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:rare of ceyia•nfa—Emnanm.mal P•aerion Agency See Instructions on back O•a 6. D.p.nmem at Tomc S.btmncas Canue <br /> m'Appw:.d OMB No.2050-00391E pins 9.76941 <br /> Twee pnm ar rype. farm daign.d for vu on alit.(IlPikhJ hp.rnrer. Sacram.nro,CaGlorNa <br /> I. Generator's U$EPA ID No. Mantles•Oo<umenl Na. 2. Page I Informarran in Me.boded areas <br /> UNIFORM HAZARDOUS nor required by Federal law. <br /> WASTE MANIFEST I C AIC 0 0 0 71 81 41 01 91 6 0 2 1 1 1 ' 14 °f 1 <br /> 7. Gere,.,.",Name and Mailing Addie„ A:Slat•Morilwt Do<umanr Num92-693 <br /> berr� c .n' <br /> W1 FROELIGER MACHINE- TOOL COMPANY 9 2 0 9 �-408 <br /> ut B. Store Generate.ID i <br /> 3023 EAST MYRTLE STREET, STOCKTON, CA. 95205 <br /> A. GenaaoPhone a ( > 2 hI I <br /> Q <br /> b. US EPA ID Number G State Twmpap �s I�s9 - <br /> O S. iramporto LLompany Nam• U <br /> O <br /> PETROLEUM RECYCLING CORP. CAT 0 0 011 059 1 D..uanpatehehmr. 800_$74-4444 <br /> 7. iramponer 7 Company Name B. US EPA ID Nvmbe I E. State.Trawpartei,lD _ 1 <br /> Q <br /> U Traruporteh Phone:_ <br /> Q 9. Dwigow.d Facility Name and Site Addraa, 10, US EPA ID Number G. State Fociliry'a ID <br /> PETROLEUM RECYCLING CORP. C9D1083 1 617(LS <br /> 13331 NORTH HIGHWAY 33 <br /> Y ¢ PATTERSON 'CA. 95363 CAD 088 166 728 I :800-874-4444 - <br /> U 17 Comolnan I 13. Total la. Unt <br /> TJ Z 11. US DOT Dawnptlan(including Proper Shipping Name.Hazard Oct...and ID Number) No. Tv.. Ouantiry Wt/Vol <br /> v 3 CJI - <br /> G NON RCRA HAZARDOUS WASTE LIQUID ( OIL & WATER) IeD 1 M IC�Ia� G <br /> o N b• State:,.# : �._'=rg< -I <br /> m E L. <br /> � R Eex <br /> A Stora^-^'. •'yr• '-1 <br /> c T <br /> c a JUN 2 81993 ^1a I EPA/Oho �sr.l <br /> Z <br /> u ENVIRONMENTAL-HEALTH �� �` EPA/O fe :-. <br /> W PERMITISERVICES ( \ <br /> N - <br /> 'r Jl Add'hbnal 0escrrPtrass'fon Mwenala),.ted K'Hnsdhrrg,Code•fat Wastes listed Abo <br /> o: � �`^" 'fy�, r�.C `1`�5� a' �.4 ,��t /^\` 1 \ f.J.a �- r �3•r�•,+ e' - .'� d � ' <br /> .rx� x-� �.:'°°t,3 a.L'.a,.,� ,.. ¢•• :7'-ren r.•�.F.•.7_ ti m :a ; F'�U.'"_ .w.. 5.r_:.:s •c,.s.::: <br /> Q15. Spacial Ho.dling In.tr.cnana and Additional Information <br /> < 24 HR. EMERGENCY CONTACT: 1-800—L +-4444 <br /> u <br /> 24 HR. EMERGENCY RESPONSE: CHEM TEL INC. 1-800-255-3924 <br /> APPROPRIATE PROTECTIVE CLOTHING 6 RESPIRATOR <br /> Ib. GENERATOR'S CERTIFICATION: I hereby declare that the c.nt•nn of the mmignm.m an fully and acwranly descnbed above by proper thippinq nem.and are clanlfi.d, <br /> Qpacked,marked,and laW.4.and are in all...pets in prop.,condition for rrampon by highway according to applicable led oal,state and internarianai I.-,. <br /> V <br /> If 1 am a large quantity ganarwor. I certify that 1 have ° program in plea to ..dun the volume and laaidry of ..an. q•nnwad to the degrv. I have dmrmin.d ra be <br /> economically practicable and that I have selected the practicable method of nommen•, storage, or d'apowl currently available to m..vni h minimises M. preseand fu Nie <br /> N Ih,ow to human health and Ilse an.i,a,m..,OR, if 1 am a small q...thy gene,•., 1 h.v a goad faith effort to ninintiz.my�.aste gon.,adMpresent and <br /> and m6a the best <br /> _ vaaa menta •met method that is available to me and that I can H.M. <br /> Q Printed/Typ.d Name SignT` I Monnh Day Year <br /> r �PCtiC <br /> e O r 0l �2 <br /> V T 17. r...mortar I Acknavled .mem of R.ceiot of M°teial. <br /> T <br /> w � Printed Typed Name Signerure Monts D1aY I <br /> Year <br /> 13 �.. <br /> I I / <br /> w F <br /> o 1 IS. irvm.onma <br /> ar 2 AcLno..led . nn of Raceior of Hobnob <br /> w <br /> w t Primed/TrPod Nam. $ignamr. Month DaY Year <br /> a <br /> Q e <br /> su 19. Discrep°nry Indianian Space <br /> N <br /> Q F <br /> U A <br /> _ I <br /> L <br /> 1 20. Focdi Ov,..r or op.,.,.,Cernficonon of re<.iot of hosardaus matenaL cawed b this mandnr ease.•a,natal�n e<m 19, <br /> Si arvry Mowh Day Y•or <br /> T Panted/Typed Name g^ <br /> Y I I I <br /> DO NOT WRITE BELOW THIS LINE. <br /> DT5C S022A (7,921 <br /> EPA 6700--77 <br />