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rrOVIC"OnAgency <br /> Form Approved OM No.20-%-0039 <br /> f or type. J q`i°�f See Instructions on back of vags 6. D.partree,e of rosic Suhst <br /> d.,iprrd for use on cline{r?pfrd" "wrtrer. ns <br /> Saoonwnlo,Cerlilornio,Conan <br /> . s US EPA ID No Manifest Doou <br /> UNIFORM HAZARDOUS. �f, 2. F+eve 1 'is ortrraitiai io-tby Focle; areas <br /> f WASTE MANIFEST T00 t k ,• ' _I is not squired by Federd law." ' <br /> L 4-5ee <br /> 3. is Name rend Maung Address <br /> r <br /> h <br /> U'n <br /> 4. G.n.ralor's Phone (�G Q -3— -7 7 7-7 <br /> { <br /> 3. i 1 Company Name b. US EPA ID fVnmrber <br /> i <br /> op / <br /> Avc InAv,loo 11 )A <br /> a7. Transporter mpcery 2 CoNO. B. US EPA 10 Number j <br /> Lu I <br /> l <br /> Z 9. D&dWx ted Facility Name and Site Address 10. US EPA ID Nwnber ' <br /> o Eridcs-,xi,Inc. <br /> 255 Patz' Blvd. I <br /> O�Q Rict�tTlarzf3,CA. 5480419 ALP 01q 4 3 <br /> M Z 11. US DOT bes-iption O-W&p Proper Shippin4 Name,Hasmd Class,and ID Number) `, 1l"12. Containers 13. TOW 14. Unit <br /> ii No. I T %"/Val <br /> 3 �NON-RCPA Ha=Tlous waste -Solid <br /> ' op Waste &4*y Storage Tank. � I� � 1 T P a P � <br /> 0D b <br /> E " �j <br /> tj A <br /> ap <br /> If <br /> O <br /> R <br /> LLUd } <br /> W <br /> L <br /> I <br /> LULU <br /> Li <br /> O 13. Special Handling lealnw ions and Additional Information <br /> Keep <br /> away from sources of ignition. Always wear �� t� woricin ar' <br /> `z U.G,S.T. 's 24 Hr. Contact Nim. ( �- 77 <br /> w <br /> 23eC - 8 Mi Le- A7) . , � 7��,�-r�,,�i�f �,� <br /> 16. OMMATOR'S CIERI RCATHM: I hereby declare that the carrlerrls of this corsi Fmwm are fully.and'oowrately'descrHmd above by proper shipping mare and are doWfied, <br /> W <br /> Packed,marled.and labeled,and aro in all respects it proper condition for hvnport by highway acci�'ording to'tapplicable i om tatiorwl and national government regulations. <br /> H 1 am o large quoMity Senerator, I cw*that I have o program in place to reduce the volume and toxidly of waste generated to the degree I have datekred to be <br /> d economically proeti able and that I have selected the proelicabie method of tnrahnarnt,storage,or disposal eurrarrfy availabb to res which minimaes the pnrseM and future <br /> N throat to humor health and err <br /> the environnh OR,If I am a small quwrtily generator,i have mode a good faith effort to minimise my waste generation and select the bast <br /> wcW method that is available to me and that I can afford. .li A <br /> j ro I AAorMh Day Year <br /> Z It 1 1.7 T 1 Adwowleclgernew of Recai of Materials <br /> J% W7f rped Name Uj <br /> 1 / f rJ ro I C r Mahn DoE :Yew <br /> T <br /> 1S. <br /> W 0 2 A of Reaei of Materials - <br /> ) <br /> IA. i /Typed"Aro Sigrwture 1; Month l Doli- Your <br /> kLo <br /> 0 19. Dbcreparcy Indication Space :r <br /> V F <br /> k A A <br /> Z_ c <br /> is <br /> g 20. Fodl' Owner or Cmr6ficatioa of receipt of hazardous materials covered by this manifest 2#W as noted in Item 19. <br /> Y RyP�fin° Mach Doy Year <br /> LDO �l NOT WRITE-BROW THIS LINE.� <br /> I� I <br /> LEPA <br /> DTSC SSA (1/9') Yellow: GENERATOR RETAINS <br /> W00,---.2 <br />