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Spm.of Colll.ulo—En,iranm.mal Pror•clion Agana <br /> farm Approved OMR No.2050-0039(E.Pi-930.99) See Instructions on back of pogo 6. D.p.nm.nr.1 T..i,s.bo.n—Control <br /> Pleas Print or Iyp.. forrdde,i0n.d 1y v,,on olive(12-pircb)tyi—r—. <br /> m.nm,Colilornia <br /> UNIFORM HAZARDOUS 1 G.n..mor's US EPA 10 No Mani6,I Docum.nr Na. 2.P.D.I Jonn.uaa in rhe shaded <br /> n nor mqub•d by F•d—1 lo„. <br /> WASTE MANIFEST �1�1�4��311513(p Il IC)1:I Cl 1(� 1 °f <br /> J.G.n.roror',Nam•and Moiling AJJre„ A.$Iola Monil.,l Document Number <br /> ARCO Products company 99700179 <br /> o P.O.Box 90877 R. 51.1.G.n«.P.%,10 <br /> n A G.—W.,',Phan•1 3101342-9858 Los eles CA 90009 <br /> NS.T,—pon•r 1 C—r—y N—. 6.US EPA ID N-6, C.$tora Iranlp.,w',ID JR_rved.l <br /> CP <br /> o U. T,—poo.,',Ph... <br /> m ]shire avironna rid Sergtc s _c. In A I n1 of 81-4 15 1 A I (949)450-1010 <br /> 7.Tmmpon.r 2 Company Nam• 0.US EPA ID Number E.51.1•Tmmporl•r'.ID 111ois .d.( <br /> NSAsbury Environmental Services F.T,.n,pen.,Ph... <br /> 9. D.,sgd Fociliry PI.—and Sit.Add—, 10.US EPA ID Numb., G.Sl.r.F«Miry',ID <br /> C:)--f DeMennoXerdoon c) (1 1 3i,2i-sTLi <br /> Na 2000 NnrthAlameda Street H,Fairy,Pk— <br /> Campton,CA 90222 1 C1 Aj T10 18 10101 11313 5 211 (310)537-7100 <br /> �y�R�qJ <br /> 11.US DOT D., i tion Win Pr. Shipping Nam.,H.,ord Clot,.and ID Numb.,) Canrn�ne�s Toll IA.Unit <br /> V+v p 1;,,Wing per Aping Typ, miry WI/Vol I.Wom.Number <br /> V�Z Goollne 1V1umire Sol. <br /> = 0 3 T7N1203 P.G.II 134 <br /> 3 G (Not Repalated as D RCRA Waste) \ ► ti r r 2 C G EPA/=TL <br /> E o <br /> N b_ slat. <br /> m E <br /> R EPA/Other <br /> v A <br /> o T Slnr. <br /> m O <br /> _ R EPA/Other <br /> d 51.1• <br /> Z <br /> W <br /> V EPA/Orh.r <br /> w <br /> z J.Addiiionnl D.¢rlpliom lar Mabri.h Lhl.d Abo,• K.Handling Cod.,lar Woo.,U,t.d A6o,. <br /> Z <br /> 1996 North American EUMGIIlCY RESPONSE GUIDE NO.128 D 1 b. <br /> K Tlw LDR Notification statement is not required as of Janway,1996 <br /> a <br /> HSC Ciutlan 25179.6 d. <br /> Z <br /> O 15.Sp.,W Handling InNruc tom and Addilionnl Inlarmmion <br /> a Gasoline and Watermix=e. Wear appropriate protective clothinC ARCO 2186 BEST#26470 <br /> z (949)753-5826(24 hour Emergency Phone) 3212 North California <br /> (949)450-1010(Man-PYi 7arn to 5pm) Stockwri,CA <br /> =1 16.GENERATOR'S CERTIFICATION: Ihnr.by d.dore lhoi rho<om... of lhh,an,iQ mw.Wallyand n„uror.ly J.—.6dob.-bypopu„hipp,nEjn. and m.da„ihed,pad•d, <br /> V —A.d,and 1.6.16d.and—m all <br /> —P.,"..prop.,c..di i n Lr v.mPart 6y high.ay according to apph-bl,inln,nolt—al and national gornrnm.nl regolarom. <br /> II I nm I.,g q o Ii gm r Io,,1 unity 11 11 1—. Pray—m in plata In .d—dre,dura•and Iancir, I.+o,r.g ., rml la the dnpre.I hn,.dnlumiad Io L.•co—i-Ey <br /> proYcoL1,and rhul I ho, al.cwd Ih.pp afmble mmhodroi rinalmonl,,Io,.ga,o drpa of--il,—ilabl.to m.whish m air ,a rho y enI and Iw�.e Ih—i I.I--h bh <br /> and`d'..n.iro o q OR R. <br /> I o n mollrgvanery g.n.rolor,I hm•mods o good lash eI1mI to minimi,u my vr.,l.gen•rufon�onJ ml.n Ih.bu,r.mm mnn.gemenl merboJ that i, <br /> ac a Inbl.ro mn—1 x1,.11 can ollanl. <br /> O <br /> y Pri In<I/T I Sign.mra hlcnlh Day Y•ar <br /> z �.+m &8'6art/Bm.agent of ARCO 1 7, Il I(f'•I(•C. <br /> `L r 17. fru on„I Ac1oo.6Jgnne1 al R-c-P1 d Mnmdd, <br /> r !)ypeJ Nnm. l signnrure Month Day Y.ur <br /> W i `hlpc f�fl1Z.'.ii 7 <br /> O0 R.T,nn.L.2 ctno.leJgumenl of Rnce„r.I Mnt.rlols <br /> Prin T,p �rm � C5 <br /> 3R <br /> 19.Dm,opnncy Indication 5,,,c, Month <br /> Day <br /> Z F <br /> _ A <br /> C <br /> 20.f—hly 0.,: or Onernmr Coni tic ran of re r r.I Imcnrdau,--mis c rad 6 Phis mmdl.n a cepa,nmed.n gem 19. <br /> T Print�ped N n�”` �� $ignn��i`—. Month 1Day lYaor <br /> a _ C a <br /> DO NOT WRITE BELOW THIS LINE. <br /> \Y6eu I:.DI :iI.NDS 1111'.,'Ytl'f ht ITIS. Nlll(lrl.10 PAY <br /> .r PU h....IfR1r1.:nh nar,n..I.,. .A '),YII <br />