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� -_,...,-r�- --..�t- .-4`�?G'�� - ^^ •-_" _ (-.�y�,..5.=y hx.�."i{",.�T.s.�-.,srz���r+3 ,•-� -o <br /> Please prini or <br /> (Form 6esignetl for use on elRe(72-pitch]typevaer) <br /> NON-HAZARDOUS 1 Generator s US EPA ID No Manifest Doc No 2 Page 1 <br /> i= WASTE MANIFEST NIA 0001 1 of 1 <br /> 3 Generators Name and Mailing Address - <br /> cheveron // att : tim <br /> hwy 1Z / lode , ca <br /> a Generators 209 ) 467-1006 <br /> S Transporter'I Company Name 6 US EPA lQ Number A Transponer s Phone <br /> inv1 tecI n/a 434-0211 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number 8 Transporters Phone <br /> r 9 Des,grated Facility Name and Site Address 10 US EPA ID Number C Facility s Phone <br /> inviro tec <br /> 2480 athens ave . n/a 434-0211 <br /> lincoln, ca 95648 <br /> 11 W251e Shipping Name and Description 12 Containers 13 14 <br /> Total Unit <br /> No Type Quantity WVVol <br /> a <br /> non haz waste liquid <br /> -waste water from tank- 001 �tt ICT <br /> G b <br /> E <br /> N <br /> E <br /> F! <br /> A c <br /> T <br /> 0 <br /> R <br /> c <br /> I I <br /> i Q Adoi�onai Descriptions for Wa en=.'s Lis ed Abo%e E Handling Codes for Wasles L sled Abc�e <br /> purge :aaterrfrom tans. <br /> I I <br /> i5 Special F-c^dlirg Insiruciions and Addi,ional Iric r•E :�n <br /> ems / abco / troy w. 916-826-3803 <br /> I <br /> I <br /> i <br /> I <br /> 6 GENERATOR S CERTIFICATION I cFv'} i e Ce.c iced Coote Cl =r-ari a e no s..5 cc c eon al Ecu +ons or reper'cng p,cper d=posai of�az,rec_s Wa=te <br /> I i - <br /> TnrtecrT�ped Name 5 gnaw e Cr h )Aar <br /> III � <br /> T 17 Trapspc^er 1 Acne+ iecaeren,o'Receipt of Va e a s <br /> R <br /> PnnicarTypEd'ti-^e y C <br /> P BILL ARTAMENK0 <br /> 0 18 Transporter 2 Acknc> ledcemcnt of Receipt of r4ax ia s <br /> R <br /> T Pr.nletlrTvped«fame I Signctu e - iron h Day Vrar <br /> E <br /> R I <br /> 19 Disc epancv Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L 20 Facilry Owner or Operator Certification of ieceip of i,,aste matetials coverEd by this manilesi except as noted in Item 19 <br /> r"�I <br /> PnnledrT}ped Name Signa+uie t4onm pay rca <br /> BILL ARTAMENNO 7 �_ <br /> Primed by J KELLER 8 ASSOCIATES INC <br /> Neenah 12-BLS-05 Rev 12198 <br /> MN ,4957 0';68 <br /> TRANSPORTER #1 <br />