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JUL
<br />24 1999 12:01 FR SK-718501 209 545 3600
<br />TO 4636185 P.02
<br />tpa
<br />of CalifarP10-Environ
<br />m•MPI P.rarottion Agangr Sbe Instructions
<br />on back of
<br />pa- +, Depe Amenl of Tocic SUDstonc•s hnmroa
<br />Rarm
<br />Appra%•d OMB No, 205040039 (Expire) 9-30-99) 6 r _ (.)
<br />Socramanlo, CaliFornia
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<br />or ypo. Fo!'r: designed /or uae on alit. 112-pilch) typ
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<br />print
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<br />No. 2. page 1 InFormatlon in the ehoded areae; • 11;sw
<br />1 . Generolor's US EPA ID No,
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<br />res not i.gai ed by Federal Ian.
<br />UNIFORM HAZARDOUS O a:1 U 14309 3
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<br />WASTE MANIFEST
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<br />B. US EPA ID Number
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<br />Handling In.lnctione and Addilional Informolion I,
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<br />16. GEMEYATOR'S CERTIFICATION: I hereby declare Ihot Ilia conlante of This consignment are Fully and accurately dascn p -
<br />for by highway according to applicable int.rnoaional and national po�xnmenl aa9alar ons.
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<br />marked, and labeled, and oro in all respetla In proper condition Ironsperr,
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<br />� r ram in Ince to reduce the volume and toX;ciy PF waste generated b the deg(ea I ho-'e delermined le be economicdll
<br />If I am a large quanliy generator, 1 certify that I have v p P
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<br />of rceormanl, storage, or disposal currently available Io mo which minimizes the present and folate threat to human heali
<br />Ilial is
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<br />t le and that I hhove soloctad Ike procucoblo malhod
<br />I d faith effort
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<br />to minimise my w—In generation and select the bass M'alle management m•ahod
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<br />and Iha environment; OR, if I am a amo quanlily generotor,
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<br />a-ailoble to my and that I con afford.
<br />Month Day Ysor
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<br />Signature
<br />Printed/Typed Name
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<br />17, Trend one, 1 Acknov�led ement of Racei I of MareriPl:
<br />—� Month Day . Year
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<br />Signature
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<br />19• Trons rter 2 Ackhovrled emonl of Reoei t of Malorials
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<br />Prinrod/Typed Nam. Signature
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<br />19. Diecrepancy, Indicalion Space
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<br />20. F.61; Owner yr O orator Cerrl Flcol,an of racai t of hazardous molarials covered b Ihis
<br />ifest exco t as noted In Item 19. .nth Day ,Year
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<br />Printed% y d Nam Signature
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<br />DO NOT WRITE BELOW THIS LINE.
<br />DTSC 8022A (1/99)
<br />While: T50; RETAINS
<br />EPA 8700-22
<br />'*
<br />TOTAL PAGE.02 h.I
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