Laserfiche WebLink
From : FALCON ENERGY • PHONE No. : 2094632712 • San. 13 1993 1:00PM P07 <br /> EnWOMNmW ProNtRan Avon <br /> .t W.2050-0009([.ph..0.20 oA) •� 1 Soo Instructions on back of page 6. '�Dcportmcm oI Tonic Subdtmc.s Cantrot <br /> ,yp;.' form daloaed for uu an n1iin fiPpisrh; lacrmn.n <br /> ypewrinr. a,Cakforn o <br /> UNIFORM MAxAR�OY$ 1. r".,, "'I.i EEPA In Ne. Manif.st Dae.m..+N.. �, page 1 nl.rmtaion h.it..A..J.d—, <br /> Is not ngdrod by Pedwal 6, <br /> WASTE MANIR'ST q AlC I q () Q 6121 1412141 U Lu A U 1 0 1 2 1 of 1 <br /> t l. tfuerner'etkpaadMellott Aadraa �'I {1'."ttAL $Ik:RkA EANX <br /> S 1 P.O. LOX 759 <br /> is GhN ANUIIILASs CALIF 95249 <br /> sror'1 Phan (2 C 1, l L.1lit a.. . <br /> �: 5. TrampoHer 1 Compam,Name 4. US EPA ID Number <br /> E'ALCON E14LRCY 1101AIDIV181215121 41c i <br /> 7. Trampwar R Company None 0. US FPA ID Number <br /> V. Unlgnated Facility Name and Sia Addrasc 10. US EPA ID Nanber <br /> i G.IBSON ENVIRONMENTAL <br /> t END OF COMMLRCIAL DRI <br /> 91 b 1 1 81 Ill -91 77 <br /> I1. US DDT Deseript g.cluding l .par SNpping Name,.Nocard gloss,and ID Number) No 'nen 13. Total ld. Unit <br /> Na. <br /> Ttr <br /> I Ouanf Wt/Vol <br /> q, <br /> NON RCRA HAZARDOUS WASTE, LIQUID <br /> i E 0J 1 T T / G <br /> Ed t <br /> A <br /> r � •r <br /> i--vcr <br /> 4 r <br /> Fr <br /> T <br /> , <br /> "i' ` "l• �e t l�„y,'u`i° 'iN ry"tY a;,l 1 e l�Y'w, l <br /> SjW101 Hendllno lnliNcam and Addubnei lntormatbn 24 HOUR LKERGLN X RBE;PONS NUMBER 1 aOD) 35'J`' ILLI <br /> " vSTTfi ADDRESSt GIANT TYRE/CIX00082;' 40: w <br /> 1 1'a. #1476..1 #1 WLS"t L"'ODI AV.LNUL <br /> 9$242 <br /> .1& GENERATOR'S CERTFiCATIM I hereby dec6ro that the conlenn of the conigmnent are fully and==rarely drecrl6ed above 6y pro Ipping tame and are c61dlied, <br /> pockod,morked,and 6641ed,and an In all respeeh in paper condition for honepen 6y hiohv cry according M appkw6le federai, t ad Wirmdiorwl Imp. „ <br /> # ' r ,., <br /> If I am'a large qunndty Someway, I terrify that 1 have a progtom in plan to 4oduce the volume and td.14 of wale generated M the deprae 1 have determined to be <br /> �. economically practicable and that I haw selected tat ptaNira6le method of treatment,storage•or dl"wl curnendy avai66ls M ms which minimim the praant and future <br /> .threat to human health and the envireemem, OR,.ya am a small quantity generator,I have made a goad laid,Nfad to minis+re my .rode gm,emfm,and selavl Ila 6"1 <br /> waste mane ement medmd that is aveRa66 to me and that I con affe d. - 2z <br /> Pr61ed/Ty ' d No” - �' Signalu f iMomb U rfoa <br /> ' G rte+ G IIrfiJGaJ ' 7 <br /> T A17. Tromperrie,1 Acknvvlvdcreo,ont of Rooster of Mater,eh <br /> A "T <br /> d n ped Nemo Momh Day Year <br /> -) C� �!�1 ;v <br /> 0 1& T r7A a!' efMNo <br /> T IsAmed/Typed Nath# s Sfgnatrna, j Month Day Yew <br /> IP. 7iRrepanoy kMika let Space <br /> p. <br /> A <br /> L <br /> 1r Cars M, CarliMeadiia.of retains of he.ardem mel.dal r. is monl4st.eee noted In lam 14. <br /> Yprims"I ypW Sianrdure. W_ M:mth Dor Year <br /> �Li <br /> + 00 NOT WRITE BELOWTHIS UNE. .. <br />