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State of walifornia-California Environmental Protection Agency Department of Tonic Substances Con-sol <br /> Transportation Jnit <br /> 8807 Cal Center Dr ve.Sacramento,CA 95626 <br /> Phone(915)440-7145 Fax(916)255-6436 <br /> CONSOLIDATED TRANSPORTER NOTIFICATION <br /> 1. Business Name;Show d.b.a.name.show name exactly as it will appear or registration:same name 2.Transporter Registration Number <br /> or trademark s recuired on all vehicles): <br /> Environmental&Chemical Consulting, Inc. 6 2 2 5 <br /> 3-Business Address Nr.mber;Street City Countl#Province StateMountry Zip/Postat Code <br /> 15%00 Crafton Avenue, BLDG 129 Mentone San Bernardino CA 92359 <br /> 4.Mailing Address(If different)P.O.BexlStreet City CountylProvinee State/Country ZiplPostal Code <br /> i PO Box 3263 Crestline San Bernardino CA 92325 <br /> 5a Telephone Number (Ext.Num:)e•) 6. Identification Numbers. If you- company transports hazardous wastes, operates the designated <br /> fa:ility, and intends to suom t only the facility copy of the consalidatey marifests aursuart to Hearth <br /> and Safety Code Section 25160(b)(5)(A),you must provide all the trarsporter and facility icentification <br /> 9(}9 1 1 7 14-2095 numbers (12 characters) iced Cy your comparry on these manifests. If necessary, list additional <br /> identification numbers on a separate sheet. <br /> gib.Fax Number <br /> 909 435-3775 CAR000241448 <br /> 5c.E-mail Address <br /> davidlpeccinc.us <br /> 7. 1 intend to transport the following hazardous wastestrram under the consolidated manifesting procedure,as described in Health and Safety <br /> Code,Section 25160.2. [Check all applicable box(es)l. <br /> x A. L sed oil X J. Spent photographic solutions <br /> X B Contents of an--iUwater separator x K. Dy cleaning solvents(including perchloroethyiene,naphtha and <br /> X C. Solids contaminated with used oil si ieone based solvents) <br /> XD. Brake fluid X L_ Filers,lint,and sludges contaminated with dry cleaning solvent <br /> X E. Antifreeze x N. Asbestos and asbestoscmtaining materials <br /> X F. Antifreeze s udge x N. inks from the printing ind.rstry <br /> X G Parts cleaning solvents includirg agaeous cleaning solvents X O. Chemicals and laboratory pacts collected from K-12 schools <br /> X H_ Hydroxide sludge contaminated solely with metals from a wastewater X P. Absorbents contaminated with other wastes listed it Health and Safety <br /> treatment process Code Section 25160.2(c) <br /> X I. "Paint-related"wastes,ircludirg paints,thinners,filter,and sludges X C. Filters from dispersing pumps for diesel and gasoline fuels <br /> 6.Name and Title of Authorised Representative(print or type): Wade Riddering, Regulatory Compliance <br /> 9!1512019 <br /> Signature of Autrorized Represent40"C' Use blue or other non-black ink Date <br /> Note: Keep this Consol ated Transporter Notification, signed by DTSC, with the valid Transporter Registration <br /> Certificate in the vehicle at all times during the transportation of hazardous waste. Transportation of wastestream(s) <br /> listed above, under the consolidated manifesting procedure, without notifying DTSC is a violation of Health and <br /> Safety Code (HSC) Section 25165(a), and may be subject to significant penalties. Consolidated transporters are also <br /> re uired to submit quarterly reports pursuant to HSC Section 25160.2(d). <br /> DO NOT WRITE BELOW THIS LINE FOR DTSC USE ONLY <br /> Transportation Unit Representative Received date <br /> (Print or type name) Expiration date <br /> DTSC acknowledgement date <br /> DTSC 1299(7109) <br />