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06/28/2003 THU 07 47 FAX 661 393 3634 MP ENVIRONMENTAL—BAH IM 002/012 <br /> 110—Ennronmaniol Promcnon Agency I <br /> O,M1 Na 2050.Op3y(Exp ea 9 30 991+ See Instructions an back of page 6 Deporhnent of Toxic Sobdanees Control <br /> .se 'F4rm,desrgncd'!or use on a6nr f i7 pbch)ypawrnrer Sacramento Cahfamia I <br /> s 1 Generators US EPA ID No Manifest Docamanr No 2 Poe 1 Informol,on in the she ed areas <br /> ' ��'.u'06 •'AZARDOUS g n rot required by Federal la.. t <br /> WASTE,MANIFEST <br /> r , <br /> s <br /> (ianarntpr'1 Nome and Moiling Address �f 7 �i r� -A. Shia Mantl4at•Qbeumsef'rldUffAW t <br /> -11 , �31F4• ,r• •. �,r , 2187 4if1V.� 1 <br /> 6151 1. PAU #711 <br /> 74- , <br /> Geaervlu11 PIWna <br /> ( 1 FRESW, CA 93704— {r�Sfttt�t3gterplwk"J�* i ! <br /> A— t s <br /> Tmnpprler I Cotnpony Name 6 US EPA ID Number �n' lob r� swr�eti'){ <br /> D rYnaAsppcsbre;Phono�5.�. * ��� j <br /> Tis <br /> uS US LPA b syh;r pary�r' lls �s 'q <br /> + r�lgt�4rte6 MOhe <br /> 9 Desl9nored Farlllty Nome and Silo Address IC US EPA ID NumberFQ'.de;k1D <br /> CROSBY AND OVERTOR <br /> 1630 if. 17TH S4' Fho�* } "s$ <br /> r "7 • r✓ ^ "t 4 "wry' v <br /> 11 US DOT Dertrsplsen(snch,dmg Proper Shipping Norco,Hazard Clays and ID Number) 12 13 Talul 4 nd sr <br /> Na Typo Quantl wl/Yol I"wov a.Mbes i <br /> o <br /> RQ WASTE FLAMMABLE UQUID, NOS, 3, UN 1993, <br /> PS II (EPA 169ITABLE) Ew 412-7 ee ! I-515 . t3 <br /> b slek <br /> I:PAdtF� ° <br /> �A1QtJ+er ,t <br /> FPA,2c31�a'` I <br /> K HntsdhF I <br /> t 1 v `+����' r w a K �1.dr.'GJ�, t{�"li, ,k.y1 i �, •, t rsQ forWp}la}T,rfledAbo+re <br /> ' ��4„{t' -i"�'�':�}.y �.�4r:`+�:y�r.*.q�i�"•'G�'k�/"'"��ys r l �r � " t � �t <br /> [b <br /> �j'✓' n r"' %:, ' �r;ry-1�-'i rr,'(' ;�11 n`�; %�r�?.rti P r ti a-{ ,�`r,. '*, .�, e" d • , 1 <br /> y ' <br /> 11S Special Handhnq lnslr4cliont std Addthorrol Infarmohon � <br /> EMERGENCY M40HE (aft) 458-3036 <br /> PICK UP ADDPESSr 1399 X. MAIX ST. , MANTECA, CA <br /> 16 GENERAYbt'3 CE1mf1CATTOP1t !haroby declare that the sxnlrnh aF this consignment on fylty and oceurale�dsstrsFsed abare by areae r ship ng home and arc clossrFred,pocked, <br /> mor6d,and labeled,and are moil mspaets in proper condihen for"mspeA by highwey eccordm8 to applicable Warnahonal and ewoe govammenr re9vluborn <br /> T' <br /> If 1 em 6 large goon gt norotvr,I certify titer I have a ram m pkim to mum the,column and to ely of wain 9aneroled la the degree I has a delermmed b be emnamieally <br /> prrxhmhle and drat 1 selected the procncnbic mwhod of trepnnenl,siorep or dnpaaol currrntfy avatfeble to me which minimizes lfw prasant and tenure thrypl to human lssalih <br /> and the errvtronmanh 011,of I am a 6ma11 ri"nhty ywrsraror I ban made a gaud fords affoe to minlmbw my wast;9enerollon and taleet dw bail waste managemcnt method that is <br /> arouble to me and tbal I can afford + <br /> t: <br /> PA yped Name Si0not4E9" rs Mgnrh Day^ Year <br /> r"`I. 1 f .i # r r)til. �'r*;� 1 f i t 1 •. 4 <br /> iT Tromparier 1 Arknowle4gemantofRecei tofMotanafr <br /> PAnled/Ty?ed Noma Stynaluref <br /> p <br /> � Moa[h Doy Yanr <br /> 't r.14,r t f r ..J x. SFE <br /> 10 T for Z Acknawled ammtl of Recat t of f+lalonols { <br /> Prinwd/Typed Nama Signature Month Year I <br /> �1 <br /> t <br /> 19 Discrepancy lndtlMron Space <br /> a <br /> i <br /> D Ih Owner or ral*r Carhficauon of receipt of haxardaaL moilerlale end Ih nrFest=991 as not In kin 19 3 <br /> hi led/TypedName_ Sranohns f ` . Month Day Year <br /> DO NQ,T RITE BELOW THIS LINE <br /> 00-- II/441 Groan TRANSPORTER RETAINS t <br /> 06-47 / V <br /> r'/ + <br /> I <br />