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1 <br /> J <br /> Please Pdnl or type.(Furl designed for use on ekle(12-pitch)typewriter.) Farm Approved.OMB No.20500039 <br /> UNIFORM HAZARDOUS t.GenCmlorlD Number 2.Papa I of 3.Emeryelrcy Respolsm Phone 6.Mso'daal Tracking Number <br /> WASTE MANIFEST Cgf?000'14gb1Q 1 il)(?st,24-S1A�1Q Q�2143284 FLE <br /> Is eramlafs are ON staung Andress Gememliensge loomenl than mrs I ng address <br /> T esrro Tesoro Station 82221 , <br /> P.O.Boz£40734 2705 Ca,N"ry Club EI•td <br /> Rani+lo v+InL.,PA xgaritN.CA 92683 240 48G-82ti0 Storttnn, CA W32L74 <br /> Generelars Pons: <br /> .Trammusir I Company Name US..EPAIDNumber <br /> e1eL=:1IFte c;ar+44n1na91s <br /> T.Tmroparler cot nre fie.(' yC ` {� U.S.EPA IDNumble <br /> ra,F:lr'IcTr:A1453F-N11P IIAENfA1. :3rffde4_. Zi Iel CAl.-N21412YiO <br /> tOesignited FarskyName and Seo Addmas V.&EPA ID Number <br /> U=:Ec01r rlr, Pdevada Opsiraflonr I <br /> F41;rrveav s76, 'i'.:miles S. of Fuatfy ARyT3S0014000 <br /> Hea1tV.NU Sow ;7 -R53-22n3 <br /> Facilities X.w. <br /> M. as,U.S,DOTOesaipnan(YidW+g Pmew slipping Name.Hazard Class.In Number, 10.Cunbmais II.Tosml 12.Unit 13.Wases Codes <br /> HM arld FadbN Occur(it any)) Ne. Type Wendy YANG. <br /> 1. DIN317b,STrMD, Corrtat)aing Ffartwiabla Liquid,rw.a.,4.),1'C 352 <br /> Z 2 <br /> Ia.GPeaalManimaarrorcendAdarorelmromm6on4idLl_APFPOPFZ1ATF-PFZOTECI'IUF, 6ELeNIRECCN: <br /> ERCA '1ILO NIN0. 20150.92 <br /> Prufile#Ui-?N4-4P,_^G TEYA0 MM: <br /> �r { <br /> 15. OENERATOR'S'OFFEROR'SCERTIFICATION:I hereby ded;%that the mnlerts of m's consignment am fu7y and accura!ey,described abovaby dwgropershgonp name,aM ue WsslEsd.m0amd, <br /> ma*M and�abmabplacirded,and are In all mop"In proper motion la eansponami to applcaNe nlematwal and nnortJ governmental M90alsens.I eapmm shipment and l am me Pranery I <br /> EmoM1ea I cedAy balrha mnRms or t,'smasignmenl mnrarm Io the Nmrsof the attached EPAAdnoaledgeaml of CorsenL <br /> Icertify thal bb ssen,min'mizam,aratemanl Menb6eef In 40 CFR262.27(a)tit l am a large quantity Oawela)a(b)(if l am a small 'nity genemlm)Is INe. <br /> Geremator'si011emes PMWypW Nam bignswire storm usy Year <br /> Lan'y f-Aurlttyatf of W$1 an Ill of jawvtz for 1 110 Kj9ty 110 <br /> IB InNrnaeonal Shpmar6 � <br /> ❑laggdtou.s. ❑Exoal krill u.s. ��relayre, I <br /> Tam eters'malum peer s iAkl ILS. <br /> i1.TFanepmderAeiusr.YedgmantMR �lal 9 <br /> y Twasime: -n ypel are / ra a I ,on Y tier <br /> mnsporter 2 PdkrY <br /> nryped Name ,.g. ss - Y r . <br /> ' /d <br /> iIs(Asomium <br /> tae Qweparny MdkM'vn Space ❑chimay ❑Type ❑RaskAm ❑Partial Rei=m, El Fun Resection <br /> usa dart Ref rmnm Number. <br /> leb.Muni Facfjry(v Gmer la) U.S.P)PA 10 Number <br /> LL Facer 'a PImM: <br /> 1 Sgnakasa bYemalo Fad6ly(a Gmaemr) 1!onN ay Yeas <br /> Z I <br /> S2 '.9.Harar3ous Yl&tlo RepaM1 Management tleN.od Cades(.e,modes farharardaus vrds!B beakrnnl,dspoul,2nC segq'np sysraml 1 <br /> G1. 2. 7. <br /> {'}3a <br /> 20.Deigraled Faulty OamorOperatmr.CerteoionofrecelM of haradaus maledatsmremdby Jre merissat coxa l as noted in ism lea <br /> PMA yPmd Name !gne54 11 gay Yea <br /> EPA Form9DD-22(Rev.3.05) Prevpw edNons are olnolele. , ESIGNATEO FACILITY TO GENERATOR <br />