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209 :G92' 2'248 F' R-. <br /> III 7IJN nE.—'35 TIDE 03 :29 Ff1 FRL. EN IR17FU.R: , . . n,. <br /> TY r 1 L r (a, p�pommem.1 T�nK EvLaane.e...I <br /> e < , n Aamcv See Insfrvclions on back of page Sacrommm,Caltoni' <br /> �Lnrro200 Pl.1 et 9-3496) <br /> e 1Fu ma J0.a)3�tE P'a e�•l�le y14Cd'h)sypewr;ru- I.Fonnolian in the shaded artas <br /> -tater'[US EPA ID No. Manifest Document No. g. Page 1 i^ol rogvired by Federal low. <br /> ,�- <br /> UNIFORM HAZARDOUS eQ I� I�� �( .� <br /> WASTE MANIFEST I-� � A. scale Monitan DoeammtN mbar ^y <br /> 3. Genermor's Nam.and Mailing Addrea _y-.'P____�� r.L A{r� 9 5 `' <br /> J !'T�I"1J� State Ocneroror'11s ID <br /> 4. Generator's Phone ' 1�{bZ-Y�O�] �� C[< Stain 7ro,tsportoLlD — � <br /> d. US EPA ID Nmnber <br /> S. IF a;ur�s nsr 1 Company N.me �— D. Tfanspeneli Phone <br /> Cell171- � 0 8 0 0 1 1 0 5 9 S00 874-4444 <br /> — C AIT E. State Tramponer'i ID <br /> Name a, US EPA ID Number <br /> 7.lranspater 2 CcmPany ri Phone <br /> F. Tranrpone <br /> _ O. State FoeilRY,ID S <br /> 9. Geslgnared FaaihTy Nome and 5iro Addrea 10. US EPA 10 Number C A D 0 8 3 1 6 6 7 2 <br /> PRC PATTERSON, INC. 1f. Facility's Phone <br /> 13331 N. HW. 33800 874-4 44 <br /> PATTERSON CA. 95363 C All) 0 8 3 1 6 6 711C .Inas, 13Total IA- Unit <br /> and ID Number) Quantity Wt/vol 1, Wash Number <br /> 11• US DOT Descripdoa(including Proper Shipping Nome,He2ard Class, N°• Type State <br /> 223 <br /> a. EPA/Odror <br /> o f NON RCRA HAZARDOUS WASTE LIQUID O O 1 T T State <br /> M N b. EPA/Other <br /> e E <br /> e R Stale <br /> o A -� <br /> m T c' Dall a EPA/Od'er <br /> w R ✓ staro <br /> W d, JUN 0 7 1995 EPA/O her <br /> N <br /> K No^dlinp C:-dei f°r Wotles Liekd A w <br /> zJ. Additional Description[far Mmerialf Usted AboveENVIRONMENTAL HEALTH es. b• <br /> pERMITISERVICES16 <br /> C'J <br /> WATER & OIL c. d <br /> 4 <br /> 0 15, Sp.dal Handllna Instrutliam and Additional Information <br /> z 24 HR. kTfERGENCY CONTACT: PRC lit-(800)-874-4444 <br /> 24 HR. EMERGENCY RESPONSE: MEM TEL INC, #1-(800)-255-3924 <br /> = APPROPRTATE PROTECTIVE CLOTHING & RESPIRATOR. <br /> F- beve b pr. er chi In cox and oro classified, <br /> 1E. 06NERAT0WS CERTIFI 1..TiON: I hereby declare thor the.eonront.of this consigmnent ar+fully and occuralefy descdbod o hY o�n d nasi.^ol Qavemment tegulalia^s. <br /> i est b hi hw according m applim6la intorno on <br /> pocked,mocked,and labeled,and are in all raspe<B In proper eoad8io^for Ira^p Y g % <br /> p gra lata to redact the vola and toxicity of wort- generated t°&c degree 1 have deterrllni end to M <br /> If I am a lora- qua Mly pennnnor, I cuvfy +iter 1 hew a ro m in P sf.ra9e. 'i octal cur entry available+o me which ml^[raiz-[The prasenl amt fvNm <br /> p• econotricalty practicable and that I hove Wooed the practicable merited of tremmenf, s p nM to mi0lnsixe my r•'a;ta OeneroKon and sera,the brat <br /> vi threat to human health and the Mvi,,nment:ORur, if I oa small quantity generator,I o goo <br /> K waste monociem.n,method that is available to me and shot I eon afford- <br /> O F,WW d Ty d am. Stgnahrn <br /> Z T 17. Tr i oder 1 Ark`no`eled ement of RMI I of Materials <br /> z 0. Signalu c /CVS I�lI� 1/_(LABII-l1_ <br /> 0 A Pdnte /T ed Jaee r <br /> W S r {� C C.ems-V P•� <br /> P 18. Trans aster A,tkno .wle amen,of Recei 1 of MWeriel9 Month Doy Tear <br /> Oq <br /> w SlgnaNro <br /> T Printed/Typed Name <br /> 0 z <br /> 19. Discrepanq Indlcmion Space <br /> IF6 <br /> Ae��C�f <br /> l cared b Mis manifest oxce f as noted em 19 j Year <br /> 1 10, Fadli Owner or O Certificatio of recai t of hozardom mater[ � µomit <br /> Y Printed/Typed NamB <br /> I <br /> DO NO ITE 8E THIS LINE. <br />