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ri <br /> StateO roved la 3 NO 2 50 Weller( xpegy 9 p E C E I V.�.�,..._ [- <br /> Foun Approved OMD No.20511—Op39(Eapraa 9.3o.9 1) See instructions On iSdCK OI Yd 8 lL– <br /> 'Please print or type. Fora designed/dr uses no �'fypewnfep and Front of oq9 Toa¢Subelances Control Division <br /> tSAN <br /> M HAZAt <br /> Manifest page 1 Secram°nto,California <br /> . rotor's US EPA ID No. <br /> E MANIAD 9 8 2 0 0 2 4 1 2 0 d6unlpme 1 dl 1 stndt enquired lion 6 shaded <br /> h sect are,, <br /> re s <br /> lsa�e and MQUIN DEEA. Stats Mandssl Documcific Ackton, California 95207 e. state G.rlereloes m Plane(209 <br /> gmj 1 CospanY Name <br /> m 8. US EPA ID Number C. Stat*Transporter'.m 00941 <br /> H & H Ship Service Company CAD 0 0 4 7 7 1 1 6 8 D. Tremeporter'e Plan* <br /> m 7. Transporter 2 Company Name 415 543-4835 <br /> B. US EPA ID Number E. Slats Trenaponar'a ID <br /> O <br /> m 1 1 F. Transporter'.Phone <br /> 9. Designated Faollty Name and Sas Addrou. t0. US EPA ID Number G. Slate Facility's ID <br /> H & H Ship Service Company <br /> ` .�01 <br /> C A�D0�417 7 1 1 6 8 <br /> 0 220 China Basin Street rL FaK <br /> u ya Friona <br /> i San Francisco, CA 94107 CAD 0 0 4 7 7 1 1 6 8 415 543-4835 <br /> 0 11. US DOT Description(16cI 12. Containers 13, Total 14. I <br /> udip Proper Shipping Name.Hazard Class•and to Number) Quantity Unit Waste No. <br /> U a. No Type WI/Vol <br /> z G RESIDUE ASSOCIATED PIPING 513 <br /> N NON-RCRA HAZARDOUS WASTE SOLIDEPA/Olher <br /> E b. 0 1 5 C Y 0 0 2 510 P <br /> slate 513 <br /> q T RESIDUE ASSOCIATED PIPING <br /> 4 0 NON-RCRA HAZARDOUS WASTE SOLID EPA/O <br /> R q. 0 1 ther <br /> 5 C Y <br /> 0 Stua <br /> m <br /> EPA/Other <br /> g� <br /> U. <br /> f <br /> Z TEPA'6iOthuhr <br /> ats <br /> W <br /> U <br /> w <br /> = J. Additional Oaetrytiona lor Metxrla Wtad Above K. Handling Cods.br Waelm Listed Above <br /> N ASSOCIATED PIPING REMOVED FROM UNDERGROUND a. b' <br /> a <br /> FUEL STORAGE TANKS. 01 03 <br /> J <br /> C. d. <br /> a <br /> Z <br /> 0 <br /> 1- 16. Special Handgrip—auctions asd Additional Inlormalion <br /> a <br /> W <br /> JOB #6015 <br /> F- <br /> APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATO <br /> Q 6. <br /> U <br /> GENERATOR'S CERTIFICATION: t hereby declare the,the contents of this consignment are fully and accurately described above by proper shipping name <br /> and are cfessiled,pack".muted•and labeled.and are in all respects in proper condition for transport by highway according Ib applicable international and <br /> national government regulations. <br /> Q If I em a large quantify generator,1 certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> U to be e<onomicaay practicabb sed that 1 have selected the practicable method of treatment,storage•or disposal currently available to me which minimizes the <br /> Y present and future threat to Iwlun health and the environment:OR.if I am a small quantity generator.1 have made a ootid faith effort to minimize m <br /> U generation am select the best waste management method that is available to me and that I can aKord. y we ate <br /> Z <br /> W Printed/Typed Name Si9nalure <br /> (9 <br /> a Month Day Year <br /> W <br /> to T 7. Transporter t A nowledgemenr of Receipt of Materials qln <br /> R <br /> Z A Printed/Typed Name <br /> Q N Sign 1 Monm Dey Year <br /> L, s LMJCE D. S1AI11-I _ <br /> Ow 0 18. Transporter 2 Ackmwledgereem of Receipt of Materials <br /> m <br /> T P i led/jypari-yams <br /> U _ Signature �- <br /> / Month Doy Year <br /> Z E lPT r <br /> I . Discrepancy Yacalion Space <br /> F <br /> A <br /> C <br /> 1 <br /> L <br /> I 20. Facility Owner or Operator Can Ion of e1:11iT dOus materials covered Dv this manifest <br /> ea nOlrid in It.. t9. <br /> Y Printed/T N Signature <br /> month Day Year <br /> DHS 8022 A <br /> EPA 6]00700-22 D of Write Below This Lin <br />(Rev.689)Previous editions are obsolete. <br />