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<br />See Instr�yctans o back of page 6.
<br />P, 002/003
<br />Department of Twit Substances Contra(
<br />Sacresmens-, California
<br />print yr HPe. Form dmigne rues an e,e —
<br />I. GeneramYs USE PA ID Na. Manilesl Dncumem Na. 2. Page 1 information in the xhaded ureas
<br />a , is n -I inquired 6y Pederal low.
<br />UNIFORM HAZARDOUS ,r � F
<br />. WASTE MANIFEST
<br />^'I�L ` ,n �„�i•�.e, t A State Mantled DaCamenr Nam6v A 1-^F
<br />3. Genemlvr's Name °nal MvilinBAddry 3Yrl��/�• /�[� --T—+� , ... .23�v i�6:r•q3.
<br />B Sr°le'Gen k la „ W v
<br />d. Ganey-iar'v Ph-ne 1
<br />r 6. US EPA DNvm6er C. Stale Taansponer's IDS ad.I „
<br />S..Tr-nspormrl.C-mpany- me
<br />� C ,B D 9 B 2 43.3 2 6 2 D. Transpwt-r Ph n: 5i4/,IgS-*4400 ,
<br />E. Smleh porter's ID IRS.] -
<br />_B U3 EPA ID Number
<br />-"YI�sTSfA8;ER78AT3{$`---- C A A D 6 3 5 9 7 9 9 6
<br />jd Cf DIATICN, INC- F. .Transponel phone
<br />9. Design°red Pacilly N -Ma -nal 5ile Addmx
<br />ID. US EPA ID Numbs, G. 51ak a . s
<br />23ST Com. r F iliyxPh '
<br />2095 NTb]L &NDS DUW EAST A p D 9 8 D 8 9 5 3 3 8 I X75 2760
<br />gg(u�y, NV 89408
<br />12. Contvinerl 13. Total 1d, unit
<br />11. us DOT Deecripti-n (including PmPer Ship in ame, Hazard Class, and ID Number) No. T e wanlity WI/v-I 1, Woes Number,
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<br />75. Spatial Haling Instruction- and Additional lnkmwli-n
<br />2h IGIv$ � tf G�TCY CDITAM:PRILIP INC_ SabitBs Illi_
<br />(80o0�7A SITE: l `' lid -
<br />16.
<br />P'EOTBCLSVB CLlYJiiING & '`
<br />16. GE I Tows eERtlHG1ION: Ihereby dsdom hal the oomams-Nhis evmlpnm-nt ore klly end oewrme� dxa,4ela6ce try proper shipping name ondam ek+ssified,pocked,
<br />marked, -�rd labeled, anal -n in -II rtspatle In proper condition kr Monxpon4y 6ig6woy ocoardia, he app moble Inumoli°nvl and n°lianvll ]mar eM regulations-
<br />.or
<br />ined to
<br />nomicali
<br />If I vat v large quonRy B enamtm, I mdpify that I hove a Pr tam in Pit. to red ro d e loll .. Ch d fvxidyble to of me whirl me n mlm hd ho the p degree I and future hrevl m h man hevllh
<br />pronicohl- and that I OMR, it I lnmev ]moll gaanBy g°ethoob l wls mode v Bood kill+ effort ro minimise my waste generolien and ]sled the best was% management mel6 t) that If
<br />and the envimnmenB
<br />av-ilable t- me nd that I con alfvrd. — Month— , Day Year
<br />Spate
<br />DO NOT WRITE BELOW THIS LINE.
<br />Whge: TSDF SENDS THIS COPY TO DISC WITHIN 30 DAYS.
<br />wso 0 11/99(
<br />Tae P.O. Boz 3000, Soam
<br />aent-, CA 95812
<br />EPA
<br />EPA 87700-0— 22
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<br />75. Spatial Haling Instruction- and Additional lnkmwli-n
<br />2h IGIv$ � tf G�TCY CDITAM:PRILIP INC_ SabitBs Illi_
<br />(80o0�7A SITE: l `' lid -
<br />16.
<br />P'EOTBCLSVB CLlYJiiING & '`
<br />16. GE I Tows eERtlHG1ION: Ihereby dsdom hal the oomams-Nhis evmlpnm-nt ore klly end oewrme� dxa,4ela6ce try proper shipping name ondam ek+ssified,pocked,
<br />marked, -�rd labeled, anal -n in -II rtspatle In proper condition kr Monxpon4y 6ig6woy ocoardia, he app moble Inumoli°nvl and n°lianvll ]mar eM regulations-
<br />.or
<br />ined to
<br />nomicali
<br />If I vat v large quonRy B enamtm, I mdpify that I hove a Pr tam in Pit. to red ro d e loll .. Ch d fvxidyble to of me whirl me n mlm hd ho the p degree I and future hrevl m h man hevllh
<br />pronicohl- and that I OMR, it I lnmev ]moll gaanBy g°ethoob l wls mode v Bood kill+ effort ro minimise my waste generolien and ]sled the best was% management mel6 t) that If
<br />and the envimnmenB
<br />av-ilable t- me nd that I con alfvrd. — Month— , Day Year
<br />Spate
<br />DO NOT WRITE BELOW THIS LINE.
<br />Whge: TSDF SENDS THIS COPY TO DISC WITHIN 30 DAYS.
<br />wso 0 11/99(
<br />Tae P.O. Boz 3000, Soam
<br />aent-, CA 95812
<br />EPA
<br />EPA 87700-0— 22
<br />
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