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Jesse.1 Dolifeek.—Ennronmaea)Areresslon Agency
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<br /> See Instructions an lwak me Aypmvsd ClClNo.MID- i29(Expires .80
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<br /> WASTE MANIFEST
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<br /> 3. Generai Now sued Moiling Addwa A.;SDe6pMaKsssl
<br /> F, A, A. AIRWAYS FACILITIES / SIERRA NEVADA SECTOR het } jl ^
<br /> 827510275 Old Placerville Rd.fll Sacramento, CA. 95827 a} P pe a,r1 1
<br /> 4. Is wrorur,Mona91551-3406
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<br /> S. Transposer 1 Company Now 6. US EIA ID Number C....4..-! 1 I_
<br /> H A H Shio Service ComDany Lk b in IQ 14 17 17 1 -MI-W Iq
<br /> 7. Temsparsor 2 Company Name J. US FPA ID Number
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<br /> 9. Deagnomal facility Name and Sim Address 10. U{EPA ID Number y
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<br /> m N & H SHIP SERVICE COMPANY
<br /> 220 China Basin street a'f xr
<br /> 68 San Francisco CA. 941 0 0 4 7 7 1 1 6
<br /> Francisco, 07 ��4nB4S�5��i ;';,^• "ur� "
<br /> ;�,� 12. Cone' 15. Told 14 Udif c r i ~
<br /> �'Z11. US DOT DetMplipn(including Proper Shipping Nome, Hazard Class,Oil ID Number) No Gua VA/Valx
<br /> ftSIDUE DIESEL TANK
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<br /> 0 15. 5*01 Handling kars,0*5 and Addis l hdameaties,
<br /> JOB #14270 JOB SITE: F.A.A./STOCKTON AIRPORT
<br /> W 24 Hr. Emergency Contact: H & H #(415} 543-4835 ASR-5, Airport Way
<br /> X5 APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR Stockton, California
<br /> 16. WINERATOWS elkTIFICATIONr I hereby declare that the cameos of the consignment aro 1.11y and ga",.Iy da<rihed above lay proper deippno new and arc,lassoed,
<br /> V packed,marked,and lobelad,end ore in all reepeal is proper randhian for immpon by hil according he opplieehN Isal 1,vacs,and
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<br /> JIt I am a larste gabnldy generator, I eesdfy,mat I hate a Program In Piece To mail the v ixw and toxiciry, at mate generated to the all I horn :brermalml ro W
<br /> man wnwal y Practicable and that I hero :n mad the prMicable messed of x ayi Geroge, e:dispasN Cur reealy 'Mese r nx which masew'of&.4 oneself eA;oa:ro +
<br /> tq theme le homes, 1110110,and ma em
<br /> nwrcerm t,OR.it I N a mag quesy,generamr,i ham well Is good faith effort ro muumuu my wade ge,rraRpn and seIHC the kelt
<br /> wade mane em od that is arellekl to me and that f can afford-
<br /> 0 Prins/Ty IN Signosam March Day year :.
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<br /> 1& it der 2 A o ement of R rials '
<br /> I&W I fhinmcl/TyPed Now oNm fAemh Day yeas
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<br /> DO NOT WRITE BELOW THIS LINE..
<br /> DTIC 41 (121 wnne: ;SDF 22NDS 7rll3 :MPT 'C )TCC nithw(4 ..0
<br /> J►A gT�72 'o: a.0, :ax TOGO. daeramenta, :A, 9Rdtn
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