Laserfiche WebLink
.�P--C)T-99 12: 18P, _ . .P,.02 <br /> rw--rorin pproved OM6 Ne.2050-003916cpira,� qr See I rwceenns on Vii' pays 6. Dopenmom al Toxic Sub rorlew Co�lr, <br /> Pltro:e prior ar type, fort's decig,,.d►or uJe an efile 1' frl 9'peeTi'r. i "- - �- . ,. i Socrorrrw+ta,Ca`1dVpp •',,y <br /> 1. Cw,orotors US EPA 14 No, Manifest Docamtwl No, 2. Page 1 (reiormalim in the"ded areas 1 <br /> UNIFORM HAZARDEIUS ._ is nal required by FbMol 19w.. •� <br /> WASTE MANIFEST �" A'191' tj 2 1 1 El I ZI 1 4 1 .1, "19r aft .1 <br /> 3. Getiworors Name and Moiling Addror, <br /> CEPT I F I ED GROC E'P.5 :- <br /> 0 1990 PICCID I RD. - STOCK*TON. CA952%1 <br /> h ,. Cwnaromr's Phan.l :l,t9 921--1 990 <br /> n <br /> S. Troe.porhr 1 Company None 6. US EPA ID Number <br /> o NOP ':,AL OIC C AD 9 9 ' 4 177 2 3" , <br /> O , <br /> 7. Transpwhr 2 Company Name 9. US EPA ID Number <br /> l <br /> f <br /> MJV <br /> Y. Dmignamd FoeiNy Nome and Site Address 10. US EPA ID Numher <br /> A11F.-.-is?''I_!✓AN_ INC . <br /> IDE r_g25,71) A!->~'IClI IJ Dr'_ p. <br /> .' ! ')f= . ' !-Pk IellyS_ NV R-94 're (" - F <br /> 11, US OOT Descr pt on lincluding Proper Shipping Marne,gamt2_ CaaraiMrs 13. T6101 I Uais <br /> rd Clast,and ID Nunrberi Type <br /> Ouonti WIJVeI <br /> (L a. � <br /> � NOi•I•-I?r:i?.q t�f=+Z Al✓TJO►.J5 WASTE LIQUID -`... ./;. <br /> 3G 'WATEwP E.. 'iI-UDG1,_) ~i T T r; <br /> E 6 <br /> C4 N <br /> m E <br /> e R <br /> A <br /> o T C. <br /> 'o R �- <br /> oc <br /> Z <br /> u ,a <br /> W <br /> N <br /> Z <br /> W <br /> Q <br /> 0 15, 5pwiol HawcIlImS IniNwions and Addisianol InforRo tan <br /> APPROPP.I ATE PROTECTIVE CLOTH IM133 <br /> w "Ef'ICF!Ij)✓ ICY ' ONTAC T: !2`09)541-914511 <br /> 3E:E E:F:'.ti. 171 <br /> .s t 6. t3ENERATOR'S CURTMAT10N. I hereby decam iter rho conNnk of this can ri nmerd ore fuuy and xcarat described abo. by proper shipping name and ore doss;ked,pecked. . <br /> worked,and l6WW.and are in all respects in proper cmWitian fa e.nsp .M highvwy according 16 applicable international and•nesienpl ga.ornngM r�ularipnt. <br /> J <br /> If I am a l uanri rN+star,1 wrti thel 1 r ' <br /> a °'8e 9 80 (f (r.o o pregwm in plaao re rduae Ifw wbeke and w.ieiy of wets yMnand to the degree 1 have determined robe economically <br /> protlitable end Thal I iw.e sefec ad the prap+cabk madwd of rnnrrowd,storage.or dispo al cunMsly 0•oila6le to me-1lich min; ;T*0 dN present and".lkfow n huwan Melllr <br /> and rhe env;raHnent:OR,if I am a smeu quoniillr gonvolot,I hese wade o good faith effort io minimize myot.osh por.uarlion and salecs dra best worse rnonogemeor meshed dwt is <br /> Oa4lable b me and Thal I can afford. <br /> VPrimed/TypedN s _'� S,geetwe `'� r Momh Dpy Year <br /> r_rt <br /> T17. Trent r 1 Aclurowlad enl of Itea; t ai Mahrialt <br /> Punted/Typed Name Signorun 101 <br /> Mantle Day Yew <br /> W F f - f C �, <br /> 0 k 18. TronApdrrro,2 4cknowl emtml dae <br /> Rei of Mm.:als <br /> T Prinred/Typed NameSiOnolure Month DOR Yea, <br /> l <br /> V19. Discrepancy lndicorien•Space <br /> Z A ' <br /> C <br /> 1 , <br /> L <br /> f 20. Facility Owner or r Gorlificahan of receive of hems s waseriols eo`ered this manifest exce 1 os noted in Isere 19, <br /> T Printed/Typed Nana 5ignolure Mond, Day Tao. <br /> Y <br /> d <br /> /-A & I I 4A Z;-,03 Q I <br /> DO NO WRITE BELOW THIS LINE. <br /> DTSC 9022A IA/97} <br /> EPA 8700-22 preen: YRANSPORTER RETA#NS <br />