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�., �,;�,Yihe,. a r <br /> m . <br /> UNIFORM HAZARDOUS 1. Ge"°ro or's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> WASTE MANIFEST C A ll 9 6 1 4 5 9 4 4 4 3 1 7 v 1 8 5 1 of 1 is sort required by Federal low. <br /> 3. Generator's Name and Mailing Address A. State Marhifest Document Number <br /> U1 Santa Fe hailway 'Z7Gn [ <br /> U`5 {�P U Box 1947 �73Gv 18857 <br /> IN r; 8. Stare Generator's ID <br /> r <br /> 4. 4rneramresgso�oraeCA 9371. <br /> h ( ) <br /> f r� S. Transporter 1 Company Name 6. US EPA ID Number C. Stole T,.mporter' ID) ... <br /> ZJ s 4 <br /> m <br /> Ericksony Inc. C A D U 0 9 4 6 G 3 9 D. TransporM`sPhone 510 23.5-1393 <br /> J <br /> I J 7. Transporter 2 Company Nome 8. US EPA ID Number E. State Transporter's ID <br /> IAV <br /> l F_ Toonsporfer's Phone <br /> Q 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> p C'52 tical Skyline <br /> Res;.tent <br /> 35251 Old Skyline Road H. Facility's Phone <br /> 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) 12. Containers 13. Total 14. Unit <br /> No. I Type Quantity Wf/Vol I. Waste Number <br /> = a. <br /> 3 <br /> sore <br /> lion RCRA hazardous waste solid <br /> oE (Absorbent pads with hydrocarbons) D 11 P EPA/Other <br /> 4 b' Stole <br /> rR EPA/Other <br />'I A <br /> I T c. State <br /> h O <br /> I y, R EPA/Other <br /> W <br /> I 2 d. <br /> UJ <br /> u <br /> N <br /> i1. Adclinonal D. K. Handfing Codes for Waste,Listed Above'f <br /> W 1'rO f i T f8W 111111 1 1 <br /> rr a. I b- _ <br /> Z <br /> I 0 15. Spedol Harding Instruct ns and Ade6hwml Warrenton , <br /> Q dear gloves■ goggles and appropriate personal protective equipaent when handlinpy: <br />` Z Eneroency contact: Charlie Armenta (209) 441-2564 <br /> I(f W <br /> X <br /> c. <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the cosrtsnh of the consigmmnt aro fully and accurately described above by proper shipping name and oro classified, <br /> pocked,marked,and labeled,and aro in all respects in proper condition for fraapod by highway according to applicable federal,state and international lows. <br /> U <br /> If I an, a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have detenni rd to be <br /> economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future <br /> threat to human health and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best <br /> waste management method that is available to me and that I can afford. <br /> Printed/Typed Name SignatureMonth Day Year <br /> goo 4e <br /> Z T rens rtesAckne ed emmht o seem .feria <br /> NPrinted/Typed Name Signature MMh Day year <br /> �' f C�1\\ ' L <br /> 2 SL <br /> a is. m r 2 cknow e eco of Mammals <br /> u� i pfd/Typed Nemo SignatureMMA Day Year <br /> ■ <br /> ■ <br /> C W 19. DixmPancy Indication Space <br /> Q F <br /> U A <br /> Z C <br /> — 1 <br /> t <br /> 1 10. Facility Owner or Ovencrim,Certdicafian of monot of hazardous mam.iak covered by this manifest except as rand in Mem 19. <br /> T Primed/Typed Nome <br /> Y Sigoofum MMA Day Year <br />! DO NOT WRITE BELOW THIS UNE. <br /> I <br /> DTSC 8022A (7/92) <br /> EPA 8700-22 <br /> Yellow: GENERATOR RETAINS <br />