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Apr-28-00 03 : 36P Evans" Brothers' Inc. 92543 0229 <br /> P.03 <br /> Sto;o of Co. 'sriu—Enrironmsntol Protection Agency - <br /> Form Approved OMB Ivd.2050-0039 Il;apires 9.30-99) See Instructions on back c IgQ S,� 000tw1mont of Toxic Sulsstgnces Canlroi <br /> Plaosv prihl ar yre, form designed For use on ef�fe(12'p,fetil y�eWrit". Lam' �� Sacramento,Califarnia <br /> 1. Generators US.EPA ID No. Manifarl Docurrwnt No. <br /> � `:F2.�fts <br /> 4nfornwtionntl,e thuded areo <br /> s <br /> UNIFORM HAZARDOUS kqI#loI�1430�I� � i&not rquirod by Fad«ol tow, <br /> WASTE MANIFEST <br /> 3. Generator'&Narne writ Malling Address r �Lt y'�,..I^1~ / t dc-� ' $tole Mbgtf;f►F l9gcamegFilV�lnsfler . <br /> d11� `�i d fac�4'�+/� yf� tAFrr/dt[i/7 T ' <br /> . �t/r r�','L•�dld� y� ."�` �fA#a f7p}f/a�dp'! a knu <br /> hd. Generator's Phoria .e/r-.4/P r ^.' yt <br /> N 5. Transporter l Company Name ''i b'.-USTPA.ID Num6ar .:{ fQ �• '•� �s ' rc !� "' Bl p'" <br /> cLalo .% f7tiOi Intyus[F1¢S , I 82 I0 <br /> 1 �+ 1 <br /> 7, Transporter 2 Company Nama B. US EPA ID Nurn6er <br /> -MU � $`Il1�1 � 'STR IEa" 10. US EPA ID Number <br /> --iZ 255(PARR BLVD <br /> 7 3o RICHMOND CA "801 D 0 0 +9} 4 6 � <br /> r y <br /> ."%-z' 11. US DOT Description lincludin Oroper 5hl In Name'll- erd Class,and ID Num6arJ 2• Centoiserr 13. Totul 14. Unit <br /> P 9 W Pts g f Iso. T Lluontiy wt/yol <br /> iWASTE EMPTY STORAGE TARK <br /> TP P { <br /> 3 G NON RCRA HAZARDOUS WASTE SOLID PpL.L 1116 1010 � <br /> o N —a. <br /> coo E —' <br /> o r r <br /> O <br /> us <br /> w <br /> W <br /> cTd a I Ij{rl - .y r, r w 5..r1• J +i` �, } ,�' �h'' -. <br /> z <br /> w I S � a �, I �•. 3 K'i��s 7~1- I ' � ,e l � �y,r�,�•,'jA '�� 'Rr tF'I� ihi �w.�5 X i f 4-:'sEa� �,' <br /> I � VViI�f-t{�I y��, 'd •, ..•' r ti' I� ��.,1 '"Y ' �j 'f .i tri �1--ti {4'K�',+��&•F� <br /> Q .r4+ <br /> Y <br /> 18. Spcciot handling lilthuctions andrAdditional infarmalion - <br /> a Wear proper protective equipment While handling. Weights or <br /> volumes are approximate. <br /> z 24 boor emergency telephone number: �4o jo <br /> 24 Hour emergency contact: rBI __ ,?4,11j-7- . QQT;ERG# 171 <br /> 16. GENERATOR'S critm CATION: I hereby declare thor the content of this con&ilp-11w aro fvlly and accurofely described above 6y proper rhip�ing nom&and a i clasclfied,packed, <br /> marked,and lolsebd,and are in all respects in proper condition For transport y highway according fa opp iceble inleen"wal and nations �Overamnnt toga afioris. <br /> J <br /> if I am a large ole n6ty genarotor,I urNfy IhFN I hove o p ram in place to 76duce the volume and toxicily of vo0o generaled to the dagreo 1 ho.e determined to he economically <br /> a pracrieoble and Nlal I hay.sal.elvrf rile Taclicable morhod aF trod lmenf;slur or tic I� <br /> y age, posol cUrrenlly available To me which minitaia""percent and Future threat to humeri ilea <br /> and the on-itunmem;OR,if I am a small quansity generator,I lurve mala a good Falth efforl b minimiza my waste genera Non alts soled the but waste m "Qerneot method that is <br /> Oa.pdo6le to me and that I con afford. ' <br /> Y P' tad/Ty a S;gnatu Month Day Year <br /> w 4 Dir <br /> Ur $ 7. Trons rip 1 Ackn ad ement of Reaoi 1 of Materials <br /> W F Mnle6/Typed No Signature <br /> pMonrh Day vegr <br /> u.. a 18. Trans Moat 2 Acknowl einem of Receipt of Materials 1 <br /> w <br /> T Printed/Typed Name Signature Manth I>ay year <br /> �..•,.• <br /> I� <br /> 14 Oiccrrpancy Indicorion SpGc6 <br /> 1 F <br /> A <br /> C <br /> f <br /> I 20. flM ilial Owner,o(,O�eroto l'C.Ili fixation of rfiraipt of hck.yr.raa.F mamriallt etovarad by 11.1,wunifuh am'4W as naiad In item}9 <br /> T Ime � - Signst . ^� /Mgalh bay Year • <br /> DO NOT WRITE BELOW THIS.LINE. <br /> l <br /> DT5C 9022A 14/47) -r_1f•Y 7 -)IfC 'fl'f;stet cD 9AYS. <br /> GPA 8/00-24 <br /> E: <br />