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.AUG 27 '04 01:54PM HEINZ STOCKTON P.4 <br /> $iota of Cali}'ai•dfq-4- n0ir8ptneilldl 6tecNon;.Aggencyy <br /> F,gqrai'Appto4eej,OM�'Nq.�05ti�,4b�J9( ;iea'9.30 99) See IASP�UCIIORS'On bOsk.O. je.6R peporfinent of Toicic Su6ahNeAs' <br /> Pladso print et;typc,s ford dwkl�H.a fbr uag on ofifst(lapikh)yp4writen SaoraMonto,;Cclifp�nia <br /> 1..OonaroMr's US EPA ID No. MbniFast Document No. R. Page 1 Information in tfrsl shoded areae <br /> f�Nl O�hk.WAZ D US <br /> W,.Ii�T� '�`k1�j� �� ��� �� � � � � � � � � � isnot required by Fedefbl law,, <br /> i11`I rST of <br /> 3. C3enpralor's Name and Mailing Address it f N <br /> 4,•Gcnarotor's P6ona I�R`�� j ' ' <br /> N <br /> S. Transporter 1 Comparmy Nomo 6, Ub EPA ID Number (.T " `'�1 <br /> sc� ,,��qq��,. rq sty e. a r, �'`� <br /> m1 7, Transporler 2 Company Name fl. US FPA ID Number satak r t YV, <br /> (j Desi o d I e d Si Addrose t�' 'i 10, US,�PA1ExISJumber * fa 4 +xz t <br /> . 'i °' ' +•'. 12, COnfQihers 13. Taal 14. Un;! <br /> s <br /> t hipping Nam <br /> No. a Quanity Wt/vol.11. US DOTDam including Proper S =;pcp <br /> 46 <br /> Ci <br /> OF 004 ) Ic <br /> 1 <br /> PA r <br /> LU <br /> frr ' <br /> std <br /> ZOO <br /> F�`'h �q�nf�h tr9•ns and Additional information <br /> ���°• �`-,b�Prr�•S',,�µ 1 t R`r 1(�•tJ'�t' t^•t''t• � Pa`•; ^��3 i'� � <br /> QZ1W'�'Oe A�4 i ro..:Additional <br /> s, .6� NA) If ti�j i 1 q i►e� t\11r, Ito) V�� F <br /> 16. t9EBTIP <br /> ENEM12yS CICATI!0M.I hereby'declare that the contents of this consignmont.ora fully and accurately described o6wa by propar shipping nand and aro classified,packed, <br /> V' merkied,and labeled,and are in all respects in prep-r cwudittem ler transport by highway according to epplicabl9 international and oedemam <br /> gavameht ragulaffons. <br /> yam+ if.i am`a lgrge quantity gcrioratory.I certify that Chave a proggram in plan to reduce the volume and toxicity of wane generated to the degree I have detOmined to the economical! <br /> y ; <br /> 610 and that I �e Relrutad the praetjcabla method of treatment,sforagq or disposal currently avoilabla to ma which minimizes the present and future threat to human heap' <br /> and tha'arrvVanmcnlJ OR,if l om'a small quantity generator,I.have made a good,Faifh efFoil to minimise my waste gentratlon and select the befit wasre,dipnagement method Iho! <br /> 0y " avallab(e'to me and that t can afford. <br /> U Pri /Ty�jed N�^� ' Sign 6q°" Day' <br /> Z e its} it �fC PL^ ''sem ✓f .r 1�, G �, <br /> Lu' Tra s otter 1 Acknowled emenl of Recei t of Materials i <br /> At / m Sign lur l O <br /> Doth Da Y. <br /> a. p 19, rons Briar 2 Acknowlad cment of Recei t eF Moteriall <br /> i 0 Pr intod/Typad'Nomo " Signature Monih Day ,, v <br /> twto� . <br /> U F 19,PisFr?pottFj Indication <br /> 1 <br /> L <br /> a ,•Facljil , -rotor Cerli ieallom of roeei t of hazWelaus materials covered b 'this manifest exce t as noted in Item 19, <br /> T' ,Frini90TyPadNomht SigAalure irkdTh Day Y <br /> Y <br /> D4Z'M I1 IBELOW THIS LINE, <br /> DTSC 8022A 11/9;) �' 1;'i";" <br /> EPA 8700--22 '�, Yellow OENERATCIR'9ETAIr <br />