beet waste management method that is available to me and that I can afford. <br />2 <br />W Pri <br />2 <br />W <br />W 11 <br />2 R <br />< A Pri <br />N <br />OS <br />P <br />W O <br />< T PH <br />U E <br />2 <br />F <br />A <br />C <br />1 <br />o1 <br />Mourn <br />MOrlrn <br />Day Year <br />L <br />1 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br />T <br />y Printed/Typed Name Signature Month Day Year <br />I r l l ' <br />OHS 8022 A (1/88) <br />EPA 8100-22 <br />(Rev. 988) Previous editions are obsolete. <br />Do Not Write Below This Line <br />Blue: GENERATOR SENDS THIS COPY TO DOHS WITHIN 30 DAYS <br />To: P.O. Box 400, Socromento, CA 95812-0400 <br />