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UNIFORM HAZARDOUS Generator's US EPA If Manifest Document No. 2. Page 1 Information in the shaded areas <br /> is not required by Federal law. <br /> WASTE MANIFEST C A D 9 F3 1 S 4 4 3 7 8 9 6 1 of 1 <br /> 3. Generator's Nome and Mailing Address A. Stab Manifest Document Number <br /> 0 Santa Pe Railway 937896 <br /> � `� <br /> a+ 9 0 Bo:, 1947 �'� <br /> Fresno CA fi3713 B. State Generator's ID <br /> rrs 4. Gerserotei s one ( )/ <br /> m - <br /> p 5. Transporter 1 Company Nome 6. US EPA ID Number C. State Tronsporter's IDIS <br /> 41 <br /> I m ericksonr Inc. 9 4 9 D. Tsweparter's Phone(510) 235-1393 <br /> 7. Transporter 2 Company Name S. US EPA ID Number E. State Transporter's ID <br /> V <br /> F. Transporters Phone <br /> 00 Z 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> Z <br /> '^_::tern DLll:3 <br /> 21501 Cloud flay H. F«iliysPhone <br /> lti < rc9 a <br /> i.ay 'k 0!-515 1 " :1 7 ),1 ).. _. . 5 ) J (520) 766-9'762 <br /> �) U • �c <br /> T Z 11. US DOT Description(including12. Containers 13. Total 14. Unit <br /> (including Proper Shipping Name,Hazard Class,and ID Number) T Ouanti Wt/V.1 1.Waste Number <br /> V' 1- ° Stab <br /> 3 [;on RCRA hazardous�Q+t <br /> G ...r�.+.T .(_ EPA/ <br /> N E (Empty containers = E4t� Vic �1 D PI f i' othe(ioac <br /> W N b. Sate <br /> °g E <br /> R EPA/Ogher <br /> d A <br /> W T e Sete <br /> O <br /> 4, R EPA/Other <br /> W <br /> f Z d aro e <br /> W <br /> i u v <br /> f W A/Other <br /> N <br /> Ofor Wastes Listed Abow <br /> 1 Is. Is. <br /> W <br /> Z mmi <br />{ 0 15. Special Handling Instructions and Additional Information s. <br /> a Wear gloves when handling <br /> Z Emergency contact: Charlie Aralenta (209) 441-2564 <br /> W <br /> est of Bixter Road <br /> r 16. 04NERATOR'S ®tTWATION: I hereby declare that the contents;of the consignment are fully and accurately described obow by proper shipping name and are classified, <br /> I U packed,marked,and Iabe ed,and a^in all rmpech in proper condition for transport by highway according to applicable federal,state and inbmational laws. <br /> If 1 am a large quantity generator, I certify Mat I haste a program in place to reduce the volume and toxicity of warn generated to the degree I haw determined to be <br /> economical practicable and that I hoe selected the <br /> 1 1 ty pr am am al method of treatment,storage,or disposal currently available ro me which a gernera Me present and efuturesit <br /> N threw to human healthrO me and the mHronment;OR, it 1 amt small fiord. gmermer, have made a good faith effort ro minimize my waste generation and Baled the best <br /> ¢' waste mono mem method that is owilabk ro me and that I con afford. <br /> V Prfee ed/Typed NameSigrMo^ Month Dvy Year <br /> V <br /> Z 7. Trans r 1 Ackrtowlsd of Recei of MaNriols <br /> A Pdmed/Zped Name Si <br /> s piM6sra �/�^sMeiNr �s Dry Year <br /> VI't <br /> 1 s V19 <br /> f r <br /> i o 18, Transporter 2 AcknwAialgesesseda Rech t of Materiab <br /> e Prbted/Typed Name SiproN^ Meeh Day Year <br /> e <br /> tw 19. Discrepancy Indication Specs <br /> i v <br /> C <br />� � 1 <br /> k <br /> f 20. Owner or Operator Certificatbn of rocas of hozordwr materials cowned b this manifest exceptas noted in Item 19. <br /> T Primed/Typed Name Signature Mash Day Yea <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> i <br /> DT9c iw12A (7/92) <br /> EPA 1706-22 Yellow: GENERATOR RETAINS <br />