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d PrWMion Agency <br /> 56-0039(Expires 9-30 99} ,._ I <br /> deli for use on elite I2- itcl <br /> t f P iter. -SaCraI1Mn10,lA1t�OtTiiC. <br /> UNIFORM HAZARDOUS Generator'�USE?A <br /> D No "" -Mont?tnt Dotawrent 2 Hoge 1 r -tntarntdfon in this tthor3ed arcs <br /> r: T Y" ye b not regairrd kry Frdrd fi w' <br /> WASTE MANIFEST <br /> Lmi <br /> 3. Generator's Name and Mailing Address <br /> ::ENTRAL CALIFORNIA TRACT I ON CO. <br /> o ,sg <br /> CHEROKEE RD. e STDt_KTON, CA 95205 <br /> in `4. Generator's Phone '~ J'4'6 6—b 9 '•r - <br /> �=r-� <br /> (V 5. Transporter 1 Company Name 6. US EPA ID Number <br /> in CP 100 CAL OIL C ALS S E:2 q 17 ` 55. <br /> 0 <br /> 0 <br /> 07 7. Transporter 2 Company Name 8. US EPA ID Number <br /> V 9sk noted Facility Name and Site Address 10, US EPA ID Number <br /> a <br /> 1Mlen'TRIAL RVICE OIL CO. <br /> Qf 70( S. 80 O T. <br /> DO -OS "ANGELES, CA. 900239 J4 15:Z 7 0 <br /> Q 12. Contoinen 13. Total 14. Unit <br /> VU 11. US DOT Description fincluding Proper Shipping Name,Hazard Class,and ID Number) No. T Quantity wt/vol <br /> Uz !DNV--RCRA HAZARDOUS WASTE LIQUID <br /> G WATER & SLUDGE� O <br /> o N b. <br /> m E <br /> .c R <br /> Q A <br /> oT ��.... <br /> co <br /> R <br /> iY i. <br /> ur d. <br /> Z <br /> V i <br /> W <br /> to I <br /> Z <br /> O <br /> 0- <br /> rn <br /> W <br /> Q' <br /> J <br /> Q <br /> Z 15, Special Handling Instructions and Additional Information r A- <br /> APPROPRIATE PROTECTIVE CLOTHING <br /> Z 'EMEPGENCY CONTACT: (20S '541-9145" ;.. <br /> 4r w <br /> = 7 EE E. F.G. 1 <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the content of this consignment are fully and occuratefy described above by proper shipPing name and are classified,packed. <br /> Q marked,and kabeled,and are in all respects in proper condition for Ironsport by highway attordmg to applicable inlemationai and notional government regulations <br /> -�+ If I am u large quantity generator,I certify that I have o program in place to teduce the volume and�to ci_ity of waste germrated to the degree i have determined to be ecoiwmicolly <br /> d practicable and that 1 have selected the practicable method of treatment,storage,or disposal ciirrenfl s�e+ne which minimizes the present and future threat ro human health <br /> and the environment;OR,if I am a small quantity generator,I have mode o good faith to ze my woste generation and select the best waste management method that is <br /> available to me and that 1 can offord-- <br /> 0 <br /> Pnnted/T Si notur on }Day Irl, <br /> Zj TR 17. Transporter 1 Acknowl meet of Receipt of Materials tf ' <br /> W A Printed/Typed Nome Sig <br /> W <br /> siC 18. Trans 2 Transporter Acknowl ement of Receipt of Materials <br /> T Printed/Typed Name Signohire - _ - Month Day Year <br /> W' E <br /> V) k <br /> Q <br /> U 19. Discrepancy Indication Space <br /> Z f - <br /> C _ <br /> L j <br /> 20. Facility Owaer or Rperator Certificate oto r t of hazardous materials covered by this in nils ce owhin Item 19. <br /> YPrinted/Typed Oct. t� Signature /t - - �MoptJt +Days �Y r <br /> DO NOT WRIA BELOW THIS UNE. - <br /> DTSC 8022A (4/97( _ <br /> EPA 8700-22 Green: TRANSPORTER RETAINS <br />