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,I Califo+nla-Lev+,onm.nlal Prnhrcl•vn Ag—y '\ See Instructions on back of pog® 61 Ue parlor"ei..f Tv.,.Sub,fences Conf-I
<br /> ,ppro•ed OMR No.205D--0039 IExplrn 9.30-9 1 Sacremento.Cohfo.�•o
<br /> print pr ype. Fo•m de!ign0d tar usa:df/t�rile r f�'pil[�)fYP"writer. - �'
<br /> Monifesi Document
<br /> UNIFORM HAZARDOUS Na pogo 1 Inhrrmglion m ti,.,hadd arew
<br /> 1. Gen.relor's US FPA ID No. -) IT is nvt reQulrad 61 F.derool{u,r
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<br /> WASTE MANIFEST CI A ;� �•I ..I -1 - 1 J
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<br /> A. Stara Mo LeI DeCumant Number /'� p
<br /> 3. Goneralor',Nom.and Malting Addr.s/ Z1 54
<br /> 8536
<br /> ARCO PRODUICTS C IIlY.A;iY
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<br /> c�- 'N � pOINf : B�_ ; Y_A "��, Y H Q 3 6 - 0 1 5 6 5 0
<br /> d, GonafalOr's Phone
<br /> (925. 1 299_.399
<br /> 5. Tromportor 1 Company Nam. 6,
<br /> US EPA ID Numbor C. Stale Tr nsporler's ID lRe *�d.)
<br /> L-�•rt�• �,- 8 D. Transpo is P one 310x-523 "30
<br /> AI7A,h13 S ER r IC'r s INC-- r U L ID .? i 1 Z � � D O E. Slate T nsperlb/s ID IRasere _1 1¢
<br /> >, Troe,por+er 2 Company Non+. 8. US EPA ID Numbor
<br /> F. Transpo rot`s Phond
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<br /> 9..D sig qd Eq� {�y a Addr.ss 10 US EPA ID Number A 1 0 8 0 1 g. 2
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<br /> 2006 N. AI.AP'LIbA 5T. - H..EociU ,Pl+o . 3�
<br /> 61
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<br /> r A T' 0 g C 0 1 3 3 5 2 t}wS37�-7100 -
<br /> C:�ikMN, CA 90222 12. Coafainey 13. Total 14. Unit .
<br /> nd y o. Ta avanfily WI/Yo1 1. Wod.Numbs
<br /> I1. US DOT Do,cripllon;including Preper Shipping Nome.Hazard C1as+,aID Number) N $lab
<br /> X41
<br /> PU'OZILA
<br /> 'dATMj NOX—R.C.R.A. r � j EPA/�l),er
<br /> WS VAS"T'l::L12i]TIlr -
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<br /> E THIS WASTE STREAM HAS
<br /> E FOR RECYCLING/TREATMENT AT THE EPA/Olhjr
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<br /> R slab
<br /> T _ CALIFORNIA.THIS FACILITY HAS THE NECESSARY EPA/Oflsar
<br /> R PERMITS TO RECEIVE YOUR WASTE STREAM AS state
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<br /> _ EPA/01hcr
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<br /> K. Han iling Codes for Wotlq,Lisl.d Abovrr
<br /> J. Addit not Descriptions for hbterials Lived Above
<br /> 997 VATC.
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<br /> 151. Spcc,fdHandling Instruction,and Additional Inform0tloo 5- 1 ' clacr ol-ce ti�_ j. L�,
<br /> r)M CP��? ?�t.c „C�ZI'- �I:AF I y i i . CA Q5240
<br /> Z �":'IC ' fit Zi�G; tz.:`.G. 1- 27 - .%I l ssrr9. 7 OTTJ7;Sl1C.iOT� ���. , inc
<br /> w ;,.ontractor i
<br /> _ �,• y props slit ome and-ore<f.s,if:nd.pocked. I
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<br /> 16. GENERATOR'S CERTIFICATION: I k,,.by declore'kat 160 contonfs Of'his cc";IV,",
<br /> ore fully and oec,, Ppy'.embed o e P�91 ^
<br /> Q marked,and lobcicd,and are in all re,p.11 In proper condition for lransPorl y hlghwdy-'Ording b epplicd6l•inte.rnatlopal and noliona go-ernm.nl regulation,.
<br /> V to, of -CSN g.AOrafed to the degroe 1 kava dPl.rmin•d I.6t co.emitol{Y t
<br /> in piece to r•duca ILB solum•dnd b min)mixos Ili.present and fufvre throat b Kumon 6ea1+h
<br /> IFI am a lar8 vuonlily gen+rafor.1 c.r+if7 that 1 hov.a pr rom sof currenil 0"0;1061.1.m.
<br /> pradseobk and Ibal I ftavo eel.ct°d the prneficoble MI of Iroolman!,dotage,or dispa y
<br /> and Ili.environhvnf;OR,if I am 0 smolt quar.tily generator,I h0-e made a good foilh effort to minimlx.my walk Bp"m'or'on and,e1.0 Ilio best wosM monaA•mont m.Shod ilial 1.
<br /> avoiia610 10 m.and 16.1 1 con afford. I Mon)fl Dcy, Y--r
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<br /> A Signature i !.r �f .i� I l'_• �1z
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<br /> DO PIO? WRITE LOW THIS L!P!E-
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