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SEP 1 195 11 01 FROM ERICKSON PAGE 008 <br /> soar,et C.&I rma- n"ryrr.wnd pver.cttoa Agency See Instrvctions on bock of page 6 0apaehrwere of To=o Svhs�onces co^nol <br /> Form Appro,ed OMB No.20'50-=9(Fades 940.9a) 6' Socrae.Mro Cor4onwo <br /> vfeaee p—wr or type Jc--d'e9ni4 fes wr m eke(11 prrch)ra� <br /> 1 Cioncrarols US EPA 10 No Manrfett Oaevrrr-sr No 2 Page 1 Irdarrt+at.on,e the Faa <br /> ded eon <br /> UNIFORM HAZARDOUS is nor requnad by Federal io..+ <br /> WASTE MANIFEST C A D S $ 1 416101. 4151 4 s C 2 2 of <br /> 3- Ceratar',Name and Mmang AdonM SHELL OIL COMPANY '°`��� � '�' t � u <br /> �•. �t <br /> HAZARDOUS WASTE DEPT, <br /> � P.0. FOAX 4846 <^-� � y► � <br /> ��, a Ggr�rarar:Phone (714) Sc$—:,:;15 RNAHE"O CA 92803 f <br /> ca b US EPA 10 Na-ber C. Srsae+Tr er "�Q'-` <br /> 3 Tmnwrrer 1 Companlr Hoar 9 <br /> dm D Tsvegaesn' c� y _r . <br /> Y . ! y ' r 1� f- <br /> ' <br /> 1 7 Transportrt 2 Company � 9 VS EPA ID Number .L Slme Tronspo�*1D <br /> fa.T i+:�rst�aeteri PIfOVMy+{�w G•a'�.'-'�i'"i�t�7KTr'•Dov�j'�*' S'r'i <br /> Q <br /> 10 US EPA 1D Number <br /> n Z srgrTityNew <br /> G ShaeekJ etal7y/i l y"r ti n'r�r`� _.Y-flap " ; #e{�- ^ <br /> 9 Denated FocName and SAe Address <br />'UJ 255 PARRBLVD, C ADe89466392 ► �� <br /> a�`_�wA4`a' 5 Y c`"yy`uaLai i s tkC " <br /> A Q 12 Comer.=% 19 Tows 1A. <br /> d ,'+ ftLwy <br /> Cf'Z 1i US DOT Derc.phon('indfv4fmg Proper ehgPPw'4 Nana Ifazard Civss and iD hkrmber) Aio T <br /> * 4 .r.rr7��r:: <br /> a t ' ti r s„ <br />• a a i T P 0 B 7�7 rc h�r��J 2 f tC <br /> r�YIkJA /+�o <br /> N <br /> vcc <br /> fr E �PXi�CI1f4r� ya <br /> A <br /> ,t s <br /> T <br /> O: R troy - x„ rNti"k <br /> 5 d ' <br /> LLF <br /> U <br /> a - <br /> Z15 SpoaalHandt-.gWmnK4m,,and AddinwwlInformanan FACILITY <br /> O <br /> AVOID CONTACT WITH SKINIEYES SERVICE 57ATION <br /> z 24 HOUR EMERGENCY PHO.WE NUMBER {B0@} 424-93250 2575 COUNTRY <br /> CLUB <br /> 204 <br /> r <br /> ~' am M and accurately deren'bed abo a by praper drsppsn9 acme and aro eiass+Eied <br /> r 16 6 N RArM S d RMICATI IN I hereby deciare that dry car-�Tas of�I+e Cens+eprnarP y <br /> apacked marked and labeled and ore m at rrspse�s n proper cv.dd.or•for tronWwv by hgh.ay according is alppheable fadoral asr and w0em nioncl ia..s <br /> V <br /> t4 E am a larva quarmry gemraRar I cerhF7 Thor 1 have o program in per° w reduce the wh-rw and loxKly of waste generated to The do5lrvc I have detrrm,wid M be <br /> economrcally praclicabk and Ihaf i haw selected the praefkabbe method of meal+neat garage or disposal cvrrealilr ovariabi-to me wh ch rnrrrrr�the present and future <br /> c!/ <br /> threat to human henhh and Me emw►ar-ewnr OR rl 1 am a=mall quannry gmeroror 1 have grade a good faith effoe to nrumme my�as1e genarmion and select The be=t <br /> wows ma mart malhnd tat,avmlabk ro me and that I can afford I` OFor � <br /> 0 Phnrad/Typed Nacre S� Nye A{os� G <br /> } I -ngbcs.-&�� D SHELL OIL CO. <br /> uT 17 T I Ackrwr+led t of Rem o <br /> Z A Pnraod/T Aimee /"ti.. Synonr Moreh Day Tear <br /> tL <br /> � M <br /> UJ S <br /> p <br /> 0 18 elamord Ocry Year <br /> ,U T P,-dod/Typed Name 5rgrwtura <br /> U- <br /> 0 - <br /> LLS 19 Discre ancY IndKahon Spa <br /> A <br /> z_ <br /> 1 <br /> 20 Four IMm 19, <br /> Owner or rvroc C.n1F.caean of raaaar of hocerde+rt.narcr.pis caw d th man.fetr 4=ea / � Year <br /> T Footed yped Nr LAIC Li <br /> Y <br /> 20475243505+3982 SYRAM DO NOT WRITE BROW THIS LINE. <br /> Mrhofte TSDF SENDS THIS COPY TO DT5C WITHIN 30 DAYS <br /> OTSC 8022A (1x/911 To: P O Box ]000 Sacramento CA 95617 <br /> EPA 6700-22 <br />