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03/27/03 THU 14:29 FAX 949 450 1177 B.E.S.I. IM 002 <br /> Is <br /> Stem MCnln-BOWS nvl 2g5olal 39IE I,Aga<y See Instructions on back of page ppaHmen,of Todt SC.M.-Il('aNml <br /> Form ApPrmed OM8 Ne.2050-W391Enp,a 9.30991p M-4 Saerwnlo,CaQkmlo <br /> pbaa P^M or ype. `amdesigned Far.,+oa dlleilR kh11 N. <br /> 1.Cnnsmnoe6 US EPA to Nn Manila D.mmeN N. 2. Page I Ini mance in An shaded orals <br /> UNIFORM HAZARDOUS 6 nar.nqu,r.d by Fad.ml law. <br /> WASTE MANIFEST D f Q at <br /> 3.GenxabrY Nmeand Mailing Addrw A,.SkN,MaABai Dbaootion,9rkIK 2-186 y5.1 <br /> BP West Coe2 Promft�LLD (I_ b(� <br /> 0 <br /> P.O.Bar 90877 s. HaM GmrMafa D <br /> h a. Ge erom + Phan.1310 787.4600 Les Angeles,CA 90009 <br /> 'N 3. irarisP.mr 1 Company Name <br /> 6. USEPAIDNum6.r C. two 1"apen✓s 10f .1 <br /> m 0.TrAtlAyeJl1%aP6aaP. 45fE'y0i0 <br /> $ BeLzhireFhvirmnentelserviees Inc C A 9 8 3 5 8 4 6 8 1 <br /> m ). ir.nsp.ncr 7 C.mpony Noma 9. US EPAN)NumSmr E. Stoh.lromppUm's b Aa .1 <br /> .• jj a nanspaw'+.Pham <br /> Ncono 0 fro Addmf 10. US FPA O Num6x - 4.SIaIA I ID <br /> Z 1704 WeaF rst5trtet N.Fa,nayeihone <br /> p A=%CA 91742 _ 1 C AID 0 0 8 3 2 9 3 {62�339 5117 <br /> - a and 10 Nunr6al 12.Cenlaina. 13, land ll. Unit <br /> 11. US DOT Clow!Oat,ltmWing Prapx S6lpp{ng Nome,Namrd 0.." No. T o,.Nity WI/Vel .6 WmN Num'nr <br /> ` z Hersdaus Wase,solid,l x'352 <br /> pS 9NA3077P.G.M D P ANO S018. <br /> 3 G (D018.Belzerte)-p� <br /> o N <br /> m E S��/Id:3�B ePrl. : .. <br /> A QO/-7J 11I �1I'P,l LGOSZ`-'c�!� bMa <br /> g 0 EPA/dW <br /> R <br /> � sap <br /> W d, <br /> � epr�otb. <br /> u <br /> J.Addilimal Desaipt'mn,loo Mo1o11a11 U+l.d•A6o+a If•H.a;1190[ada.tel ptpi{Wkd ALoae <br /> Z A. Q <br /> Q2000NathAts>erirmFLrffitGFSiCYRfiSPONSSGUIDEN0:171 <br /> a PmrflethDD13 980M V1SPM <br /> < l,b TrE"I <br /> 15. SWol Noodling Inow.dions and Additional Inlermpion , B #53F}rI8 <br /> KharbartiFilten with G2&dim <br /> Wear ep{Rapr tre protective r8SS S Mch y aa <br /> `z lolling 4855 Salth HidtE9av 99 <br /> z (949)753-5826(24 har&nugeritY Phme) 9tod¢m CA <br /> 16. G AAIOP'S Cf0. KATION: IMny ec a Ida soNrof,a[thi+mmi ,meN onfully nod„mrrad dwribed ebola6y paper shlp 'Q omme,nd are elasdgd,Puck.d, <br /> p Y <br /> m.rk d.and 11a.l d.and.e In-11 mmp.,a'.n prep.cardllbn br Ua speriby N9'S"'oY otmrding m appi'im6L inhrnanmol and tsaion Oa"armnanl ngvhllom. <br /> r II am o lary.Want,ry gen..la,I"rift'Thal 1 have o pr am in plme to radon t6*valuta and toxicity at wm,.gonmkd to d+.logo.I hoa determined to be x.nwlcd <br /> i ymtllcobL and 16W I hwe ool d j Ih.r.6=6.m.nmd of Inali,ont,sterap or duposal m .Mly.1,4166 to me which min'mi:a tM prmenr end home dsnot ro Imman bmf <br /> m and M..nvironmM;Oe,it 1 am.,moll quonNry gxmmla,I has mad.a emd 641%.16e io Mimixo my vm+N P+n•mnon and sda t6s bot wale monttgem.m medood tMl is <br /> d' .1.61e w me and 16at m.a600d. <br /> � mad Nam� ��, signdlun Day Jlm� <br /> P�196N IetTJt51+51 as agent Of BP 0 <br /> 1 17, Trial. arta 1 A.knew6d emeM of Ro4 104 Mo-h <br /> W A P' d/Tall <br /> Signal . m <br /> w <br /> sf 1 19,lranv amr 2 Ackrow eranl cl Raei r ai MMeriah Nn,A Day Ymr <br /> U PrinmdJTypod Num. 51gnaNn <br /> T <br /> T <br /> N E <br /> u a <br /> U19. Di+er.pamy lndl+ori,Spon <br /> Z F <br /> - A <br /> C <br /> I <br /> gp. Owner or O xMW C1410hon retail homrdom malxlo6twe»d 616is manibst axt m;Wad(n lt.m lV• µo,16 <br /> ,mDot' Year <br /> T Pli p d N � _ SipmNn Y <br /> 1U Y ` r/ <br /> r.-. DO NOT WRITE BELOW THIS UNE. <br /> W iLiL 24 WOO <br /> '.jTSC 4022A 11/991 v ".0 J3D i•. .:.:u:vmvru. !•l. .o. <br /> "TPA POO-22 <br /> CC' <br />