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roan oppra.ed OMS No 2C5Q-0039{Cxprras 9-30 99f <br /> please punt er type p See Instructions an back of page t3�L� 'r <br /> Form desfgnad for uav on else(12 pdch)rypewrrter Department OF Toxic Su63mnces Control <br /> Sacramento Coliforms <br /> UN":;rd <br /> RDOUS 1 Gemrralor s US EPA ID No Manifest Document No 2 Page 1 I.Formor[on in the shaded areas <br /> EST !s nor required by Feclerel la- <br /> 3 w ddress�►ov�ari {� �'�^�. �gtilaY��Ch <br /> � <br /> ke <br /> neralery phone1SU�.an Garver I Company NomoOLOGY CONTROL INDUSTRIES E us FPA[D Number `►r '+ <br /> ADS $ 2030173 <br /> W I r <br /> 7 Traniporrar 2 Company Na <br /> mo <br /> 8 US CPA ID Number <br /> cov �p ���{yt Ir cry L Z G' <br /> pond Srtp Address 10 1J5 EPA ID Number <br /> �� I$ o-a1 q <br /> Z 2'55 PARR BLVD t>' �r <br />� <br /> o RICHMOND. CA 94801 A 0 09466392 $A&M 3` <br /> d <br /> NV 1 I US DOT Do crlption(Including Proper Shipping Ngmoxard Clo), and sD Numb.,j 2 Containers 3 Total 1d a H 1 1 lt <br /> 00 <br /> , <br /> No Ty a ouenhty <br /> Wt/Voll a Nu <br /> M§� Non-RCRA hazardous Waste solidp - <br /> E 6 �1`f i �j I EP /olhAr <br /> CN N <br /> woo E I Stolle <br /> tr R ff <br /> Ac I 1 I EPA/Otfler <br /> o T Stela <br /> orae O <br /> R <br /> � d � r EJ'A/other <br /> LU <br /> w <br /> 51afe <br /> EPA/dthor <br /> J Add ho Dow pT nk Fpr kolatrals 1 dA" �fl <br /> OTT + T1r s d t k dling Cadet Fur Wanes listed Above <br /> �QL ' + s�' <br /> In b. <br /> e` 15 LBS DRYF�n046! T , r ' r <br /> e nu 4 1 <br /> ° a+$n`apps oRr I��o tng en an to <br /> X <br /> 24 Hour Emergency Telephone Number: <br /> LU 24 Hour Emergency Contact; ERG 171 <br /> J <br /> 16 GENERATORS CERTIFICATION I har4y declare of theeon ten]%of IhTs cant pnment are fully and accuralelydascedbed a69•e by propor shipping normo and are claeslFrcd peeked <br /> merkad and 11260104,,3^d are in all reipccts in proper condilran for t.ansport by highway according to app lcoble inWilarlonal and ncuona govornment rogulahons <br /> IF I am a lar ; uanlll <br /> 5 q gonorolor l corllfy that I Novo a pia Mfr m <br /> n In place to reduco+he volume and+oxlclly of-arta ganoroim4 4c,the degree I ham <br /> vo detarminod to 612 econoically <br /> h protf cable and Ihel I hove selacrpd the roNm <br /> lcablo elhod o!rrealmanl,lronogo or diapasal curron+ly available ho mo-hicinimraos his prcyonr and Futwar a ihroto Kumon health <br /> Q. and the an.lronmont OR +f I orr a mall <br /> Qquonl++y ganaraler 1 havo made a good Fauh effort to rn+m1=e rail@ genorollon and reloci rhe best.�osre monagemr nt n,erhod rhpl Ir <br /> O a•a,lobl;to me and rh con afford <br /> V Pr n /7 pad Name Signor <br /> Z Month Day Yoe,r <br /> W T l7 Trani orlar 1 Ackno,vle (� <br /> T� q omeml aF Re<el f of sAarer,als `-- <br /> al <br /> w H Prinled/Typed No I SFg alar@ � I <br /> U.i Yna� <br /> P <br /> u 0 IS Trane prior 2 Acknq 194 emenf of RoceF t of MD01 rerlals <br /> 1 Prin'0d/Typad Name S,gnoFt rd , <br /> QA Month Day Taar <br /> I <br /> V F 19 D6erepaneylndmarlanSpace <br /> C � <br /> I <br /> l 20 f nd O—nor or O oralar Corhhpahah of rgtei I of hazardous malenpl3 co-nr this mamfosf e I oe noted in Ilam 79 l <br /> Pr ed/Typod Nam; } Sig", <br /> 11.- ,/ r _ i lvlenrh ay� G�'roar <br /> r <br /> DO NOT 7 6EL W I LINE <br /> DISC 0Idf471 <br /> EPA 8700-22 'Nhllc TSOF 1,ENDb THIS COry 10 DTSC Wt1HJN p hssr- <br /> T.� PC goo 1000 racromrni0 CA 95191'� <br /> TT d t166 ON Ian WdT S 666T 6 21dW <br />