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JUN-07-99 09 :31 AM JOHNS EXCAVATING 707 571 8759 P. 02 <br /> ��,s.�r���.�� �� �f .4�r M• �, r. r. r.r rr �a .a �� ter. r... �. . <br /> bfate or Cnlilarnio—FndroR�enbl pre»Hlan A9ener <br /> Norm�1ZsndOAS No.2090-W31 jE:plrer 9•]0.99) Sao Instructions on back of page 6. Deaenmem of Toxic Substances Control <br /> 1100 yrtnl w yp.. form d#0prred fes us*on e10e f 12-p;kh)typewriter, Socromenlo,California <br /> UNIFORM HAZARDOUS 1. Gensfolor'e US EPA ID No. Monlfesl Document No, 2. Pope 1 Informalion in she shaded areas <br /> iI not regvlred by Faderal law. <br /> WASTE MANIFESTC 3 of <br /> 3. Gemerotor Noma d Mo Iln Addnu . t'" ] l .upt}n!N m " <br /> e �� 1� . ye �y RR�ji•.',n 9 <br /> + fo wn-A !�'�� f r <br /> � �v. rax c�a o�Y �'��h►,r �z �� l' , <br /> !\ Generators PhoAs('ma-1 a <br /> s <br /> h 9. Tromparter I Compony Name 6. US EPA ID Number <br /> W CLE*WATER ENVIAONMENTALIC I A 19 10101010 10 17 10 11 13 <br /> 7. Transporter 2 Company Marne E, US EPA ID Nvmbar <br /> a s <br /> 9. Designoled Pociliy Name and S;te Address 10. US EPA 10 Number oe] r <br /> 4 ALLVIIS�OeI/N�DcEPENDENT OIL <br /> 50 ARCHER STREET <br /> ALVISO CA 85002 1 G I A I i, 10 10 10 11 16 11 17 14 13 =s <br /> T2. Containers 13, Tota] ■, nil _ <br /> 11, US DOT Description(Including Proper Shipping Nance,Hazard C1ms,and 10 Numbed <br /> No. Type Quantify wt/vel I- 40n mvm <br /> 111,P 0 <br /> D Non•RCIRA Hurl Waste Liquid 0 1011 Y T 0 0 G ;Nr, <br /> E <br /> r . <br /> f EPI1/Q}llir} <br /> e A c <br /> T seal._.�ilr••� } , <br /> O FPA/Other.;? <br /> R . :. <br /> d. stab <br /> EP1►Jp�,a j <br /> t 1 1�apoling Codes for Waite Usted Above ~ "' <br /> y .�, .�, �� d.y.. e'r`r '`"(•( •w r). <br /> 1S. S ccialRHgntf�g InshucHons and Additional lmlormarlon �• �` tI l <br /> WEA <br /> rger!y Contact;(510)7971511 Aitn:IQ*Hayward e j"Ck k C70se0� <br /> ERG I Mai, ,t! rL A"'II � I <br /> 16, G!N[RATOR'S CERTIFICATION: I hereby declare that the contents of this�onsfgnmenr are fully and accurately descrlbed above by proper shipping name and are clmrified,pecked, I <br /> marked,and labeled,and era in all respects in proper condieion for Ironspon 6y highway according to applIcobfe fnearnadonal and notionol gmernmenl regulations, l <br /> 131 am a force auantly generator.1 corllFy these I he- o program is plactr to reduce rho volume and roaiciry of-cite terraced to+he degree 1 hose dets,mined to be econo�nicahr <br /> precrlcoble and Thor I a•e selected rhe procticabla method of keotrnenr,a}Drage,or d7sposel currently o+oilo6la to me..hick minimi=es the preteni and fueure threat to hve+ae health l <br /> and the enrlrannienl'DA,If I ora a small quont4y,goneralor.I have made a good faith effort to mtnimita my wove generation and setecl Ilia bast..este managememr method Ilial it <br /> } available to me and shot I can afhrd. <br /> Prl ted/Typed Nom Signalpfir MarNh Day Year' I <br /> ol 6"12 1 <br /> 17, Trorn ter i Aeknowled a enl of Reeet l of Mater le Is <br /> b hinted/Typad o • Slgnarore Marlh Oay Tear: ' <br /> eAakep <br /> I!. Tramiparror 2 Acknowlt2 ernenf of Re i p <br /> 11 1 f Materials � <br /> Prinred/Typed Nome 3tgnaturf Month pay Tem ' <br /> i <br /> It. Discrepancy Indicotlon Spates i <br /> A I <br /> _ I <br /> I 20. f cit Oaner a ■rafor o sacci f o Dam e r roes stall coated thl manil tf t[e ar ndred iw l!e I ������' <br /> T Prtnl i N e Signafura an .pay i <br /> I <br /> DO NOT WRITE BE OW T S LINE. <br /> I <br />