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Sent by RAMOS ENVIRONMENTAL. SERVICES 9163719312, 08/20/02 11 13, Jeffix #159,Page 215 <br /> Siato of Col lorTuo—tni ironmi.ntal Notcenan Agency <br /> Form Approved LIMB No ?()Sfl-DOJO Ik+pirea 9 30 991 Sae Instrudlons on back of0 e b <br /> P 1 Dvpanmenr of 7oalc Culdornio Canrr l <br /> Plaas..peel or type Fern dr+,gnrd far via on alrro f 12 pd�hJ ypewnfnr _ Saclunrenlo Cghlormo <br /> I Generw.,c US EPA ID No MQA&ITDOC emem NO 2 poor i Information in the shodsd oreas <br /> UNIFORM HAZARDOUS <br /> ' <br /> WASTE MANIFEST fry Q +snot r.gwred by Federal law <br /> f�� M ➢ ,` o <br /> 3 Ganerotor t Nomc and Mating AddreLL Y A Stole Momfoo Docvmrnl Wolter <br /> S+-J 'C0:QARAV*1 - 21854242 <br /> �� HLIRq F7{SSC ��N , j" 8 Slate Geniralar.lD <br /> 4 G.narolor$ Phase 1 lr i l4 AMn wASSM <br /> r4 ] rronspara+ I Company Nome 6 US EPA ID Numbe, C 5utic Tronsponat s ID 1 i— I �T <br /> tllp� Ii<M1Tltrtif�$�['If�rS - � Rc+�ap�garf,R�l1l7«�, �ctn � .r" <br /> 14 1 <br /> 7 Transporter 2 COrnpony Nam. 8 US FPA ID%mbar E StaleTrpmpoAar'aID Aesarvad] <br /> i <br /> \j <br /> 9 Designated Foul ry Names and Sila Addrus )a US EPA ID Number G Slorn FocrJ< ID <br /> �111LI511�IIFDTiEilEilt#fRf11�C14i5 <br /> " i�f tka <br /> 7p � ��•��t.a—w _,.., � t ,�y<f�'.4�Fi <br /> c +19 1 k + Skt3",a+y��riY+��M� *l�Ei►ti <br /> "' r """ r 12 Conlo per. 13 Tglol 14 Unit <br /> I 1 US DOf Ocscnpnon(indud{gp Proper Shipping flame Hcwrd Closr and ID Numxrl No Typp 0o0nnty W)/Vol I Wgsb Numbrr <br /> � o <br /> x i;�• l F .. .. .. ,�ynr� w-.�M E i <br /> rr~ ,» LC i urea rr a ru^ SFI�- Or ' J slt _ <br /> ..nM e.1M,f� xJs.y Y tier 1},a A C, w,.. i�•�+« ..v_+�M7] 1.J' .. Crlple-.a <br /> R —-- - --— -- — FYAlvncc r <br /> A <br /> T Sralo <br /> m O -_ - <br /> R EPA/Ods., <br /> d - - - - — Stora <br /> W <br /> V EPAIOIfrar <br /> 00;q!Vwf rm n la Aber T., r K Handling CQdw FiWosres Lived Abava <br /> in <br /> sa! <br /> 01 y w ,�� ` <br /> d <br /> lb Spacial tlondhn Inalla<Ironk and Add umnal Information .... I <br /> , — w—slsNgk�LLs--• :.+5si w"At-p1Y��'rr- t tc <br /> r 141 � <br /> �v� .�dff�[.i�r.-n�4" <br /> .:r 16 GENERATOR S CERTIFICATION 1 heraby declare Thor the conlenls w tha const( mon!ore fully and occurelsly d.scribed above by proper shipping name and are clossiflad packed <br /> rnerled and labolad and or.rn oil rerprus m proper condition for transport by hsghwuy accOrd,ng W applrsoblo rMarnnhonol and notronol go.era 0 r.asalalram <br /> + If I aw a big.yvunsiry A„n"Mcir I cen,fy rhor 1 hove o proyrort in plow to redvca ih-.olvmc and to icily o!wauo 8ancratud la Thm drrgr.0 I huvv deranrenad to be econamicolly <br /> pw wrililo and=hm I have sdecred the pracncahla method of Irnolro.nt Storage or dis I currently avolloblo la me+.rhich mimmuas the prosent and futwo Threat so human health <br /> and the enwronmens 0A if I am a small quantity generator I hrne made o Rood fadh effort to minimize my wasie generation and splen the bass wa Ire monagemont mothod rhot it <br /> a.arlable to mV and that 1 Wn adord <br /> PrinrrdlTypud Nam- Slpnaturr Month " Dqy Yeor <br /> dos t a+K h 4 b 4 31� z <br /> w <br /> U, B 1 7 Trgns vier I Acknowl.d rm nt o Reel t of Marginals <br /> 4 Pnnlod/Typed Name Signatvi Month/y Day Yeas. <br /> S C1 <br /> P <br /> 1 B Trona rt.r 2 A<knew9ed ement of e�ei r of ar is _ <br /> A Pr�nled/Type)Nons�r Slgnan.re Month Day Year <br /> Lr) E - <br /> A — <br /> 19 Di.crrpancy Indnohon Spaco <br /> F <br /> A <br /> C <br /> I <br /> ' 20 F net or 0 orator[e"J-C.Nan DI re<er I of hazardow matmmis ACG70dby rhe m_on_d_e_sr—Sset or noted in harp 19 <br /> T Pnnrad/Typed No +9narum Mom Day Yew <br /> DO NOT WRITE: BELOW THIS LINE <br /> DISC 8022A 11/991 I n. SUt yl a 11u I. la VI flu, s I,r <br /> EPA 8700-22 l P.r Cue 1vIJU JJ IGlhvill r A va f_ <br /> 1 <br />