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r �r n6-11-1992 0919 408+43or1� - .-� TANK EXCAVATORS <br /> P. 2/93 <br /> ,.�ti.v�uricmo-n�dm am VWrmAgency If <br /> o. dHugh 9eMew <br /> $ee InRhueHons on back of page 6. toxic suets Comrdpmgl <br /> PNrN Pott or}ya. FOM d•+4rteafa ore on eNe(1]pNM AWewMfer). JIM 011,6110,Cdfanla <br /> UNIFORM HAZARDOUS Oahe ato+t u EPA I NNo. MaNwf bcc~No. 2 Popo 1 IMom dlon o Mte a*a <br /> WASTE MANIFEST CIA IC 10 10 10 17 I—V5 Il A 14 0 1 0 1 0 1 0 1 1 or 1 Ynefl*nwedby w. <br /> 19%Fi1t169°+'PR'D r 1R mow, e) . tmeh 7e <br /> 1624 E. Louabe Avenue, Lathrop, CA. 45310 # � � I ut-j ' <br /> ♦c.nwdo+rPherwl2n9 )958-2541 <br /> y - <br /> 6.Trantporl*f 6,t4 PA 10 flWeter � ase t � ;erT,.` <br /> H iL H :thlp Service Company C A D o 0 4 7 7 1 1 B iaaw PhP :" i'3' <br /> 7.Trv*peMr2�ornParM Narle e,ue EPA IC Numar E::Fedr jr+gifhftlR '� � <br /> P1Pe1IP"q(etlf4F t10.uP EPA 10 Nurrlbe, <br /> "bin1SIA { <br /> �u a 8 � 8t re pony F i <br /> flan F140474111CG, ('A 94407 <br /> J 7 CIA D If) 0 4 17 17 1 11 b 19 Nt' TAA 1'i _. <br /> _ 1 I 'A oat De *fm twt WeV Prayer Phlpphp Nave.Mmald Cb,,mid 10 Nonan t2.Cereahen a To-td 1e ur <br /> Na t vnn�. 4.�7i. M1.4 a <br /> .,, <br /> 6 Hi;8f11Uf DIESEL TAH!( q � <br /> E WIN-kr NA HAZARDOUS WASTE ,SOLIDN b, p } TIP 13 (? V V P <br /> 1� Rr <br /> ( A <br /> T o <br /> I 1 1 <br /> : 1txn �� i< t k rg a e,�te n w <br /> arts ;tn4Yi�r3' t dtiy iceflspoof. tF1b. <br /> 16 6pecld Mmdi tO lnhuclbnl ad Acd%!no lntomdgn• "�'�" <br /> JUO 010222 <br /> 24 Hr. Emergency Contact; H R H #(415) $43-4835 <br /> APPROPRIATS PROTECTIVE CLOTHING AND RESPIRATOR, <br /> J <br /> q <br /> 16. OENERAMR1 CO MFCA111CN; I hereby dock"fhpl the oent0mb of IN oonlpryam Me My and 000ud4y dom,bW WomI, pope,t <br /> Fp$ ppc4W,maAW.and 4alM.Cndm lad mgmcNh propereoMNfonfa W IMPP Qrbn antl olanMQ. <br /> lratrpprt by hgnwvy 0000dn9boppkoele Merttalbr,dad rtrMwtpl uvemrrhM Wrlon <br /> P I an o laae Q"ft geherdor,1 eeMfy Ih31 I t1cm o Pmomm In place to red+G the Velma Ond todony or WOO*99werfod to IM degree 1 ncpA ate to be <br /> mon"ffe e"PMlc14CeM and 00 1 houe matted IM P=11001310 method of f 9dmem,1110 age.Or d"id cun.my C.alable to m.Wrylah mhh}ow the Prennl ono f6nu <br /> 1y {Mal to lumen health and"*nMpvned:pp.11 an O"Q"ttly 9eMR71a.1 fwve mode a good WIN*MOM to mWmis hV WOVO geMMtbn O d aMct the aM waste <br /> mors Wnf methal tW It odlobM to rns pA the I aan d1ad. <br /> PfinfodflyJ <br /> ped wing <br /> m Wr <br /> 013 (J 1 � 9 2 <br /> T .hor.poMer I Aolnowt.ypem*nl or Pecelpt of Mdarlay <br /> R nvP.dNam. <br /> A F Mountybor <br /> N J I <br /> 41F1Ybti)N H. A(; iX1^JAL71 �t/Ca �tw.a /�/ / y 0 3 9 1 <br /> RIII, .r7Mt nt of Receipt of k4deno, <br /> PmtWJrypW Nmt* 61v+atve <br /> u T Monts Cby Yea+ <br /> E <br /> R <br /> F IV.04orepatey naeW;n epos. 1 I <br /> r A <br /> C <br /> I <br /> 70.Fac Owns of Operator C6Mf1c0tlon d Iftshit Of hcearcoots md.Mae SatreW Mi MgniteN*floe lortp1W h Mem IV. <br /> T ml uvea 4. fay ea <br /> y f y <br /> DO NOT WRITE BELOW THIS LINE. <br /> erottAclvoot Yellow: GENERATOrq RETAINS { <br /> A 6700-72 <br />