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Slate of California--E.Vironmea al PPbhction Agency r <br /> Form Approved OMB No,2050-003Q>AExpires 9-30-99f y See ID$:FDCT�GD$ GD bOC1( O '98 b. Department of Toxic Substances Control <br /> j P11 es pirim or type, Corm designed ler a.e on elite(12-p;ml NIA-Al Mr. �� Sacramento,the <br /> California. <br /> I. ('ienarabr's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> UNIFORM HAZARDOUS is no,required byFederal law. <br /> ,WASTE MANIFESTCIA () of <br /> 3. Generator's Nome and Mailing Address A. Slate Manifest Docament Number 21548537 <br /> ARCO PRODUCTS C(PIPANY <br /> 0 4 CENTERPOINTE DR. ; LA PALMA F CA 90623 _ E. stat Gene.atar'.ID <br /> h 4. Gennrobr's Phone( g25 ) 11 IY 11110 `° C sal 16 10 1 <br /> N 5. Transporter 1 Company Nome 6. US EPA ID Number C. State Trvnsporter's ID IRnerved.] <br /> h <br /> ap D..Tr p f is Phone <br /> O s}'1 557 I—AIA30 <br /> �. 7. Transporter 2 Company Name B: US EPA ID Number E St to T porter's IO(Reserved.) - <br /> sese'J F. Transporter's Phone <br /> V <br /> 9. Designated Facility Name Sete Fa<ili Nome and Site Addresa 10. US EPA IO Number y's ID <br /> )0 DeMENNO/�1°:RDOON <br /> CATOL' OO1 15121 1 <br /> ZH. Facility's Phone <br /> ft Or 2000 N. ALAMEDA ST. <br /> h� COkJPTUN CA 90222 T 9 O ? MG-537-7100 <br /> 12. Containers 13. Total 14. Unit <br /> V11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Num6erl No. T e Ouantiy Wt/Vol I. Waste Number <br /> State <br /> �x (011 & WATERO NON-R.C.R.A. . 2�a <br /> G <br /> 11AZA11D0[TS WASTE LI{ UID O O } 7 T C EPA1016.,NONE <br /> av E 6. slate. <br /> o N <br /> m E EPA/Other <br /> v R <br /> v A a star <br /> o T <br /> O EPA/Other <br /> R <br /> -' State <br /> d <br /> Z <br /> m EPA/Other <br /> U <br /> ors W : <br /> J. Additional Descriptions for Materials Listed Above K. H ndl n 9 Codes/ WasteListed Above <br /> 997, wArrF,r r1- <br /> ad 1% 011. C. d <br /> J <br /> Q <br /> Z15. Special Handling Instructions and Additional Information <br /> O 91te: ARCO? 6434 <br /> a DON PROPER PROTFcTIVE GEAR 501 Vide KettlemEin In/Hutchins <br /> W <br /> NO SMOKING; R.R.G. 027 Lodi, CA 952.'40 <br /> X Contractor: K.F. Curtis Construction Co Inc <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this conigvent are fully and occoraldr, v <br /> described aboe 6y prepsn-Aipping name and are classified,packed, <br /> Umarked,and lo6sled,and are in all respects in proper condition for transport liy highway according to app heckle international and national)government regulations. <br /> If I am o large quantiq generator,I certify that I have a progrom in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economicolly <br /> s pradic.6le and that I V.selected the praclica6le method of treatment,storage,or disposal currently available to me which minimizes the present and future threat b human heahh <br /> w and fyyee envir0hhjehrP OR,if 1 are a small Guontiy Sorensen,I hove mode a good faith effort b Minimizemy wash gen rol m and,select the hest waste management method that is <br /> Qavailt159 ms eTsd tkdf I can afford. <br /> >- /Typed Nelms Shg 7�'e Mon h Day Year <br /> W T 17 Transporter 1 Ah` howled emenl of aeipl of Materials <br /> A Pnnte Typed Name - $ignafurs s Monts Day Year <br /> w P <br /> Trvrupnorter 2 Acknowledgement of Receipt of Materiels <br /> O Printed/Typed Nome Signoere Month Day Year <br /> us [ <br /> N R <br /> la.! 19. Discrepancy Indication Space <br /> Z F <br /> A <br /> C <br /> I <br /> L <br /> f 20. Facility Owner or O rater Certification of receipt of hazardous materials coveredby this manifest except as noted in Item 19. <br /> T Printed/Typed Name - Sigwfem Monts Day Year <br /> Y - v o � <br /> DO NOT WRITE BELOW TH S.LINE. <br /> DTSC 8022A(I/99) - Green: TRANSPORTER RETAINS <br /> EPA 8700-22 <br />