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4 <br /> r n Oita ^9 <br /> f1( kes g- <br /> a oaa Docuq �i118y < <br /> :1 .Oenerat . a VJ E <br /> ° "-"UNIFORM HAZARDOUS a eoPro7ulred by Federal law <br /> WASTE'.MANIFEST: A State Menitest D u e N m r Q <br /> 3. Generator'. a and Mailing Address 89 1 0 $ <br /> PacbfI s 3 Elettric Co. Ati n'.;; &�j Cf Anderson 13 State Generatoes, 8 <br /> 656` 9t. , Fresno. CA"' 93760 `Stockton. 6LC <br /> a. Generator's Phone( 209 263-5215 - C.,State Transporter'.ID I I v <br /> h 5. Transpww t Company Name e. EPA-ID Number <br /> A D 10 <br /> 6 3 5� 4 7 9 9 6 D:Tranaponefs Phone Ann-7;Q-4211US EPA ID Number E State Transportefa ID — - <br /> mm 7. Trensporter 2 Company Name F. Trenaponefs Phone - <br /> - 70. S FP ID bar G. State Facita W <br /> 9. Designated FaWity Name and Site Address <br /> Chemical Waste Management/Kettieman Hil�is �ac � ty }{-Fac my.Phone <br /> 35251 010.Skyline Road y04_3g6-97 _ <br /> C .93239 6-- <br /> b 1 17 <br /> Kettleman Citx,&A -12.,CoMakiero: 13. Total Pr- <br /> ZQu ,,��x• i e,>;rL F,f iE'"`r' ••^— <br /> ¢ - antity unit Waste No <br /> Fi• Wa .- <br /> O 7i. US DOT DaeMwWn McIWIrig Proper ShippNg Name.Hazard Claaa,arc D Number).` .:Na Type f Vd'�±� <br /> Slat. <br /> California regulated waste only - contaminated <br /> N �a(♦ n c}rs T t�",fir-� a y f r j 6ta(a r �.0 <br /> n .. F b }• s. ZdrY'. �3 <br /> A <br /> ir <br /> oX-S lFa r,,., r�'�� a Y,'.S�IM{�{ �4•krw�..tez ?rb �•�, � .� u. �Yl yT t .ra�,.� -a,3 <br /> T -.°'? ��Y•;.;;- 4_�"Y t+�.�" �'re Y""s, •. � .. r � etl' y#7'r::�ute .F <br /> w r <br /> Z <br /> rT6'➢'a 'hSrp 70 <br /> 'tt-'c>e'Y-a a� + <br /> dutlrig. unloading Wear respi; r ;; ,� K :e <br /> shipping dame <br /> for transport by hWhvretlaccardke to applicable Intsmatbrul and <br /> J GENERATOR'$CERTffIDAT10N: 1 hereby declare tltat the COrnerlta Of Ilda oonnigmmeM are logy erM accureleN <br /> described by prop,, IPP ng .... <br /> � -,.end aro Wnnilied,packed.marked.end labeled.and aro in eq reapeMs h proper condNlon ,,, ,� ._ .. -, <br /> natbnal government requlatlone. . .•vZ�........• '. ;s k .- J� e I he"del <br /> H 1 am a'krge quaMitYgerreretor,I cMiy that 1 have s\program M place fo reduCe'lhe volume.eM/Ozloily M waste genera ad to o�q"to ale which mkumlzes the . <br /> _:lobe economically practicable and that 1 have select drs:Prec(cabla;melhod ollroetment,:atarege or dlWoaat Cofrardh'leith <br /> to minimize my waste <br /> O present and future threat to human health and Me enwcamaM;is 1 em a amel(7ua flat <br /> I aretor I have mads a good <br /> > - <br /> generation and select the IxM'weele management mellmd tha4)e avai4ble to me,and 1hat.1 can aRortl �?.+ <br /> O <br /> ?Mardi .Day ,Year <br /> wPrint dfT Name - - Signe a <br /> w <br /> Lt '°c. Nf u R-1 N <br /> g2j T 17.—Transporter t Acknowledgement of Receipt of Metenela <br /> qq Signa Month DO Y ear <br /> a A Pdnte T d Nil me - <br /> 01 <br /> LL $ - <br /> O P 18. Tr na.art 2 Aaknowbdgemenl of Receipt of Maleriale " <br /> LU 0 Signature n _ oarDaY Year, <br /> 6 R Mh Pdnted/Typed Name 1 <br /> O ' T <br /> E . . <br /> _- (,O.riED <br /> tg. DiaueDancy Indication Space _ <br /> a MAILED <br /> A <br /> C <br /> L <br /> 1 20. Facility Owner or Operator Cenitication of receipt of hazardous materials covered by this manifest a noted in Item <br /> except et8. De ry� <br /> Signature <br /> T Printed/T ed Name <br /> NJ <br /> DHS 8022 A(1/88) / �/7�—O` Do Not Write Below This Line <br /> EPA 8700-22 <br /> (Rev.9-88)Previous editions are obsolete. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />