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06.26-J6 14 :09 FAX 714 720 3570 SHELL HAA HASTE Z002
<br /> State of Cafirarnie_Enr pnmereol Protection Aljency
<br /> Form Approved 06' No.2030_=9.*Ford (spires n e4V11 VMWI
<br /> See Insfrudians an beck O�age 6_ Ovportmere of TOnic a,oWence,contra
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<br /> UNIFORM HAZARDOUS f 1. Gen,e.otoVs US EPA ID No. Man4ev Doevrwerrt No. 2. Pow 1 InFOrmaf vn in the shaded ancon
<br /> WASTE MANIFEST if rnvt regained by Federal law,
<br /> 3. Gener0t9ei Name and Moiling Address
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<br /> in 4. Genero/o(7 Phare ( 7 .,) -yrs_ u: •,; T l4 -}r F� 1
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<br /> 7, Trerrsporter2 CortTporry Nrrne 6- US FPA ID Number E�Aks�T+drapwfwfi�fr r^ -. �,•
<br /> 9. Dednrd gnaFacility Name and Site Address 10, US EPA ID Number
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<br /> mt 11. US DOT 12. CoMoiners IS fd v 74. Unit 4'
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<br /> 0 TS. SpecialffalldRM Instructions and Additional Information
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<br /> Z _•T "'CUR `TIERrSP _'? r%4'JN"E ;:'UMSEIR ���Lti;
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<br /> 16. 0041RATOR'S IIM"FICATION- I hereby declare that The cvmenk of the consignment are fully and accurately desaibed above by proper shipping name and are cktWfied,
<br /> Upocked,marked,and labeled,and are in all rospec"in proper condition for transport by highway ateording to applicable federal,0ofe and m%rrnotkwm)l laws.
<br /> ,r if I Om a large quantify generator,I certify that 1 have o program in plore to reduce the w 1urne and toxicity of was! generated to rho degree I have doteemkted to be
<br /> eaonomiooty practicable and that I hove selected the practicable method of Prom me.,6,ftorage,or dapofol currenfy available to me whkh minimixee the present and future
<br /> CL threat to human health and the envirpnnmontl OR, if I am a smolt quantity generator.1 have made a good foi* effort to minimize my waste generation and sated the best
<br /> W. i wee management method that is avoilobla to me and that I can afford.
<br /> Q Printed rfJOplf I S•gntrfv AAortrk Days Year
<br /> Z T 17. Tran' ren 1 Ackno.ded ement of RJ of Aiaterials
<br /> As PreTesl/rYped Nome ` w �...• I S'g^°h`'p-fi 1+'( 6� MkMh/ Day Year
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<br /> WO 1S. T.naa orter 2 Acknowledgement of Receipi of Materiols
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<br /> N 1 19. Piscreponey Indkotion Space _
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<br /> 1 20. Focilitv Owner or Operervor Certification of receipt of hatordous mareriots covered by this manila"except os noted in Item 19,
<br /> T Priated/Typod NORy Signotvro Month Day Year
<br /> DO NOT WRITE BELOW THIS UNE.
<br /> DTSC 8022A (12/911 - _.- - -^•
<br /> EPA 8700-22 _ -.
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