Laserfiche WebLink
Dsparlmonl or Ncallh Smites <br /> Tordc Substances Condol Olvtelon <br /> Stalsgf Calllorrlla sllh2 ag oyo0u2C�FxPk, 4.80.21) .• Sacnmema,California <br /> i Form Approved OAtEt <br /> • pl�see PrIM trr typo. (Form designed for use oa elle tr2jj"CE1!ta±Vd1�6r j!10 to nflrglof o U6 � tAendatp 'Page 5 Informlpion In the shaded erase <br /> IJINIFA iIA HAZARDOUS t e• of, it.Ra!rPOulred by Foderat law. <br /> is A TE MANIFEST r ' <br /> { S.L)entralar0 Rami and lAakling Addraaq <br /> q,rienpretor'a <br /> g. µumber r. _ <br /> 6.Trynpporter 1 Companyµ UO LPA ICamp <br /> e. A 'fit— <br /> q / <br /> 9.Transporter2 Com ■n P YHama I <br /> l <br /> ISS EPA ID Number <br /> g•Daslpnared F+-Oily Nemo and So@ Addrsee r w. <br /> 151101 <br /> OF CUFMIA <br /> y IR a e If. !.. . <br /> E Waits A• <br /> :•:ard Clatie,and ID Number) Qupnllly wi lvol N <br /> p 1 t.US COT Description onciudln4 Proper Shipping Name.H µo. TYPe <br /> State' . <br /> a. oolDt00020 Y <br /> ',. CWFORIIA MTM r= flay PArOt r <br /> {<g <br /> KM <br /> Slate <br /> R <br /> It. EPA/O'.�er- <br /> A SIgtR <br /> T <br /> ! O <br /> R e. EPh+othSf <br /> I " <br /> Stele' <br /> j d. EPAfALn.f <br /> 17y�� Igot�3 4 OR�&41t i t ^Itpr <br /> 01 <br /> � <br /> r r1 S tgY,� t�` � LI Sly*ii� C fr <br /> L Sr" <br /> ¢ i,�S•y� FF� ��! �,.,�,� � r r ti yi�xr��4)Sa 4' xt lo. 1�1� �+ 'N� .�A��.F�+ � <br /> OR <br /> -y C��e _ o-�tr.r �• +, _ _>i: tar �4'+�'.,I:f .r. r��', 1t'�xf'1.�•,'g,�+.... n ,1� <br /> 16.6P+falal Hand Ing 2nd Additional Infomlallon <br /> F ILE V K p52 <br /> 14. - described above by proper shipping name <br /> grtaret;wTOR'li<CFRYIFICAT)Dµ: t henbY decors that the coarsnte of this candgnment aro IukIY and accuhighway according Ia applicable international and <br /> �J <br /> and are olapediod,packed,marked,and labeled•end are in sit respect■in proper-ondiLlon for tnneport by highway <br /> eaerer-d to fhb degree I hese determined <br /> pat oaal government regulelione. <br /> o ram In acs to reduce the volume and toil-Ily of W 9 g. <br /> H I !!largo quantity psnaar,1 chat I that I have a M 9 PI <br /> • Per v O rna future 1 ��practicable to and min hullhave selected the h and the snvlromna i e�IkRabli emssyh±dnnotquantltY ginara9or, have meQp er good11,11hlallh eflon to minimize li to me rich mY waste Dimizes he <br /> - gengrpilan find ae1�d the beet waste management method that Ia avallabtp to me end that f can atloid. Month DaY -Year <br /> Signature <br /> i print�dSTYpadµable __ .•i_ 'r 1 <br /> S: <br /> tr•Tronspartar 1 AcknowledgseM of Receipt of Motorists— Moolh Day Year <br /> m <br /> - Signelure <br /> S A printed/Typed Name <br /> �' _ 7S.Trans Porter R Acknowledgement of Racelpl of Matarials - } Lay Year <br /> W Signature <br /> R Prialed/TYped Namef J <br /> f r . <br /> `Ia.,Discrepancy Lidltation Speu . <br /> F <br /> G <br /> - i - •',1 20. aoOBY Owrrar or Operator Grtlllcattaa of receipt o!haxerdaua meterlele-aYered hY this manlleal except as noted tM1 dem 1?. - Manfh DaY Year - - <br /> f Slynature <br /> " � PdntadSTYPsdµgime <br /> tIto Not Write Below This line <br /> 602$A(t aB) <br /> EPA arpo-22 YELLOW: GENERATOR RETAINS <br /> (Ray,>1•ea)Previous pdillone gra obeofele. _ <br />