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z <br />Z <br />U <br />W <br />Z <br />0 <br />z <br />O <br />z <br />z <br />x <br />U <br />J <br />0 <br />Z <br />K <br />W <br />LL <br />e8 No. 2050-00391Expins 9.36-991 See Instructions o�E $lcC at Page b. Department of Toxic Substances Control <br />Form designed kr use on efts (12 -pitch) `-'ev iser. FG 69 j(p7 ( Socner enso, California <br />UNIFORM HAZARDOUS <br />�en.mte/s US EPA ID No. Manifest Document t <br />2. Page 1 <br />Information in the shaded ares, <br />is not required by Federal law <br />WASTE MANIFEST <br />AlAO Li�9 1 5, 5 ( '4 <br />I of ! <br />3. Generolo/s Name and Mailing Address AbOJAIVC�1113 s 1 GfLCO AIAiti LT— <br />AI State Manifest Document Number - <br />S.S CA"ev£ ST. <br />22315514 <br />7M A,6'—'e C 14 <A 75336 <br />B. State Gen... Par's ID - <br />a. Goin mte/s Phone ( 1 <br />S. Transports, 1 Company Nam. 6. US EPA ID Number <br />C. Slate Tnnporters ID (Reserved.) -".Y- <br />CIEA Nn¢ aS ct17U. S:r2JiccS e. A p 3191 '3121 S 0 <br />D. Transporter's Phone <br />7$ ff4 - 18"00 <br />7. Transporter 2 Company Name 8, US EPA ID Number <br />E. State Tramporter's ID Reserved.) <br />F. Tmmporter's Phone <br />9. Designated Facility Name and Site Address 10. US EPA ID Number <br />G. State Facility's ID <br />C"'elo.) h/AZi30r2s $APO 3oSe «c <br />0101 9 /d 5 41311101 <br />102.1 <br />f�� <br />" Facility', Phone <br />5An� . . 9sr 33 c Ala 9 el 4 110 <br />4f0S- 45, - sass <br />11. US DOT Description (including Proper Shipping Nome, Hasard Class, and ID Number) <br />12. Containers <br />13. Total <br />Ouamity <br />IA. Unit <br />WI/Vol <br />1. Wask/Number <br />No. <br />T <br />a. AcDA Hn7Jy1IJOU5 S! t SOLsa MI K <br />State <br />..3I.L <br />E <br />E <br />D I <br />kG f <br />O Q 3 <br />EPA/Oth�o{4, <br />' <br />OAJEN <br />b. 00#J RCALANAZAILbOVy Wisjr£ 3OLD)3 (SM '1 VMS <br />Stale. <br />E <br />01N <br />7OO <br />v <br />R <br />D MEP <br />015101 <br />oA1� <br />Ta <br />s.7Ab+£, o uM Y OK usl r Y, <br />SParo <br />0 <br />/Z2 <br />EPA/OtT%h., .. <br />R <br />t <br />O 0 Y <br />M <br />6 O S <br />C9 <br />d. <br />State <br />er <br />EPA/Other <br />J. Additional Description For Materials Listed Above i <br />u.a (s) 3 Y27 <br />K. Handling Codes Far Wastes Listed Above <br />11.4 45)10516 DM <br />a. b. <br />IIt c�� ! z ss arH aoo:1 <br />C. ; <br />d. <br />15. Special Handling lnstrucNonsand Additional Info r /f.qC S c 1 !.0 x.!/130700 <br />ek 239/ <br />w -'Aa para:... P9E. W"'-4 i-t,.n7'g.-rias <br />CCN��5�236�2 <br />11l,@ <br />4 P00"2 z1v.a&EkkV -il erci Let k"I'llt <br />16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately descri6.d.!, . by roper shipping name and are classified, packed, <br />marked, and labeled, and an in all respects in proper condition for transport by highway according to applicable international dnd national rsgulalions. <br />government <br />IF I am a large quantity generate., I cortafy dist I have a pro in place to reduw the volume and toxicity of waste generated ro the degree have determined to be economical <br />practicable and that I haw selected the pr«ficabl. method o1 maxseenl, storage, or disposal currently available to me which minimizes the present and Furore threat Pa human h= <br />and the environment; OR, if I am a small quantity generator, I have made a good fail ffon to minimi. my waste gemination and select the best waste management netted that is <br />available to me and that I can afford. 7/9 <br />4gpt� N p / _ <br />Zr <br />Signal.' <br />Month - Do Ywr <br />N17. <br />Transporter 1 Acknowledgement of Receipt of Materials ' <br />R <br />Printed/Typed Name <br />St re <br />Month Day Yaor <br />Is <br />AK) rl. ca/A+ u <br />C <br />1 1$ a <br />0111. <br />Transporter 2 Acknowledgement of Receipt of Materials <br />T <br />Printed/Typed NomSignatsn <br />M"thi Day Year <br />11 <br />19. Discrepancy Indication Space <br />P <br />CY <br />I <br />L <br />20. Facility Owner or Operator Certification of r.cei t of hazardous mat.6.1, <br />cover ' this mi�est ex. at as noted in Item 19. <br />T <br />Print.d/Typed Na in. <br />Signature -,jr' <br />Man* Day year <br />Y <br />a: <br />DO NOT WRITE BELOW THIS LINE. <br />DTSC`0022A (1/99) Yellow: GENERATOR RETAINS <br />EPA 8700-22 <br />