Laserfiche WebLink
11/25/2015 PIED 11:21 FAX 2098704468 SeYViCeAClfhinMF <br />w <br />f�j010/014 <br />" tease Otto or e. Form deet ood foruseaOR-0) 6 (12• lich) typewriler, <br />Form Appiovod,0M0 No, 2050-0039 j <br />}�i� <br />4, din to Trac Ihg um Of <br />JJK <br />UNwORM HAZARDOU6 1, GenenWr ID Number <br />CAL00036070g <br />'• <br />2, 6 5 <br />2926 AUTO CENTER CIRCLE <br />WASTE MANIFEST" <br />STDG cTON <br />CA 9=2 <br />6, en8fe4Ms Name an ► ng A1011 <br />It� <br />030 s90lfla10WW <br />d <br />OCKTaV CA 955600 <br />20V 47 311 <br />VADp2Q7119a I <br />Oener*e$ Phone, <br />1, <br />rentpoda 1 Gompeny Nsmo s <br />' ` <br />J,Lgf�>idf3.Y.�1'�I�'4HHiFl�I�!4� ��f3�f4'�� <br />8, Dee n{(as�* faaluy rime 4411p4 5146 Addfees o <br />Y2ppM TN ILIAHAI SHFET OA 72 ENVIRO <br />pBao lgl3hoAG: (3Q)537 -MO <br />ge. Bb, U.$. DOT PoocApdon (Including Pfopof Shlpping Name. Hazer d clow 10 Number, <br />HAI and Packing Group (M any)) <br />�( I1H1n3WASTE FLA <br />MMABLE LIQUID, N,O.S., (GASOLINE, <br />�g l' D1E5W:$, PO I) <br />r. <br />L� <br />D <br />IVMENTAL <br />f�j010/014 <br />Form Appiovod,0M0 No, 2050-0039 j <br />Emorgency R6epohm Phone <br />4, din to Trac Ihg um Of <br />JJK <br />800)4244300 <br />0.3804208 <br />enefolor's Situ Addraec (I dd(ered elan m;,Ing g dross) <br />2926 AUTO CENTER CIRCLE <br />MONTHY WO <br />STDG cTON <br />CA 9=2 <br />--,� <br />U,S. PAID Umb6r ; <br />VADp2Q7119a I <br />U.S. EP P NuuMf <br />1, <br />' ` <br />U,S, EPA IO Numhar <br />OA10800i33532 <br />, 0WAIn6ra <br />11. Towl 12, UnA 13, Waste CodesType <br />4uern6y WI.Nol, <br />5)001 018 +43 <br />710�.J <br />DM <br />Y <br />14. pea Handling nrtrvc0ons and na n ertnal Ra <br />EMERQENOY CONTAOT : CHEMTREC 1-000-424-9300 NA;ERGO 981:129 * PROFILE 9 RRi : 3751963 MIXED FUELS <br />PON A110190464 t APPROPRIATI PPRSCNAL PROT90TIVE RQUIPWNT <br />16, OF.NERATOKOFFEROWS CERTIFIGATI01l; I ho(oby dedela thatlha contents of this oorlslgnmenl are ful mut,44" desaibed above by the proper of tpping name, ab ore elasalf'K pa Aggd, <br />marked and laboledloicefdod, and ore In ea roepods In proper e0ndi0on lot Ifonspod a000rding to oppkAb oWng Rl- <br />wonot, <br />I colty (hot tho wmanla oYlhls conalgnmant owdorm to the loons o11ho edachod 1?PAAdcnowled moral of I rUfY Ilial thewnto mld tnlza%A doWnrunlidarModIn 40CFR 20221(a) (H Iom o Largo quw0ty goner r) small quMUN generator) le We. <br />Dene a of r'e Pdnled%fyped Name 8 wronfar <br />/ <br />nl6me ensl pm6nit r tr , r 1 <br />❑ (mpad to U.S, , � ,, !j �� ' ' � ExFarl Tram U.S, ort Df ootrylardl; <br />Tiormpodw slnonlure (for exForls on ; Date leaeing <br />17, Tramp0or AGv rnvlodgmentol Receipt (A Materials <br />Tranopo, O, PrInIoCyped Name Signature Month Day Yaaf <br />10. olarXepancy <br />tea.olsaepencyimicauonspice �] Q'w* <br />I1b.Mamma Fadlky (or Gcnoralor) <br />IC Pad%VG Phone: <br />(� 1Bc. Ignarure o omalo Fedllry (or General <br />1g. flaza*w Wasle Roped Llanagement Melhod C, <br />A 1 _ <br />20, Daalgn ed Fa6W G or OpCralgr Gertry�u <br />nl yped atn6.,� , i�� <br />VA Form 6700.22 (Rev, 0.05) P(gviods edillone a <br />❑ Type ❑ Residua D Paruel Re(ectlon ❑ Full Rejacuon <br />o0dos for hazerdouawaete heatmant, disposal, end reeyzding eyatsma) <br />1pl,of hao,r us mawfWs coofed by Ilio manilott ex a rased to Nom the <br />to y <br />Die, DP NATEL) FACILITY TO 05NERATOR STATE {IF REQU <br />