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r FROM • Ground Zero AnalysiS PHONE NO. : 209 838 9883 Oct. 20 1997 04:24PM P2 <br /> V ....a.�:-v ...a♦,a\V rssL4%Ct UA'11.71:i1t .j_r%,_00 . <br /> ,e <br /> NON—HAZARDOUS 1. Generator':US EPA ID No. manif Dact No. 2' Saye 1 <br />(' WASTE MANIFEST 1 of 1 <br /> 3. Generators Name and Mailing Address <br /> Peatena Trust <br /> 1431 Atteberry Lane <br /> d. Ge-erotarsPhone{ l San Jost', CA 95131 800-746-7419 <br /> S. Tre Un C I MaCer1 I S@�V 1C:e a. 4S EPA fD 1W+rnber <br /> 7. Transporter 2 Company Name 8. US EPA ID Number <br /> 9: Designated Fadli7 Nome and Site Addreu 10US EPA ID Number A. Trarnporter s Phone <br /> Forward Inc. & TronsporMy'sPhone <br /> P.O. Flax 6336 c Foea;ty's Phone <br /> Stockto$, CA 95207 <br /> a "z <br /> C A A W b 1 .y 4 <br /> -11. Waste Shipping Name and Description 12- Cants <br /> inert 13. 14, <br /> Total Unit <br /> No. Type Quantity Wt Ypl <br /> O. <br /> Sail with petroleum hydrocarbons <br /> N <br /> F <br /> R � <br /> A t I <br /> T <br /> 0 <br /> d. <br /> 0. Additionol Descriptions for Materials Listed Above E- Handling Codes for Wastes tia d At.. <br /> II <br /> 13, Special Handling Instryttionsand Additional Information K <br /> I I <br /> I � <br /> r <br /> 16.GENERATOR'S CERTIFICATION: I mmly rho mareriab described abe on this if A um nor subiee+v fcderal mgvkft a la r.portino preps dhpoedl of tiamrdm;Wmte- <br /> Printe t/Typed Notre S f\ Ml lh Oq Y..r <br /> T 17.Transporter 1 Acknavded emenT of Receipt of Maserials <br /> r 9 �P p(I� $�t/ Sig aTL <br /> O1&Transponer 2 Acknawledgernem of Receipt of Materials <br /> T' Printed/Typed Name Signature M. rA Der rear a <br /> R <br /> 19.Discrepancy IndicaTwn Space <br /> F <br /> A <br /> C I <br /> I <br /> I 1 <br /> 20-Facility 0«ner or Operator-Certification of receipt of—aft materials ca+f+ed by This rrranifest except as noted in Itern 19. <br /> l T <br /> T P inted/Typed No „ nbturt rh <br /> UI <br /> '1rRAPFSPORI'EFZ#1 <br /> i <br /> i <br />