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nxtieerttal Protection Ageriey=. .r., c fi Xy 4pi"•` rtxa4 � •` s ^4 + i {�^^L <br /> OMB too 2050-0039(Expires 9-30.99) See.Instru'i ons-on back 6 A@_�, _.e Deportment of Tmcic Substances Camra <br /> „t or typ.. form des greed for use on elite/12-piicfi) writer. ���/ ;�a,`c •r,,: Saciamento,Calefornio- <br /> ha. t <br /> 1. Generators US EPA ID No. Manifest Document No.. 2.'Page 1 Information in the shaded area <br /> UNIFORM HAZARDOUS . >i -_{ :_; : 1, � u :u not aired Federal lar-- x� <br /> } WASTE MANIFEST -r ,� 1 required b1 ! <br /> of : <br /> 3. Generotces Name and Moiling Address <br /> =SALLY-: ATKI PSS / <br /> C> 46= , ' ALPINE AVE. , ST0i:+:'TON. CA 95204 <br /> n A. C r tar's Phone C209 )464-277$ <br /> fV 5. Transporter 1 Company Name 6. US EPA ID Number <br /> m VDF: CAL Ci 11 G AD S 8-2 4 17 55 <br /> 0 <br /> 0 <br /> m 7. Trans rter 2 Company Nome <br /> Pa Pa Y � 8. US EPA ID Number <br /> Q f <br /> V 9. Designated Fo '1' Name and Site Address 10. US EPA ID Number <br /> -. INDU�TFir=T� SERVICE OIL CCI,- <br /> -12 1700 S. -SOTT17-ST. <br /> _p _OS ANGELES. CA._ 90022 _ A .t 9 JF 7 lop <br /> J <br /> J V 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) 12. Conroinen 13. Total 14. Unit <br /> No. T chwatity wt/Vol <br /> Jz ,IOa_RCFA HAZARDOUS WASTE LIQUID <br /> (WATEP & SLUDGE) , 0 01 T <br /> N E b. <br /> o N <br /> m E <br /> v R <br /> v A <br /> 0 7 <br /> CCD O <br /> R <br /> d. <br /> Z - <br /> w <br /> V <br /> LU <br /> Z <br /> O <br /> a <br /> V) <br /> w <br /> oc <br /> J <br /> Q <br /> Z 15. Special Handling Instructions and Additional Information t - <br /> MARKET ST <br /> PROPR I A T E PROTECTIVE CLOTHING 'w SI-TEs 502— N, <br /> Z "EMERGENC"Y f:-ONTACT: ! <br />