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�.- ';i,.- ''�;.�.u•:" °�st�+.�. .',jL a:�".. �. _ '`t�1L s'��.�iltl'.�iayC��a'�e�"'Tw <br /> Svi Cels OMS N°.2030-0039 9-30 <br /> N. <br /> !�PPre"� ( ;lSRta R 0111>r 0�, t. POGO' �:c •D.parletera d 7mac subpai aei{area <br /> r print a type:F6r+nddiQ+rd ua�an glib 1 :.�.� r ..ks4„r` : <br /> r r mac? .wr +, :^;SneaenMio;Co{iiornia• <br /> �� .. " Gesreraws US EPA Ip hie. t Docvswd Na_. 2. Page 1•, Ini°nna1iN in 1K shaded ands <br /> itNIFORM HALIRDOus 1', . . ; <br /> WASTE.MANIFEST' [• ja "'T F is rta�regtri>.ed by l�deral a,,. r <br /> 3. Genera es Name and Mailing Address <br /> PIAT I ONAL FRE I iSHT r ..-.• :W - <br /> 0 2854 LOOM I S RD. , STOCKTON. CA 95245 <br /> n 4 4. Gene-ws Phone{2(_3SJ') 462-2772 <br /> Transporter.I Comp°ny Name 6. US EPA ID Number - <br /> m DR GAL OIL C AD 9 S2 4 17 ? 53 <br /> o - <br /> CP . - <br /> r T. nsporNr 2.Company blame 8. US EPA ID Number <br /> V 01D"Wpi" aled Facility Name and Site Address 10. US EPA ID Number <br /> a QTRIAL SEENICE OIL CO. <br /> M� S. SOTO ST.�O� ANI�E'LES. CA. 9,',0:2:3s:1 D O 9141`!12171 <br /> .7 t 8 <br /> J. <br /> 1 S DOT Daiui Ncm(including Proper ShiPPrrep Nom ,K=wd[loss,and ID Numb12. T 43. Toa14. UnitN Outi 'M/volo. <br /> CM? - . <br /> .N, �-RCRA HAZARDOUS WASTE LIQUID �; <br /> Oo.§ G �« TSR Lk SLUDGiEJ O 01 T T.- <br /> E- <br /> I� r <br /> �7 <br /> cc, N <br /> co ERE <br /> t- �" <br /> C4 R r <br /> -a A .7 <br /> 6 T. ,.. , <br /> o <br /> 7 <br /> Uj <br /> i'n <br /> Z <br /> O <br /> A. <br /> tJ1 <br /> LU <br /> ac <br /> 1 <br /> Q <br /> 15.,t.pscial Handling lasauctions and Additional hriamation -p li<�Y.. <br /> AFOPRIATE PROTECTIVE CLOTHING y .- =. <br /> RGENCY CONTACT: (209)541-9145" <br /> s E.R.G. 171 <br /> v 16.` NEAATOR'S CERTIFICATION: 1601 d.dare Ifwt the contents of this crani nmMt an R and ottv► deseeibed allow - _ - . <br /> Q .pFked,and bbeled,and are in al! m r ° pro�er,hippi a redaai$ed,packed, <br /> V respects' proper condition for fronsporf hrghrrer mg ro app cable rn and narion rnment rdahera.' <br /> r -r.o!c.ec gcam y pe wraior,i wrsiiy li,al i haw a progr°ni in plea ro nduw t!w me and tacieiy of waste generated ro the degree I bare dHermined b be Ed <br /> ecOn micoflr <br /> human'hsal:h <br /> y ? mbl.and that F irvre se>•cfed rM proc�icebk method of rreotmenl,sr°r°ge or do amntfy aroiloble io me which minimises eM present and Iola»thrum to ' <br /> -rti`a rhe environment;C1R,ii I ora a.moll qumuiy gemratpr,E bore mode a good faith e b minlmire my.waate''generoKon Dual select the best rrosh monvgement method thot is <br /> � lobk ro m.Dred that I con afford. . . :t-- _ - <br /> Pneterf Name _ <br /> Signature..... <br /> Z ► iMonth - Day Year <br /> (� 17. 7 1 Ack.Igrit of Rsc.iLU <br /> ai' cti s <br /> LU <br /> Priv /Fyp.dN° f P. Lr f Signahrrs ` <br /> Ij Moms_ ear <br /> 0 tl 18. cans rler 2 Aekn ent of ewi t of Materiois <br /> � � /Typed Name <br /> LUT!-' ) Signature Month' Day Year <br /> r <br /> iQJ f h 9 Disireponry Indiratien Space <br /> Z <br /> fi. 20. Facili caner— c,,I CsMfieatian of recw; of ha:ardeus mWeriafs Dorered6y Ot mariMrzkvist as noted in hem 19. <br /> j%' Prinled/Typedorae <br /> 1 '� �{ � C� . Vie•.{ t1 a. Signatu '.:�: moi,. � e Wr& ':.• U Year <br /> DO NOT WRITE B 1,OW TH LINE. <br /> DTSC 6022A{41971 <br /> "CEPA 8700-22' °• t' Green: TRANSPORTER RETAINS <br />