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- 1-11— �CKUdItS 18664488862 <br /> N0,q'73 D002 <br /> Please Refit a type.(Form designed Ior use on efde(12-pitch)tvpewliter,) <br /> u"'07 HA2ARDW5 1.Ganaela lO Number 2.pace t of 3.E Fm APPoved.OMB No,20.50-0030 <br /> WASTE MANIFEST merperrcy Response Phone a.Marifest7nackh"Nom1w <br /> 5 a 1 (916) 371-5747 D04 9,1346 JJK <br /> E.Ganenlo/s Nems entl McRrgAd7r¢ss <br /> ck.) /21A-aJ/1G�.n6.1 'f—/S'ncK7�,J S�iti2cs✓4EL GenarrorasreAdere,s(lonerammenmwtirgaodreu) <br /> 7aq0 �'oDizz - 1066 ssk;yam >4,ug <br /> s��rxY u�, 96 <br /> L � , ✓9 -�9 <br /> Genera I Phone: � <br /> 6.7mnspaEer 1 Compary Name - <br /> RAMOS ENVIRONMENTAL SERVICES u.s.EPAIDN m M <br /> 2.T.spo se 2 Company Name CAD 044 003 556 <br /> u.s.EPA ID Nun,ba, <br /> B.Dugrared fadaN Name and See add,eaa <br /> R:AMOS ENVIRONMENTAL SERVICES US.EPA ID Nunbe, <br /> 1515 SOUTH RIVER ROAD, WEST SACRAMENTO, CA 95691 <br /> FeoMyc Prions: (916) 371-5747 - - <br /> 9,, Do.U.s.DOT Deanipg,,"U,rmF,ope,srOngName,Hraabe�alDw:rear CAD 044 003 5 6 <br /> HM and PBDUi Grow Many)) 10.conthwrs Tij a 12Udl <br /> 1. — No. Type o mfiy WLw f 3.Y/acle Coon <br /> (OILY WATER W L Q ID 223 <br /> as <br /> 3. <br /> e.sodatHanaHa lronlwoonaaroAadroaelmon.on ERG04#171 �t I <br /> 9b1) �b(94U=Ays of o, c �4 ye f0 ly <br /> HANDLERS TO BE TRAINED AND USE PPE. <br /> 13. GENERATGR'SWFFER0RSGERT1FXA1MN:Ilkfebytletl4athalmeooramb olth6 mreipranuA arefillyeMaGuiamlyde9r+Poedabwe DYmep p-aNppm9rememizl� <br /> mm kmepP, filemalordurtl,dEaia�9uegWaEms.Naocetaayolp�ryPenoremr)Ca) d er FYI (e , �.wv�. <br /> 1E:aNrnatlor>el ShlpmanC <br /> F ❑Imparipy US. ❑IPwal horn U.S. Port entry/aldt <br /> = ranappkrdpluNe(toreaporl3 aNy): laavop us.: <br /> W n.rr,ra�armrAdnawaa9moMorRamlaorM,-mi.s <br /> ji Trenponarl daed/Tyyed Name Sipneam <br /> AI� Monro Day Year <br /> o 0A _O <br /> artrtaonsr 2 PMI Yced Nara $igre AMm Dy' Yea <br /> N1: <br /> ti <br /> 16.OcalpariCy <br /> 1Pi 0lseapenry lnOtudon Spa.. ❑U", ❑Typo ❑Reaitlee ❑Parch)RaJeaun ❑FW P4wbon <br /> MaMesl Reference NumW. <br /> 1Ca Aiaua Fa-iay(a Genemmr) US.EPA I0 Number <br /> d <br /> u <br /> LL F.cW.Phone: <br /> 15c. greNm vAllemam Fealty lot GeneraexJ Monro 06y Yeas <br /> q <br /> I z <br /> ti1P.Nm3rdow Waste Repo Management Malwd Coda(i.e..oodeafor baadaa wame haelment.diapeaaf,and(ecychopysleme) <br /> v 1. 2. <br /> j 20.0esgwed Facil6y Owner or Cogra'&r.Ca0Ec3Eon of rewpt of hatadm®malseeb cwe+ed by the mall e51 otC9pi ae P <br /> Pnmed7yped Name $ignafum Month Day Year <br />,i EPA form 8700.22(Rev.3-05)Previou3ecrOone areobsolefs. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />