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.11 " �� See Instructions oh bods of a 6. 1 V <br /> ,...r..wflTpAk)6Pe"r+r Po9 O� av«h.So r Tovi C.14 ve Co," <br /> Smwree,Caifeer:o <br />' RM HAZARDOUS 1, �'�" •US EPA ID No. Nlamfen Docvnrrd Ne. T. Pa 1 Mbrmmico' M dad.d <br /> WASTE MANIFEST (,` 91811141 5 9191 4141 819 719 1 of I,�r.qA d by F d"�- <br /> 7. Garwroar's Nam.od MwT.p Addresr Ar Star.MmBen - <br /> Santa Fe Railroad T { <br /> 740 Carnegie Road, San Bernadino, CA 92408-3571 <br /> A. Geroroals Phorrt <br /> (209) 441-2521 <br /> S. TrorrtpMer 1 Compoy Nome 6. US EPA ID Nwnber C Stm.Troap«I<h ID I9;. <br /> 'x"K *fit � P x,�, t'x5 +-,A•+k - <br /> Erickson, Inc. CAD 0 0 9 4 6 6 3 9 2 °'�T 4',1(51023 ,L 93`ri �r a :: <br /> ). TrmsporM T Comp«ry Name 8. US EPA ID Number <br /> .Te2�/l�.O,v _,<JGc F �T vmpc NL Aw r � <br /> 9. Dedpar.d Faddy Nome and Silo Addie" 10. US EPA ID Nurnbar SiXScla foo7ej/s:ID� <br /> U.S. Ecology �.. <br /> Hwy. 95 12 Miles S. of Beatty <br /> NV 89003 N V T 3 3 0 0 1 0 01010 , <br /> R 'tyz(70 p <br /> 17. US DOT Dercription(nJudrp Proper Shipp:q Narc,Nocard Clau,and ID Nrmber) ' ' 1T. Camoinen 13. To" IL Uti - <br /> rl.'.j13-� No. T WrfVd <br /> Non RCRA Hazardous Waste Solid /I <br /> D M <br /> I N b. •` ' <br /> y E <br /> 1yi.0 Y <br /> A <br /> R <br /> CL <br /> R _ I <br /> i7e t71 <br /> U <br /> p, Ii <br /> 15. Spedd Hmdfop Inrnxeons ord Addrhand kfonwlion <br /> " " I +!3 <br /> Glomes and Goggles 24 Hour Costae$ .�ORGG /}� <br /> Z <br /> Name: C.I: PAlalle/` y S 5 FC <br />= 191+ Phos 20 <br /> 16. GENERATOR'S CERTIFICATION: I hereby dedoe that M.cedaas of rhe con*,w «.faliy ad acc«alefy oboe by proper shippiq.and«e danlfiad, <br /> Q pocked,marked,and lebeled,od ore i.a8 respMs'n proper coa&ion f«kartspoei by highwy..,fi q m appkobl.federal,o«e and itramoliarral kws. <br /> J <br /> 8 1 am a 1., a q,-." p.ator, I certify that I ha.e o p,W. n ploy lo reduce Ru volume ed arkity of wune geeerated a the dnp 1 hove cl t nn:xd to be <br /> iec«amicdly pactkable and Mar I hove seketed rhe prock ble .*.d of heotntatt,sr«ape,«dnporal onrwrdfy o oilobk to m.-hich mWnvbn 1M pear+and future <br /> Al rhr a humor hmhh and the en irarenorb OR,8 1 aitr a amoll qua tity 9coerot'ar,I hove made o good faith effort b miwn¢e my..an.pent.Ii.od sako the ben <br /> x .-wash ment method Mat k o.agabk to me ad thm 1 cu.affo,d. <br /> ftk"d/TTPed Nome,. Siivk— h%.Mh Dry Y. <br /> Z T 17. T er 1 Aduawled'.more of Rete: t of Mo soh <br /> W 7 9rin <br /> p .d/T N Sgrotu t Month Dq Year <br /> ww 1 � <br /> W <br /> f o 18. T er 2 Ackaov.led <mem of Recrim o Mol. <br /> Wi Priaed/TYped Nome Sig«mrt Mweh Day ear <br /> 0 i /c .� �� O 1ZZ <br /> N 19. Discrepancy kdkolon Sp«e <br /> U A <br /> A <br />_Z C <br /> P <br /> 1 70. F« Ower« rarw Cerelka4on e1 re<ei el hax«doss materials covered by this manifen<rc a rohd:n hem 19. <br /> T PriaedfTyped Nome Signa r. A1ar.h Doy Year <br /> T <br /> G <br /> DO NOT WRITE BELOW IS UNE_ <br /> OTSC R022A (r)fglf - Whit.: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DA <br /> A py0p_n To: P.O. Bos 3000, Socramcmo, CA 95812 <br />