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NON-HAZARDOUSs <br /> 1 Generaivrs US EPA ID No Mandest Doc No 2 Page 1 <br /> WASTE MANIFEST of <br /> 3 Generator s Name and Mailing Address <br /> cheveron <br /> bWY 12 lode , ca <br /> 4 Generators Phone( } <br /> 467-1 <br /> 5 Transporter 1 Company Name fi US EPA ID Number A Transporters Phone <br /> inviro tec n/a 434-0231 , <br /> 7 Transporter 2 Company Name 8 US EPA ID Number 6 Transponer's Phone <br /> ti <br /> 9 Designated Facility Name and Site Address 10 US EPA ID Number C Facility s Phone <br /> invaro tec <br /> 2480 athens ave �� <br /> ' 11 Waste Shipping Name and Description 12—Containers 13 <br /> Total Unit t_ <br /> No Type Quantity Wt/Vol <br /> T { <br /> a non haz isaste liquid 001 t <br /> waste water 4 <br /> G b a <br /> E <br /> k <br /> w� NE <br /> _ R <br /> A c <br /> O r ' <br /> R <br /> Fd <br /> , f <br /> rl I i <br /> D Addi coral Descriptions for Ma,ena's Listed Above F Handimg Codes for%%asses Listed Above <br /> Y <br /> purge water from tan',c <br /> F <br /> i <br /> s _ <br /> F j 15 Special Handling Ins,ruc ions and Addir anar Inlorma ion Y <br /> i I emerg - <br /> abco troy 1,7 <br /> d <br /> r 916-826-3803 f <br /> I _ <br /> L <br /> .6 GEN rRATOR S CERTIFICATION I ccri'y re r^.- _,s descri-ed ebo%e on Is mon,est are-ot s_. ecr o =_cerol reg 'a,o^s or tponrG grope d spesda of"azaidci s t'ale <br /> Pn�i,ea7vped Name a e i 'o-n car <br /> i T j 17 Transpc.er 1 Ac4nowledgeirem et Roceipi of l,Ac e -s <br /> R <br /> i <br /> N I Pr,nled,7,Pe0 Name r, j e r al D,v )c-r <br /> S AY LOYDE Z_ _ <br /> P <br /> O i$ Tran�pa',er 2 Ackno% leagenert ct Receipt of Maier cis <br /> Riieer ft ped Jame 5 cra re orrh Day Year <br /> F_ <br /> 19 DiscrepalcI Indication Space <br /> r <br /> I F <br /> A <br /> C <br /> i 20 Facility 0,%ner or Operator Ceniiical+on of rece,p of, aste ma @rials cc%eyed by this mantle Si Except as no,ed in item 19 <br /> T <br /> Y hon opv Year <br /> PnnlevfTtiped Name Sigr <br /> 1 -73 <br /> Pnn7ed by J J KELLER 8 ASSOCIATES 1NC 12-BLS-05 Rev 1219$ <br /> Neenah WI 54957-0368 <br /> ORIGINAL - RETURN TO GENERATOR <br />