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. <br /> mzVn. <br /> _ ,run. r. So nrrmn:c. CoLI�,r� <br /> UNIFORM HAZARDOUS 1!Generator's US EPA ID No. Manifest Do ument No. 2. Page 1 Information in the shaded areas <br /> WASTE MANIFEST Isk 17 19 1 $ 114 5 3 9 4 4 1 3 1 7 1 8 8 4 1 of 1 is not required by Federal law. <br /> 3. Generator's Name and Mailing Address A. Stara MaNhr,,Document Number <br /> 0 Santa Fc! Edailway <br /> vi P 0 Box 1947 93 <br /> 23 <br /> CR Frosno, fi.A 93718 B. Store,Generator's to <br /> 4. Generobis Phone 1 D) <br /> _ <br /> � <br /> p 5. Transporter 1 Company Nome 6. US EPA ID NumMr C. State Transporter's 1 <br /> a? Erickson, Inc. D 0 0 9 4 6 6 9 2 D. Tronsporter's Phone ` <br /> (510) 235-1393 <br /> 7. Transporter 2 Company Noe+ 8. US EPA ID Number <br /> E. Stare Tralsporesr's ID <br /> U <br /> 00 Q I I I I I I F. Tronsporrer's Poone <br /> i Z 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> ce Petroleum Lecycliny/'Enviropur <br /> rl r = 1835 E 29th Street H. Facility's Phone <br /> u iu <br /> Snal ;:ill CA 92409 A 1 <br /> - lmT Z 11. US DOT Description(including Proper Shipping Nome,Hazard Class,and ID Number) 72. Containers 13. Total 14. Unit <br /> .// 2No. Type Q ..tity Wt/Vol I. Waste Number <br /> t: allonRCRA hazardous waste liquid Sh"' .1 <br /> 03 E (Eiydrocarbons with contaminated water) DS DIM � 7� G EPA/other <br /> :gone <br /> m N Is. s o <br /> A E NOnRCRA hazardous waste solid �h7 352 <br /> aR (Petroleum grease) Do / D M " G EPA/011ier <br /> A None <br /> 0 RQ, Waste flammable liquid, NOS, 30 UN1993, PG D aj Sreey43 <br /> z R D M V EPA Other• ....�- <br /> t ; , <br /> Z d' State <br />: W <br /> J <br /> W I I EPA/Ghrr <br /> i N <br /> 0 J. A Ab i:. 'Codes for Above <br /> to B "te<I ') r .„,• <br /> o <br /> ' W w <br /> C _ - <br /> 0 15. Special Halling Imhaeliem and Addntiaml Information ---- --- — — — y <br /> Wear gloves, goggles and appropriate personal protective equipment when handlifig. <br /> Z Emergency contacts Erickson (510) 135-1393 <br /> Site: Werner/Orwood Station. Orwood Road east of Bixler. <br /> 16. GENERATOR'S C@TWCATION: I hereby declare that the content of the consignment aro fully and accurately described above by proper shipping name and are classified, <br /> I1 <br /> U packed,irked,and labeled,and are in oil respectsletin proper condition for transport by highway according to applicable federal,staand international laws. <br /> J11 I am a large goanRty,generator, I «nify that 1 hone a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be <br /> G economically practicable and that I haw selected the practicable method of teatment,storage,or disposal currently available to ma which minimizes the present and future <br /> y threat to human health and the environment; OR, if 1 our,a small quantity generator, I haw made a good faith effort to minimize my waste generation and select the best <br /> (,wFosN management method that is awsiillable to me and that I can afford. <br /> !w K RdNo.c E- 5 G A F' 4{E AT 6, Srpwhs 4 Mont Y <br /> 1(lZyg! T 17. Transporter 1 Ack eddy ment of Receiptof Materials <br /> �% <br /> y i P 7Lr��7 �� ��� S:gnoN Y <br /> v <br />` 0 JIT <br /> 18, Trasuporter,2 Aeknewkd a of Receiver or MaNrioh <br /> W i Priv. /Typed Name Si'xm,. A1alAt Dry Year <br /> 'V2 <br /> 4 N 19. Discrepancy Indication Space <br /> 1 Q p <br /> 1 Zc <br /> _ f <br /> L <br /> I 20. Facility Owner or Operator Certification o1 recei of hazardous mvtariots covered by this mani}M escept a Med m Item 19. <br /> T Priated/typed Nana ��(/ . S' G.'.(:,/.� Mahn Dal' year <br /> I <br /> I, <br /> A IL <br /> DO NOT WRITE BELOW THIS UNE. <br /> rl DTSC 8022A (7/92) <br /> EPA 8700-22 Yellow: GENERATOR RETAINS <br />