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;AUG 27 '04 , 01:53PM HEINZ STOCKTON P.3 <br /> le;oCglifwgia�EavptbnMenlarProiec}ion Ah�'y <br /> emAk prgved.Q a,Net2050-0039JExp;ree 306991 See Instwefions on back ofa 6, <br /> ar Department of Toxic buberoneee Cc <br /> P ee r111 or,1�Ra:;�FOrm dOrentid For use on alilo II2•pfrah)•rypewrifer. Sacramento,California <br /> UNiY ?H"H�k DOUS 1. 6eneraror'e US EPA ID No. Monifed Document No. 2. Page 1 Information in the ahadeld areas' <br /> R' { I'naF required by Federal law, <br /> �WASTE m44IFEST A.JA 101010 ' of 3 <br /> 3, - nerator's Name and Mulling Address e <br /> r' 4. GenerOtgr''e Phone•I ,I'��"�,,a�'�Q� ' <br /> �Ns�yy: A 5. Tradsp6mer 1 CApony Name b. US EPA•ID Number <br /> 21 M-1121%NO-IM <br /> °D 7. Trdirsporlar 2 Campony Noma S, US EPA ID Numbor F„ H y <br /> 9,'peeignated FaailtName and 5ite Addrass' 10. US EPA ID Number <br /> Q � •�I����� �ril�'i�s'e1�R:. �& <br /> 44 015 <br /> .� <br /> a 11. US DOT Delcri tioh mel!din Proper Shipping Name,hazard Claes and ID Number) 13. Conralnors 13. Tefol 1d, Unit <br /> t'U P I g P pq g No. o Quant! W001 <br /> P• r a4 <br /> 'Pup t ri r . <br /> 00 00 E <br /> Ae. <br /> d. <br /> Z ,r• ? Ct r w a t '* rti�zli,w�.a c �+ ` ;L� t . <br /> the <br /> `rM,y'h� ,� �,� x � I �� � i. 1'� fy <br /> � y.} +a � .. t '��'•or.b,+p',1tY��l,' ''• r�� 7 n 4•, '1„Z',}`'+�. Z%MIN <br /> � <br /> sr rt•i ' I' ?rh fir` Y yu ,yy ji•d R r�ib <br /> ' u r <br /> .O16.'Spec ial Handling 1nslrlctions and Addlflojtal Information �+M� � D�; fj XrF r.f �Y N? a.d p4�{q 1 +.};y"�,f% <br /> Q ,t h40, <br /> r <br /> 16. GENERATOR'6'CERTIFICATION; I naraby declare that rhv content.of this can&!gnmint are Fully and accurate) described above by proper;chipping name and are alaee;11ad,packed, <br /> Umarked,Cnd Iob6led;and aro 1641l,Ipwoate in proper condlllen fdr trantport by highway dseording to applicable international and national gavcrnmenl�cgalations, <br /> 10-am'a'lorgo 41,00 generator,1 dertify rhat'l.have.a pregrom in.place to'reduce the volume and toxicity of waste generated lo.thb dpgrea I hove dittwminad to be eeademieally <br /> areal cable and thof I have s'I lad,thq”raaFiwbla rnalhod o treatmQp6.storage,Ar dispbsal currently evo;Iable to me which minlmlzbs the prownt'and Futurs threat to hdinon haah <br /> and a envlrOnmenP;OR,if'I aifi'a#}�j guantity.; rkerotor,I hove m4de'o goad faith effort to rriWmizo my waste ganar4tion:ond whet t6a best was[L nonage A method that is <br /> dvai1!l to Ina and that I eoh oEfird, <br /> Printed Yy idNam+je(}✓�� Month 'D Yee, <br /> 10 <br /> ./ .17. Trdn 'rk+r 1 AcicnowJa amaniofJle)of I Maleri'Ic <br /> W, Pr.pMit/lyped Name " "t''' S rc,` Month Dpy .Year <br /> 66 a 8 '-Tr-rf1k2fi r2 Aeknowleii ement of Receipt o " <br /> Printid/Typed.tame " ign9lerra' ;:'• FAanth Day Yaai <br /> U< R 4..J7istrpp6ncy Indication Space' <br /> a w� <br /> i I Owner rra r Cerr$cbflon of racer t of hazardous maierials co ad iYY this m6nif s.f a ata t 9. <br /> "T 'Printed/yped Name, Signjuro Month Day .'Year <br /> Y' <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A(11991 Yellow: GENERATOR RETAINS <br /> EPA 8700-29. <br />