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e o 0 <br /> 111111,11 W Federal law <br /> 1 OR <br /> P E W/CSTE'MANIFEST A. Stets Me Its Document Number <br /> 3,G nerstor's Name and Mailing Address R C.. Anderson H 9 4 3 fl O 7 <br /> Pa ific.GAs & Electric Co. Attn: R, State <br /> s <br /> 650 "ON St. , Fresno, CA -93960 _Stockton GLC <br /> a. Generstor's Ph o a( 209! 263-5215' PA ID Number c:state Tran$Ponera lo. <br /> g, - US E <br />� <br /> S. Transporter t CompenY Name ,. D Trans war's Phone <br /> o <br /> E. Sate TransWmes 10 - <br /> g US EPA ID Number F. TranaporiM`s_Pnone -{It <br /> u. 7. Transporter 2 Company Name - I _ <br /> 0 1U US EPA ID Number <br /> 9. Designated Facility Rams,and SNB Atldress41-7Ld <br /> Chemical illaste t4anagement/Kettl.eman Hi 11 s. Facility N acd <br /> 35251. 01Yl i rte Road <br /> CAf.93239 er _ 4 <br /><_ Kettfieman 4t�+J; 12 Conasere is anal U�d sxwaateNo <br />_ oaann r <br />= Shlppkl0 Neme.tleyaM Ciaa+,and ID Number) No Type wt/V <br /> i <br /> I. US DOT OeacilPlloftLht�dg\h Propel <br /> I Oonly Califorrtia regula d wase <br /> contaminated <br /> 'Sol l <br /> Ab. ; <br /> .,�y } A <br /> a* .c <br /> eYv q.y+ 4,,,4 <br /> gi a v i v µ3v i4 , EN v3g1 r -Sr� i'n-«a3Y.r'aa Y v Y'- - <br /> " <br /> L VV <br /> d "+: 1 <br /> Z <br /> O .;-- <br /> ,� <br /> W <br /> G <br /> ` . <br /> Y <br /> f6 In11buWOra and A41d)Noeef Manaatb9yss yy�ceN'� ,RIK <br /> ` --ileah� tectire clothing if�, 4Ar r j:T '� r ra <br /> during loading. Uear respi, al;prf� Lith <br /> J <br /> .. shipping name <br /> U 18 . ::.,$ ' Mernetprml andel <br /> GENERATOR'S CE 1 hereby dectam that the tomenta a/tone cony ooYa utranasP l�b71 t1 eYAaording 0/PD �l .-: <br /> j end arois <br /> R'S C Pecked marketl,erM abebd amt ere M ag respects m 1xoPe A y T st ,. ".. O' <br /> 6 -national government regulations. <br /> - �` ` sled to ttw 411100116 1 have.detemuned <br /> N cikable method ol:tr11abnenl.'alo0aga.or.diapoasl Rwremb ave0abie to ma whicA mmimlzae the <br /> .N I em a large Quantity peneator,1 eeRNY that the"a program in plaoq to reduce UtenoWme en41 toaimb of WA'1ttee gans" -feilAmble t to which my were <br /> to ba ecgjtomitaly Premkable and that 1 6eve selected the Pne for,I be"mus a good .'i <br /> O present�iM tuts,great to human health and the environment:OR,N f"am a am at RwMItY 96Pell <br /> U - 9enaatlbn eM Salem the beat wears mene9e rant method that is avaNpbN to me agd Chet 1'an-ettord� Mph �, Year <br /> Slgnat <br /> ZPrinted/Typed Name <br /> Q H <br /> W <br /> 1 Acknowle <br /> W T 17. Tranaponer dgement of Receipt Of Materiels,.. - Month Day Year <br /> R SiOneture, <br /> Q A Printed/Typed Name - <br /> P 18. Transporter 2 Acknowledpem6nt o/R—ipt of Materials - r -;.A�onM DAY Year <br /> Of Rtons a <br /> T Printed/Typed Name <br /> - d - 'Ei✓_�:L <br /> -U E /./gyp <br /> 19. Discrepant)''it Mication Space ' COP ED 9, <br /> F MAILED <br /> A <br /> C <br /> tion of receipt of hazardous maleriala covered by this mandeat except as noted in Item 19. Mo Da Y <br /> I 20. Facility Owner or Oper Signatur <br /> Y ams , <br /> DNS e022 A(I ISS) Do Not Write Below This Line <br /> EPA 8700-22 /l_ // Z, 741 <br /> _ <br /> (Rev.9-68)Previous editions are obs te. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAY- <br />