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DCT729-02 02 : 10 PM SH—P HAZARDS SOLUTIONS 209 F768 0972 P. 01 <br /> r »proved OMB No.20$0-0039(Expires V30 p9) <br /> ill"p►s Farm deeiQned for use on.;i #file 12 ik„ Seo Instructions On back of s 1 6. Department of Toxic$ubstancer Coni,f P r�ip#wriler, <br /> '' '� Sacron»nro,Cdlkrn{a <br /> UNIFORM HAZARDOUS 1 eenerarorr US EPA JO No, Man;faif Doeument Na 2. Page 1 Woe;Qiasn in the sfi areas <br /> WASTE MANIFEST ``C A L 0 0 0 2 0 0 9 5 9 1 1 9 9 6 "°'r°9°`'�by Federal law, <br /> ,;•,:(y..,a., 3, G"walor'r Name and Moiling Address of 1 <br /> JENTRAL CALIFORNIA TRACTION A. Stoto Manifest Document Number <br /> of W. WASHINGTON <br /> 200&75.30 <br /> k <br /> STOCKTON t GA B. stale Oeneraror'r ID <br /> 1, l3enerolor•r Phone 1284'10'471-6251 <br /> +! 5. Tronsporter I Company Nam# <br /> r"''"+ d. US EPA IO Number C, Sro»Tronsporfn's 1D gJaewed.J <br /> SHOP HAZARDS SOLUTIONS, INC. C A O O Q 0 6 4 6 4 9 7 D T'°^'P°"•'''Pha^• 800-746-7449 <br /> 7 Trompormr 2 Company Name 0. US EPA 10 Number e <br /> $1a1e Tiansporter's ID(f3uuzRd-f <br /> F. Transporter'%Phone <br /> CROS13Y oted&atiOVER dy #Ta�n`d�, AddresINC .e 10. US EPA ID Number G, State Facility's ID <br /> 1630 W. 17th STREET <br /> N. Fociliry's Phan* <br /> LANG BEACH, CA 90813 CAD 0 2 8 4 0 9 0 1 9 <br /> 11, US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number)) 12 Containers 13. Total 14. Unit <br /> o. <br /> IN Type Ouanl{ Wt/Vol I. Was»Nstesbw <br /> OILY RAGS & ABSORBENTS state 223 <br /> O NON—RCRA HAZARDOUS WASTE SOLID 01011 D 0 M 0 3 5 P EPA/Other. <br /> .v ..r'' M b State <br /> E <br /> It EPA/Olh#r <br /> 'A c. <br /> T <br /> Sro1. <br /> EPA/Other <br /> of slate <br /> i:. <br /> EPA/Other <br /> J,Additional Descriptions for Materials listed Above K Handling Coda for Waller llsted Above <br /> a. b. <br /> PROFILE #27084 <br /> N"'. ., ;IS, t�.elof HondlinInslrvclions and Additional Information <br /> APPROPRIA'T'E PROTEC'T'IVE CLOTHING JOB SITE: 1645 CHEROKEE RD. tSTOCKTONr CA <br /> : ;;. ,"EMERGENCY CONTACT: (800) 746-7449° <br /> I' SEE E.R.G. PAGE # 171 <br /> C, <br /> It GINERATOR'S CERTIFICATION: I hereby declare that the cont#nu of this coneignmant are(ally and accurately described above by proper shipping name and are classified,pa ' <br /> marked,and lobeled,and are in ail respects In proper condition for transport by hlghwoy according to applicable international and notionoPgovernmenr regulations. <br /> i; II 1 am a 1or0e quant,ly generator,1 certify that I have a propprom In place to reduce the volame and toxicity of waste generated to the de0ree I have dowrmined to be scahamlw0yy <br /> practicable and that I hove selected the pro6cable method yr treatment,storage,or disposal eurrenlly avo;1o61a to ma which minimizes the ptasent and futvr#threat to hvn*health <br /> - and the environment,OR,if I am a small quantity generator,I hove mode a good faith effon to minimize my waste generation and select the boil waste management methpd Phot is <br /> gvgi{oble to me and that I can afford. <br /> ay �/YP� a Sig tura Month Day Yep/ <br /> rr - <br /> vy` A •Tran• rter I Acknowled amenl of Receipt of Materials <br /> MJ :►rinredlTyp►d Nqm# Slpnoture Month Day Y4gr <br /> STEVE M MEIER <br /> <3 , Tram rter 2 Ackn <br /> qw1ilidgerroni of Receipt of Molerlels <br /> !, Ayinsed/Type Nom Signature Month Day Year <br /> " 19. Discrepancy Indication Spoce <br /> A <br /> 'C <br /> l <br /> I , Faclllty Owner or Operator Certification of receipt of : rdo s materials covered this manifest except as noted In Item-]9. - <br /> .T Primed/Typed Name Signalare Month Puy Year <br /> DO NOT WRITE BELOW THIS LINE. <br /> J.0 6022A 11/W <br /> IPA 4100-12 <br />