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f Please pnnt or <br /> {Farm designed for use on elite(12 phch)typewrtler) <br /> µ - - NON-HAZARDOUS 1 Generators US EPA ID No Manifest Doc No 2 Page 1 s <br /> i0001 <br /> WASTE MANIFEST of r <br /> 3 Generator s Name and Mailing Address Y <br /> I cheveron <br /> hVY12 //lodl , ca att :tim <br /> r 4 Generators Phone( 209 <br /> } <br /> 5 Transporter 1 Company Name 6 US EPA ID Number A Transporter s Phone <br /> thrifty rooter n a 434-0211 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number B Transporters Phone <br /> 9 Designated FaQ111y,Name and Site Address 0 US EPA ID Number C Facility s Phone <br /> inviro tec n/a 434-0211 <br /> 2480 athen5 ave . <br /> lincoln, ca <br /> 11 Waste Shipping Name and Description 12 Containers 13 14 <br /> Total Unit <br /> No Type ojenuty WL/Vol <br /> a non haz waste water nos . 001 tt Q <br /> 3 d� <br /> G b <br /> E <br /> N <br /> E <br /> R <br /> A c <br /> T <br /> O <br /> R <br /> � d 1 <br /> D Add1io a Descrip ion,for Eater als L s-ed Abcve E Handling Codes'o wastes L sled Above <br /> purge water from tank <br /> l- <br /> 15 SPIC al�anohrg Irst u.-lions and ooi coral Infcrma-on <br /> emg // abco// troy w. 916-826--3804 <br /> I <br /> 116 GENERATOR 5 C ERTIFICATION I ce-r ti re me+er u s oescr�cec ano e c- s'ra- a=I z IF^ct,,r,ect Ic lcde a iegjla ro i,,'cr epor rg pro;e d spcsal o'H.2aroo-s c <br /> Prir,'eor i ped Dame SIgna11 e 1—r <br /> E <br /> TR 17 Trans ' <br /> oer 1 AcKnc ,edge-e^t of Receip ct +'a E als <br /> A I --Or n eo T� ec Name S scz) <br /> P S <br /> OI r8 Transpo^er 2 Ackno�%Iedgemend of Receipt et Mate cars <br /> R <br /> T PrintediT�peo Namei 5rgn�tc, e 110,n Oav }ear <br /> E <br /> R I <br /> 19 D screpancy Imitation Space <br /> F <br /> A <br /> C <br /> I <br /> 20 FaciWl 0%%rer or Operalor Ce ti'rcat on of recerpl of waste mater ais covered by th s manifest except as notr<djn I+em 19 <br /> Printed T�ped Name SI re r�IIn 0,;y —Ye2r <br /> Pniled by J KELLER 8 ASSOCIATES INC 12-BLS-CS Rem 12/98 <br /> Heenan wts�9s�osse TRANSPORTER #1 <br />