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NOV-29-95 NED Q8 :45 P.M PRC ENVIROPI_!R 209 892 2248 P. 01 <br /> X81 $ee Instructlons an nacK OT p0ge o- of icse ltOptfto"tir�tiF; <br /> 1, — n!s US EPA ED No. Manitast baaomenr No. Pe4e 1 1niw�tftiea I&awe owcd <br /> ,.r"HAZAROOPSI Is noe,Vqt red by lfe&.iall `cam <br /> .,ASTE MANIFEST C 0 0 1. ` 91 <br /> •,.c"mrataet mama and Moirmp Asldren <br /> CITY OF STOCKTON FIRE DEPT. #12 afG"s�• _ <br /> 4010 E. MAIN ST., STOCKTON, CA. 95202 & G.r=.eialt <br /> A. C."wraMlr Phan. 222 2'' Zr -— <br /> 3 ;ronsporM 1 C—Ifty Name b. US£PA If)Wumber <br /> ENYIROkUR WEST CORPORATION C A T 018101 O 1 1101 5 9,-'a:.ryr,,;c,�x1! 0. <br /> 7, Tront riar?t nmpany Mame 8. DS EPA ID Number E,•Slob Iry epwte�,1D <br /> 1 F Tsa■Torwe Pftot+A�a T r� <br /> r-�•.. <br /> 9. Detiwwk-d FoalName and SOO Addren 10- D3 EPA IU Number G,_Side t 10'.. <br /> PRG PATTTRSON, INC- <br /> 13331 W. HIGHWAY 33 x FveSrit�t wen. +Y � <br /> PATTERSON, CA. 96363 <br /> 12. Canroiners M Tetol 14. Unit - <br /> 11. US DOT Description(—W-fimp Proper WPpinp Name,Hazard Class.aid ID NVmbee) T Qu Vrs)vol <br /> WASTE PETROLEUM OIL(COMI=TIBLE LIQUID) G _ <br /> £ TI 3 UN1270 IT <br /> EJ,t_ <br /> R K <br /> A s � <br /> T C. 'ti <br /> O IPAJOliree'' <br /> ' R c <br /> d. <br /> ».a <br /> K.H-Adlmg <br /> Codon for Waseca <br /> 1.Add"dor.a1 DCurFtien><er eialariob listed A!»ve• ::'j� b. -•�:<x,-jy'' � . <br /> G. <br /> IS. Spedal Honciling Inrtruciiont and AddiHnnal inlarmotion <br /> 24 JJR. EMnGENCY CONTACT; PRC PATTERSON (800) 874-4444 <br /> 24 HR. EMERGENCY RESPONSE: Cllak TELL INC. (800) 255--3924 <br /> WEAR APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR y � �. n name and arc dotlMad, <br /> I 16, rw fNBQATOIt•S CERTIFiCATK)Kc I hereby declom that the tomenta of Mas Sans 4nmerK ore fulNf°ted aRuratel applicable obare proper s6c B <br /> podted,marked,ord labeled,and are in all recpeds in proper condilioo for transport by hfohway according to applicable international and notional eevemmant requkptione. <br /> ned <br /> ' ti I oat a large cganthr generator.I certify that I Ito"o program in plate 14 reduce the vatul6e and"Airily of v %4%Generated to the degree I hone dNermi and t o be <br /> ecoAanacally practicable and shot(hove sekett:d the practicable method of froa-ant,gtOra;re,or disposal fv neffo tolaml+imixa my waste generation an�eet me best <br /> 11sNot+o human heath old the anvimrMem:Ott,ii t am al all qv�gseerator,i hove mode a>ac7o A1cntlt pvy ear/ <br /> woate mono amen mdlbod that' wEloble to <br /> 1 Priated d N a,s ' Sly r <br /> 2 T pay Year <br /> 17.Tran rter 1 Atknowwledoeptertt at Iter' of Matrrialp {�jj <br /> J k Piwded �'� <br /> ` a�mhMorph day To., <br /> y p if1. <br /> T_ H_a rfer 2 Aekm mens of 8e¢ f of Materiah 5ignahra - <br /> R Printed/Typed Nome <br /> s. T <br /> 19_ Discrepancy Indication Spam <br /> a <br /> J FA <br /> Z c <br /> 1 <br /> = t <br /> m 19. Year <br /> I 24 fddl Owncr lir O eratar CeWficotion of recei rovcM <br /> of haiordovs iowviats rcd b -i m flees r as noted o Da <br /> T Printed/Typed Mame S'Q 'a <br /> Y' f . i <br /> ' DO NOIT BEL THISLINE. <br /> DTSC 8022A 11/95) ll <br /> E!A 8TOG-7Z <br /> NUV 2 9 1995 <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br />