Laserfiche WebLink
,�Sla19 ak,CaYUbrn tmorenrrf reran nunr�rrw,s 9.3o-94f ,ee IflSTrUCTIORA utr uww + +�a� 5a[msl�brtta,�a4ilomio <br /> Form Approved OMB Nq.20%p-0039 iE�ro t <br /> pleos`p.yrim ar Hpe_ Farm dt+igrsad For nee en elite(T2pirnl rl t1Tx'` p e 1 InFarmalian in IIIC sFsodad ateas <br /> j is VS EPA ID No. Manifntst I}ocyment No. Federd law. <br /> t is not req rod by <br /> UI�i1FORlA HAZARDOUS +i L� of <br /> WA51 F MANIFEST j <br /> _ r �• { A. Sta16 FAPniCost Dacumunf NumFrtr 23392848/�^ y <br /> 3, Gararator's Ne Mme and Mailing Addresr �'T�C JR yy�I �{ Ory k.� `2J ,9'L/ 4 <br /> ,j�{l,i�l r I ��1� a, State Genwater's ID <br /> O ]'"1 <br /> tn tn A. Ganeralof's 00 <br /> 1t t/ <br /> ,_!�' �+ C. Stora rrantparfer's tp Razer+ed.l <br /> C4 9. Tranaporhr t,�arpany Name <br /> y b. EPA Sb NumFtar <br /> AMERICAN V)NLL£Y WAST: OIL C A L G +-0 0 -3 .- �''R 7 St D Transpartedtr Phone <br /> a - <br /> - 9. US EPA ID Number E. State Tronsportssr:s IQ IRrvad.1 <br /> CF 7. TmnspvrtM 1 -ampany Nbms <br /> F. Transparlar's Phone <br /> rtt CLAW�1�ya.h• F— 10. US EPA 1D Number G. 5tat�ci�eLD 0 0 O <br /> J�CLADS A0AB H. Facili s . <br /> o RIVERBANK.CA 9536 <br /> U. 12. Containers 13. Total ie. Unit <br /> Q 11. US WT N,e iption linctydi"g Praper Shipol ng •lama,Ttazard Class,Dred ID NvntberF No. Y Qvantiiy wt/Vol I. Woth Number <br /> u Slate 221 <br /> z — N - C A H AIRFTOIJ3 14�TE LIQUII? .. :f:: <br /> S {Oco'WATER # fPAltDtl,er t:;;Y.i <br /> 3 G <br /> N E b <br /> Co E EPA/Other <br /> n Stats <br /> pv A. <br /> p O s EPA/Otho ' <br /> _ State <br /> ua Vd, EPA/OtherILI <br /> W K. tiondling Codas Far WaSles Listed AboverA fi0aal Das ziptlrsst6 w. aerasIS1w p :E .-GILT WA"MA• �. alp }. b V <br /> w ' <br /> d <br /> Z 15. 5paciel Ifertr ling lnstrrs[tiorts and Additiar+u;In?armation <br /> GLOVES <br /> z EMERGENCY P4ON£209-667-8817 " <br /> W ' <br /> r ppname <br /> 16. CWNJRATDi'S CERYITtf1►710N: I herebydxlnre lhoi dta contenh of rte is eensignme9 are Fully end accIn app dese+in°r na vrsabl by <br /> d�W oral go rmr rogukbriens. , <br /> marked,one labeled..s�ci are in a rwp.•s it prow condition Far transport try l+ighrray occordi� II <br /> IF I am a for fr 9uanfiy genaratar,I aenify that I have o Program in place to reduce the volume end tossiciry of•rosea generated to the degree i have dewminad to be et'anamicallr <br /> d predicable-and that t have sefecred rhe ccfirable method aF trear-en',sto,099.or dispowl currant awilabla s_..1,ieh minimizes the present and�vtura thrwl to hymn"heald+ <br /> as small c Wra enerafar,I have meds a mad Foifh effort io minrmix4 my Kash genorarion and soled the 6661 waste manopma,at mAod that is <br /> and rhe env ronrnent;M.if I ams ty g 9 <br /> available m me and that I can of otd. <br /> O — Manlh Day Yee( <br /> Signature <br /> t <br /> w Y 1 T. Tran r 1 Ackn t of Rami of TAahrials ' <br /> as A Priw d/Typed N sas� 1 SignaNr <br /> month <br /> Day 'Your <br /> ul / r ra C% <br /> W P rj } /� L .' Ir <br /> Trent er 2 Admavrledaemanr of Receipt of!/ptwiols <br /> g Si rmtant ma <br /> nlh Day Year <br /> O T Prinhd/Typed N ane 8 <br /> w E <br /> R <br /> 19. Diwreponc5 Indication Spade T <br /> l 20, Faeiii Caw,er a Oaeratbr CartiFicarion of roc ai t of hazardous materials covered b this manifest exc f al natal in Item 19. <br /> T Printed/Typed e`Dene —_— 5ignahM Month Day Year <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> DYSC 8022A fl/99) Ye11ow; GENERATOR RETAln15 <br /> EPA 8700-22 i <br /> €d wuly:TT VOW $e -33 T98T 892 60Z T: 'ON XUJ -lIO 3daOHl WIr: W06A <br />