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O 1 1 E3.L .rlea <br /> Pumrpppro.ed OMg No ages—ocao(e.Pi,..o aD-alY fill � . me v <br /> "eaad pont lir Typo Pomp designed 1a use on elfte eft pRdppswfdar). and FrOnf Of Paga 70.10 Sutivanee centra nnume <br /> UNIFORM HAYARDOUS I. GoAasstor's US EPA ID No. —_ Sacramento,Caliroms <br /> Manifest 2 Pap• , <br /> n� <br /> WASTE MANIFEST � ncum nl o_ Iniormalion In the.hacked areas <br /> 7 G&A-16l0eb Nam$and Mei ung Address T ,/I °I I Is not required by Federal law <br /> PD/ T C. M/LL x-M� � 7L —5 j.— I N 0— A ears wnpeat Oeoument Number <br /> ER'A UCS sJ'OC� ,�aGll� a state OMMalare ID <br /> s. C»earatory Phone tp.�y> /J <br /> n a Trsnaponar I Company <br /> C�r <br /> b P Y Nam$ a. US EPA ID Number C. State Trait <br /> ti apanera D <br /> 0. Tra apdanWa P11aha O <br /> 7. Tgnaportr T Company Nsma 8, US EPA ID Number E. Stara Train <br /> 9Tf P. Tralwporlr•e Phone <br /> a. Desi naiad Facility Name and Site Addreaa10. US EPA 0 Number <br /> ��F/A1 Q/ES 5E-R- VICE a. at ataP. rr <br /> °W .D <br /> N y' 3 tL e g� <br /> b 11. US DOT Docdptlon(Including Proper Shipper,Nem,,Hsxard Claes, end 1D Number) 12. C°nleMaa q. Total u, 1, <br /> Q` No T Ouantlty Unit <br /> U Type war Wella No. <br /> 2: a a R opx Nj A �E6Zul ArED 40WS��" o/ ,41 alga <br /> Oil; H EPA,p er <br /> Fb. __ — _.... <br /> R &au <br /> A <br /> 0 �r EPA/pier <br /> d. OV �F.Pr 90 -- <br /> = ENVIR NL HEALTH <br /> E IT ES <br /> J. Additional Deeerlpbru 1r 1latrieia uarad Above fc Nesdlktg Cadea W Weise Ltrad ADOve <br /> d a. a. <br /> TNK &7'rOM &)A5-j—C- 0. <br /> J <br /> F I IS- "Lot Handling IA*trudliale And Additionalis <br /> 1n I0/magon <br /> a <br /> u <br /> OENERATUR'S CERTIFICATION: I nelally doeler•that the contents of this consignment are fully and accurately described above by proper shipping name <br /> and are clasetried.packed,marked,and labeled,and are In all respects in proper condition for transport by highway a[e0rding to applicable intyrnermnsl$lid <br /> A. national govetnment reoulebons, <br /> 11 I am•.urge quantity ganefaldr,i cenlfy that I have a program In piece to reduce the volume and toslclly of waste generated to the degree 1 have determined <br /> it to be economically practicable and that I have elected the practicable method at treatment,storage,or disposal currently available to me which mmiMrss tn• <br /> present slid future threat to human health and the environment:OR,if 1 am a small quantity gonoraler.1 hes made a good faith anon to mmlmize in,w,ate <br /> s aanrailon <br /> and select the beat waste management method that is available 10 me and mat 1 can alldrd- <br /> Ui <br /> 2 <br /> w� Printed,TYDed NameSignature Munth Oay ,rear <br /> K <br /> w <br /> go IL Transporter t Acknowledgement of Receipt of Maiertei• <br /> A Primed,Typed Name SignatureMon:A Oay Year <br /> $ S E <br /> fit <br /> W D <br /> P to Transporter a AekAoasadgament of Receipt of ktatenata <br /> UT Prinlsd v d Nam Signal Mnmf D}}ay Year <br /> 2 - <br /> -ICrillowo4nigirladidelliall$p1 a <br /> F <br /> A <br /> C <br /> I <br /> L <br /> 1 2g. Facility Owner or Operator Certification of receipt et hazardous melons a Brad by 1 manstdecepf e e in Ito to <br /> T <br /> y <br /> P, 1,24fliame <br /> DH 5 <br /> 5022 a / bo Not rile his Line <br /> EPA 8100"22 <br /> (Rev a-m)Pravkse edition,are obsolete White: TSDF SENDS THIS „_r I TO DOH5 WITHIN 30 DAYS <br /> To P.O. Eos 30D0, $acrmionlg, CA 95,61-_1 <br /> NOV s: 31 <br /> iN 20975,45 <br /> r. '=` <br />