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06/02/2005 10:11 FAX 510 614 8396 PARADISO MECHANICAL Z004 <br /> wwo or Lail omwa—trMoorw vital Profechon Agency <br /> PhYm Approved OMI .20.-50-0039(Expires 9.30.99) See Instructions on back of pay r Department of Toxic Substances Control <br /> Please prier or type. rm designed forum on elite(12•pikh)rypearitor, 2. Sgcromento,Colifornio <br /> UNIFORM HAZARDOUS I-Generator's 65 EPAM 150- Manifnst Document No. 2. Page 1 Irrformotlon In rho shado l areas <br /> WASTE MANIFESTis not raquired by Federal la..+, <br /> 1:; .CM1, a:'i '� k'. 1141610161y J ' 'a 6 4'6 � �, of.;L <br /> 3. beneralor's Name and Malting Addroii5�.Zljlli )Vi <br /> A 51arelslat'Ifbsf l7r�c>amdzlf Nhmbar' �Q�}b $ I f <br /> 12.1100 <br /> in A. Generalor's Phone(Z11 P71-2m <br /> NS. Transporter l Company Name 6. US EPA ID Number C,'91ofn Trg ryspanldr s'Ib,lff$seAud•'� <br /> S Z 6, Tr4irsp6YFer'.Pham, 1 <br /> 7, Transporter 2 Company Nome S. U5 EPA lb Number <br /> yr_ f'-,'SiplrTmnaportarslp• <br /> r�.Qt F. Trah'�paRlen'.s;Phone' , <br /> rsrll�j• 9 D I noted F�crh�y Name and Siie Address 10. US EPA ID Numbv �E"r. S te'94ei�y!'ly'e <br /> ,14AC1"iSi?.CJAQ JF' �'if''' ;t ,'Q'.'' .v'�:•'. ''.fir 'Tr <br /> ia <br /> C"l'.SIPPON, C 1 }.��(r iY��n. ,tt, Ftidliv.5 Rhona <br /> �a )1. US DOT Dewrf Ilan(including Proper Shipping Name,Hazard Class,and ID Number) 12. Containers 13, Total 1 A. Unit I , <br /> P ( 8 P PP g No. T Quantity WI/Vol 1, 1NayAe <br /> ��. � (�,�;m' ��� �1:'� A •X' `T" � '�' � <br /> 6. <br /> it <br /> C. <br /> o <br /> rL R <br /> be <br /> LLJ <br /> Ha $6r <br /> 'SPIJt�jlher.f , <br /> U ` <br /> �' > 'p' r Pbr Ia L.Ls `Above y k isdlptg real wr k`rwCNei'�i`iad9t6svo <br /> Z } .�x,..a 4dr,'r ..1&.., �,,I i, 'rs;;i4,�,„•, u, 'r.., r FryY r..;IA,';' 'v':: n??g: I Mr�l44 rliM�tUr+J!' •f+Jrr^ I'"y.�1';'1`:° ,•r.,"'5.: 1:+;;•yal�r:•- <br /> LU <br /> ere a d. c, <br /> Z 15,/SpiKial Handling lnslructions and Addilional Information " & ;•,,' <br /> Z 24 lft ANP l�iNVY 101111101widC 01A (000 sVd1i—Sf7irf9d(C ���,rJY`�? ��4m�C1N <br /> SFW ! V,HE <br /> z r.VGT&Z.- ..L1AJW MKA"T .4100 13143.41 <br /> Q16- GENERATOR'S CMFICATIONt I hereby declare Ilial the contents of'his cons)gnmam are fully and accurately described above by proper shipIng name and are claWfied,packed, <br /> lj matked,and labeled,and are In all rospects it proper wndilion for Iranspori by highway according to applicable intornalional and n0ona Pgavemment regulations. <br /> If 1 am a large quantiy generator,I certify that l ka•e a progrem in place to reduce The volume and taxi z of wgsle generated to the degree l Ewe delermined to be ecorwmlcglly <br /> practicable and that I hove select d tho practicable method of treatmenr,srorago,or disposal currently oval to me which minimizes The pnampi and Future Threat m human heohh <br /> N and the environment;OR,iF I am a small quanlily generator,I hove mode a pod FaITh effort lA"mThlimlxe my ware genaration and selact Ike best vrosle ma"ement melhod that is <br /> 0 available to me and Thol I can afford, •' , ':y <br /> Prirded/Typed Name,f@`(ME'A j3L[)AJ4$ Signature , WN�'y,..�""'� V131 MontL Day <br /> an <br /> Z � <br /> res r 17. Trans orrer 1 Aeknowled ement of Receipt of Molerials <br /> B •. <br /> � M Printod/�°d Nana Signature � ' �...ti ,Mon Gay Yaer„ <br /> u 0 19, Trans erose 2 Aekno vI menr of beet t of Materials <br /> 0 T Ptintod/Typad Nano Signalure Month Day Year <br /> W E <br /> V3 e <br /> UF 19, Discrepancy lndieglion Space <br /> ? A <br /> C <br /> 1 <br /> L <br /> 1 20. Faclifly nor or Operator Corti flcatio y cei pt of hazardous molarials covered hX this manifest exce h as noted In ltem 19. <br /> T Ptlntod/Type fmaY 2.25- r„� Signature T__,_ "" _ Month Day Yeor <br /> r_. y.1 <br /> DO NOT WRITE BELOW THIS LINE, <br /> 4�t�¢ <br /> DTSC 9022A(1/99) Green: TRANSPnRTER RETAINS <br /> EPA 8700-22 <br />