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02/19/04 09:59 FAX _ _ 0002
<br /> onmenla)Projection Agency
<br /> ,qo. 2050-0039(Expires 9-30-99) See Instructions on back of page 6. Deparlmenl of Toxic Su6stonces Control
<br /> Farm designed for ass on elite(17-pitch)typewriter. Sacramento,California
<br /> l 1. Ganemloei US EPA ID No, Manifest Document No. 2. Page 1 information in the shaded areas
<br /> UNIFORItii HAZARDOUS
<br /> is not required 6y Federal law,
<br /> WASTE MANIFEST CJAJ DI 918101617151112181 9 14 12 6' 10 1 of 1 l
<br /> 3. Generators Nome and Mailing Address f
<br /> H.J. Heinz Ccmpa y
<br /> PO Box 57; Stockton, CA 95201
<br /> A. Generators Phone(209') 932-5752 II r �f -
<br /> S. Transporter 1 Company Name 6, US EPA ID Num r
<br /> � ��' �' .ar' �i'F;/7✓~V!"�ri'.J%1J(Cd'.���iAl! kr1S9'rl;�i� �.(}� ,�, I
<br /> Sterling Environmental CAD 19 18 12 15j 0 10.10 11 19
<br /> 7. Tmneporibr 2 Company Name B. US EPA ID Nr.mber °
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<br /> QrosLoy & Overton Inc. ICIAID1918121512 4 4 8 0 ' : .,, .:fir: ;rl . •.
<br /> 9, Designated Facility Name and Site Address 10. US EPA ID Num6or
<br /> OvertonInc.
<br /> Crosby � , 1 c n
<br /> 1630 We 17th Street
<br /> - Lang Beach, CA 90813 IC IA ID 10 12 1814 10 19 1011 19
<br /> 12:'Cc laincrs 13. Talo[' ld. Unit
<br /> 11, US DOT Descelplion(including Proper Shipping Name,Hazard Class,and ID Number} No, Type Quantity WI/Vol sly KF _
<br /> RQ HAZARDOUS WASTE SOLID N-O.S. 9 NA 3077
<br /> GPGIII D008
<br /> E B 0 10 14162
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<br /> 15. Special Handling Instruclions and Addilional Information ggRGWCy PHS 510/633-0336 Jop #4503
<br /> USE PROPTECIIVE GEAR
<br /> SITE: 2800 S California; Stockton; CA
<br /> 16. GENERATOR°S CERTIFICATION: I hereby declare 16aj the contents of This consignmr.I ore filly and accvro r described a6o.e by proper ahlpPing name and are classified,packed,
<br /> marked,and laboled,and ere in all respects in proper condition For iransp&rl by tiia6ww according to applico6ls Inlernaliana[and no]ona go.ernmmt regulations.
<br /> If 1 am a largo quantity generolor,I certify that 1 ha.c a p rum in place to reduce The volume and lo:iciy of wash gensmW to the degree'haus delarminod to be eeonomlcallr
<br /> practicable and that 1 home sekcted the ruaico6le method o}treatment,storage,or disposd currently availabla to me which minimizes the present and fulure threat to human health
<br /> and the en.ironmcnl;OR,if I am a small quantity generator,I have made a good(aft6 effort to minimize my waste gemeralion and select the b:st waste mandgeme,ni malhcA that Is
<br /> cr aila6fo Io me and that I can afford.
<br /> Prince VIJ Na�19nr'vle Signature Manch Day Year
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<br /> DO NOT WRITE BELOW THIS UNE.
<br /> 'SC 8022A 11/991 White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS.
<br /> A 8700-22 To: P.O. Box 3000, Sacramento, CA 95912
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