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11/12/2007 09:07 FAX 2093683231 GEORGE KISHIDA INC 10005 <br /> IVOV UY ,UY UO; a Julie Huber �g�O3_3880 P <br /> Pfease print- ee.(Form designed(or use on eita(12-pilon)typewriter.} Farm Approved-ONB No.2053-0039 <br /> UNIFORM HA2ARDOU8 1 rr mor 10 Vumber 2.Pa9a f o: 3,E ne"3�OY R�spanse Ph aia 6,Manilast Trdt:ktng Numbar " <br /> WASTE MANIFEST " A L U 0 0 f� � r �; r � � ��a�cf��-t:�4�� ' 000552752 F L E <br /> 5.�ertaraler's a ane 1aim6 Cress - '''�•%Gnrerators SlteAdCress I d erenl Ihan trailing aucress) <br /> 1 AWI9-W;AN VALLEY b A!F f r OIL 114C. <br /> P.0 aox U) <br /> DELHI. J:i* Lw-elul-11-st6f <br /> 4eceratara Phone'G. - ._ ,.. •, ' <br /> rartspo er I campany Narne :. �6' <br /> U.S.FPA'ID Number- <br /> /�J EWCAN V4LLE-Y'44A;-i E 01L. :��4.pt}G�i;f{�S <br /> 7.Trars net 2 Company N6 me U.S.EFA 10 Numbar' <br /> 11.Des'natod ect8 Name anC 31(a Address U.S.EPA ID NLr tAf <br /> R Sf�f,E t UFL MANSFE-4 <br /> 53M(.1AUi kCtA0 �'r13�a��l1S�d3�1fi <br /> RIVERBANK. CA,4�W <br /> Facility's PFene'. <br /> ga 9G.U,5,Lim 17GiCnpOcn(InWdNQ Pc pnr Sllipputg Name,Nazerd C ass,1(]hN(r1 r,: :. 10,Cenrpbmg. ..: .11:Tm1.... _12_dnit 13.yJa le Code§ <br /> and Paring Croup(:f arty)) No. - ---Type quantit/ vA r/oI. <br /> 0 t J • 1Nr aril Er71'l �!.� i + ,. _ � r , <br /> ,i <br /> 3. <br /> a. <br /> 1a.Spayal handling insluc5oneand kcillDnallniormation <br /> 15. GENERATl)R'5dUFFEROR'S CERTIFICAT1oN: I hwreby dedwo Tee Ute corrrerrRf This pgrsignm3m are f Ay and 3ce9rately desrrlbad a0o,1'e by tie p(oper Shipping name;and are classMiee,packaged, <br /> marked and�heledrplararded,and aro in al r Woes In.proper,Cor4ticolot U ASPOA 40OurdInd to aptk$be;ntemOopl and rtI omm gworNnpatal rggulaWrm if export shlpmenl and I am tis Primary <br /> Exporter;k cercfy that the wnlents ol his rp Wnrnem conform to t,)o tmr ku(Ute,a(Q1dta¢,F:eAAd ;1 Wledgmort of..onscr,l. <br /> Ice*W tha waste r1mmizatElon umiement iCanyUed In 40 CFR 28227(a)(H i arta large quantity 9enarator)oE�0�( on a w quanoy,gerterator)is rue_ <br /> srso sl fors. n ypeo,a <br /> -J 16,Irltarntanonal anlpments I� r� f <br /> U I,npo,.w U•5_ U E"rt from us. Pan of enlnyfaxie <br /> Trartsoortarsanature(forer nedlr : ' 0aleleaving 11.5.: <br /> 17-Trarzg ter Atxr 1 Of materials <br /> 7rauouter 1 Pri .Y.ad a .v j-.ura _ -np ay ear <br /> Q Tre.m"mer 2 PrOl Name graturo - omn ay' ear <br /> 1Ba.ais7apancYlndicoWnSGaca �f puancry -Typo Residua Pan <br /> Typo LFuIIRe(adlon <br /> Na i ifael Referance N xmoer. <br /> 1ft A7lomaw Fadtity for Generate') U.S.EPA 0 N,,mbef <br /> J <br /> C� <br /> a , <br /> w Fad Pha+e_ <br /> it 'we of Alt2rnp[9.adlity(or Genera ar} Mown Day Yaar <br /> a <br /> I%llamardms Wade Rnpat M`anaggelment M*V*d Caries 0.e.,cedars for <br /> Cm tt5aerdotre v+asla troalmsnC Qlaposa6 srA ra ycilr;9YstMnS) <br /> , 2. n a. . <br /> 28,oesigmtae Parillty Owner or .0paraton Cartificador Of OCBi^,t of hazard"maer'a s ocvorodby he rrertifest mrrmpt as r%)m in Item 8a <br /> r rn0 / <br /> SI lure maim Day Yaor <br /> EPAForm8700.22(lid.345) ProviousvdNcn3are obsolete. TRANSPORaER'SCOPY <br />