Laserfiche WebLink
7 <br /> e 4-ao-s9) See Instructiarr�n back of a 6. .2 )Poo 6 <br /> . <br /> use on elib f l2-pikh)t4- Department of Taxis Sfi6staoces Csrt <br /> 1_ Cenerabr's US EPA ID K. So--lo,Cnlifornio <br /> Manifest D«umenl Na. <br /> HAZARDOUS 2. Pope I Inforefatian in the shaded areas <br /> WASTE MANIFEST a;not required 6y red"law- <br /> 19191 irl I <br /> ). Generator's No.and Mailing Address PAIW- 6VAL A Stoic <br /> �. j j p <br /> S row ttA0 CJ7 ti 4 SY32 19 <br /> —WIMPFe. e ; . . <br /> .. Generate s Phone 1 94-I -7- "7'-7 <br /> 14 S. Transporter]Company Nama4- US EPA ID Numbere f <br /> Ecology Control Industries A <br /> 31011 <br /> V n � � � 0 <br /> 7- Trop 1b^ <br /> 2 Cam Nome M r3 <br /> Y S. OS EPA 10 Number trait ^- <br /> ' ap.Rt's RT <br /> J <br /> ' F. t +tte <br /> 9- Designated Facility Name and Site Address 10. US EPA ID Numb« 4. Skill y' <br /> rte' - <br /> Romic Chemidiil Corooration <br /> 2081 Bay(toad <br /> East Palo Mo CA 94303 ICIA Q 0 0 9 4 5 216151-710£ <br /> 11. US DOT Dn ri rn Shipping 12. Coo"~~ 13. Total 1 - <br /> ptron(� ^g Proper PPing�.Hazard Closi,'and ID Numberl 4 Unit <br /> a�A <br /> No F Ty" <br /> Ckmntity /Vol L <br /> .... <br /> G r _ <br /> E <br /> D E sig. <br /> R <br /> a O c Slob <br /> R WA/N. <br /> d. <br /> s <br /> K. Noadrwv Cedes ter 1M aPMen lisled Above'. <br /> T IMI N 0R0CAR€3fN 5 7114-100% <br /> WATEft t 34% d. <br /> slruclid Additional narmohon*eprHoape?pInrotec1ve <br /> egUipment While handling. VIl61ghts or volumes 2- re.approximate. ERdtt11.3.129, <br /> c 24 hour ernergancy ilumtber. 9r4- QT!-T77] e�2o�Ll SITE LOCATIO <br /> i'YI4 b F�GT Ca.,24 hour emergency contact: S70-235_ Fgg3 e+r- . <br /> 1 16. GfNERIITdR S 0 IFICATM: f hereby declare that the cans is of this tans meat are LII and occuratelr described oboes r shi " <br /> marked,and Idbeled,and ar.in all reWects in proper sand tion for hon '�^ Y ppF pp��9^ant"�+d on clossifiad,pocked, <br /> Wart by T+,ghwoY according to a ico66 in a national osd='0PF,1N—ornery reguratioac: <br /> IFI am a Iar t=h.ly gwwotw.I certify*.t I hove o program in place to red"*the volurns and toxicity of weute generated b the degree I hays determined to be economical <br /> practicable and elfot I have selected the practicable mettlod of heetme.rt,slaoge,or dispasd curvently w0006Fe to me which minimizes 1hs Present and kftue 9hreat to human heal <br /> acrd 1t��hY,e���'environme and con <br /> if I atm!a smo8 quantity gencrokw.I Ewe mod.a goad faith eHor1 to minimize my waste generation and sekd the best waste management method that is <br /> ovaik"o to me alfa that I con afford. <br /> Printed/T Narna Si �� Year <br /> i 0> ; <br /> It. Tran rter I Ackrwwl emenf of Receipt of Materials <br /> A Prinled/Typed NameSignahrre <br /> W©6 /F Month Day Year <br /> /T <br /> P <br /> g r 8. Trans rtK 2 Acknowleclaernent of Recti of hlafcriols <br /> 1 Printed/Typed Name - - <br /> E Signature Month Day Yeor <br /> R <br /> P. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L <br /> 1 20. Facili Owner or O erotor CertiNcatiao of receipt of hazardous materials covered 6y this manifest"cep4 as noted in Item 19. <br /> T Printed/Typed Name / - $agnofure <br /> y / .'", Y r r, Day Yeor <br /> --- <br /> L/�0111� <br /> 3 Q <br /> DO NOT WRITE BELOW THIS UNE. <br /> 8022A 11/99) Whit, T:SDF SENDS THIS COPY TO DISC WITHIN 30 DAYS. <br /> 8700-22 To P.O $ox 3000, Soeramento, CA 95812 <br />