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I. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> I UNIFORM HAZARDOUS i <br /> WASTE MANIFEST 1 4 y `i 4 4 1 is not required by Federal law. <br /> of <br /> 3. Generator s Name and Moiling Address A. State Manifest Document Number _ <br /> ay 5� S r ''8 <br /> ^ rc R. State Genenwar's to <br /> in A. Germrator's Phone ( ) r <br /> W 44;-253L At i,: Cl;ar iu Are.,-c-: aLl <br /> 60 S. Transporter 1 Company Name 6. US EPA ID Number C. Stale Trampardi IDL <br /> ^° E <br /> ric'.cson, IncTac. - i3 G 0 9 <br /> 4 ? J 'i D. Transp er's Pho e <br /> (510) 235-1393 <br /> Q 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transpomer's ID <br /> � U <br /> y F. Tronspomer's Phone <br /> Q 9. esi nafed Facility Name and Site Address --- ! <br /> ) Z 9 ty 10. US EPA ID Number G. Stafe Facility's ID <br /> - <br /> 1 5 F 1 ley Street H Facility',Ph. <br /> 3 U 12. Containers 13. Total 14. Unit <br />' Z 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) No T e Quantity Wt/14. Vol I. Waste Number <br /> a. <br /> !,G:e _ .,. ., hazardoes i'asce spL•d 331 <br /> G :o <br /> reulatec'/ ii �; <br /> E _ /� - EPA/Otto, <br /> - <br /> ap fi <br /> T <br /> Stole <br /> 0 <br /> K R EPA%Other <br /> w iti <br /> Z d' Stare <br /> U <br /> W EPA/Other 1 <br /> N <br /> O1. Additional oil Above { <br /> W '+xa) Pt►rg M <br /> Q -- 00iii, <br /> 15. Special Handling Instructions and Additional Information n <br /> car hoes, woggles and appropriate personal protective equipment when handling. <br /> nerser,cy contact: Charlie Armenta (209) 441-2564 <br /> Site: kerne -;,'-wood Station <br /> J 16. GENERATOR'S CERTIFICATION: I hereby declare that the contemn of the consignment are fully and accurately described above by proper shipping name and are classified, <br /> Q packed,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable federal,state and international lows. <br /> V <br /> If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated m the degree I have determined to be <br /> deconomically practicable and that I have selected the pradicoble method of treatment,storage,or disposal currently available to me which minimizes the present and future <br /> sIt threat to human health and the enviromnent;OR, if I am a small quantity generator, I how made a good faith effort to minimize my waste generation and select the best <br /> ty waste management method that is available to me and that I can afford. <br /> p Prhdis /Typed Name SigrraNre Month DaY Year <br /> LES ( O v 131 drQ1 <br /> Z a 17. Trompostor 1 Acknowledgeareard of Receipt of Materia <br /> W • typed Name S' - Day Y <br /> W ; D . ti (:-'5s ° � <br /> a 18. Transporter 2 Acknowledoessessm of Reas of Materials <br /> s� T Prmerd/Typed N. Sigmzlure Month Day Yeo, <br /> V i <br /> sY 19. Discrepancy Indication Space <br /> V A <br /> Z e <br /> I <br /> L <br /> I20. Focilih,Owner or Operrestor Codification of receive of hazardous materials covered bythis manifest except a noted in from 19. <br /> T Primd/Typd Nam• -$ Si; re .. Mortlh Day Yea <br /> Y O <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A (7/92) <br /> EPA 8700-22 Yellow: GENERATOR RETAINS <br />