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r� errje <br /> NON-HAZARDOUS' 1 Generators US EPA ID No Manifest Doc No 2 Pagel <br /> WASTE MANIFEST of <br /> 3 Generators Name and Mailing Address <br /> cheveron <br /> hwy ,.x,: 12 loch. , ca <br /> 4 Generators Phone( } <br /> 5 Transporter 1 Company Name 6 US EPA ID Number A Transporters Phone h <br /> 7 Transporter 2 Company Name 8 US EPA ID Number B Transporters Phone <br /> F <br /> 9 Designated Facility Name and Site Address 10 US EPA 10 Number C Faclhry s Phone <br /> znviro tec <br /> 2480 a'hens ave <br /> 4 - 'f <br /> 11 Waste Shipping Name and Description 12 ontainers 13 14 ,c <br /> Total Unit 'a: <br /> No Type Quanidy �WVVoI <br /> a �� <br /> n non haz waste liquid 001 tt g <br /> waste water <br /> G b i <br /> ` E r� <br /> f E <br />~ R <br /> r r A C <br /> T �a <br /> o <br /> d r <br /> t "__j <br /> i ^3S <br /> r'r <br /> i D Aooiticnal DEScnorion=_for Ma,enals Listed Above E Hanohng Cooes io ti�astes Listed Abctie <br /> I purge hater from taylk <br /> r <br /> r <br /> t5 Special Hanolmg Ins,rucl ors and Additional Information <br /> emg <br /> abco troy a 916-826 -3803 <br /> 1 <br /> 16 GENERATOR S CERTIFICATION I Lr-'y the m,rr cie ocsc ited�5o e on ris Mo-acs are ne �Ltjt'CL o cderal egul[iio-s tc cpor ng p e;�cr v cpo�al of Naza 6r_. e <br /> :Dr ricoT)re.:Name jinn^r r \ Ilonh G or <br /> T <br /> TR j 17 Tra-sporEr 1 -ckno� IEdger,cnt of Pcccipt of MCLe tats -- <br /> A Pr 9LEe Tvpco%air2p 01 <br /> t ire ✓e <br /> [ r <br /> O E Tfansporer 2 ACKro' ledgcmen ct Receipt of Mate 3als <br /> T Printed Tvpcd Name S19ncir, e Mor r D.i )ear <br /> E <br /> R <br /> 19 Discrepancy Indicallon Space <br /> F <br /> A <br /> C <br /> 0 Facdd} CHner or Operator Certi`ication of receipt O»as,e materials covered try this manifest except as noted in Item 9 <br /> Y A�onrn psi Year <br /> PrinteoTS,yped Name ✓(Y� <br /> BILL 1IRrl'Ar1El\K0 <br /> Primed by J J KELLER S ASSOCIATES INC 2-BLS-CS REV 12198 <br /> Neenah WI 54457-0368 <br /> ORIGINAL - RETURN TO GENERATOR <br />