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i, <br /> son! ] 19OLE ON XN/X,L] 9z:V: 2I3 ZO/ZZ/co <br /> i <br /> Slgto eF Ca1;6m1a—Enyironmen1al prehc{ian Agana $ele'I n Sfrucltlonf on back of page 6. Department of Toelc Subsrancas Control <br /> i yrm Appro-ed� 1}• <br /> 8 No.2050039)Expires 9.30.991 Socromema,Coliiemia <br /> -Pleosc print or Farm dei rrad far usa an eflto f 12f,'Wb)Typewrjk,r- <br /> 1. Get,erotors US EPA ID No. Manifes!Document No. 2. Page 1 I4 nal t R ui a the shaded arson <br /> UNIFORM HAZARDOUS is net required by FederaY lam, <br /> WASTE MANIFEST G' A <br /> 3. Generator's!Noma and Moiling Addreu PAGt�c <br /> q 53� !c�^1s8rrr� � Gam• �'�rs�� '� � Y•,t�}J+��,r' -r,�::fi'ti1 <br /> 1�ry <br /> A. Gennector's Phone['9,2-61 ' 4/ <br /> n <br /> 6. US EPA to Number <br /> 5, Tronaperter 1 Company Name <br /> o 1=cL!000 �Opd l POL INDUSTFIrES 21013 i s rt <br /> me. US EPA ID'Num6er FFJ <br /> 7. Tranaporhr 2 Company 7!ams <br /> J <br /> �7 + <br /> � C <br /> g, pcaigRotvd Faeiliy roma and Sia Address <br /> 10. US EPA Its Number <br /> rollfTrRCl. i3�f13ils"3 II��w <br /> z 125-s PARR BLVD ' <br /> )o fflrz4mopm CA 94001 C AQUAS4 -663 <br /> 12. Conloiners 13. Tete! ld. Unit <br /> 1, US DOT Dmctiptlom{including Propae ShIFFIng Name,Hazard Clou,and lb Number) Na. T Quantity Wt/Vd <br /> D l Ia'?4E EMPTY ORAlG TANK am+MON RCRA <br /> US VV,,%S TE SOLID-- Q P � A I <br /> v N b �C <br /> o T <br /> O <br /> Rad <br /> J <br /> LU <br /> d <br /> Z <br /> Uj <br /> f d d3i1Q4r <br /> w p <br /> ne <br /> Z15. Special tlandlingJnskrudons and a.dditlenol Information <br /> 0 Wear prer protective equipment While handling. Weights Or � OiL'mes are a©plrox'Mate. I <br /> 24 lour emergency Telephone number- s y. �ey Gje —S <br /> ERG#171 <br /> DOT <br /> 24 F6Our emergency Contact: <br /> wma end Pro clPralRed, cked, <br /> 16. GENERATfl4.5 CRRTIRCATION: I hereby declare ttiot the eonNnh Pf fhls eansignmemY era Fully and eecvrotely described abamn br gtaper ipping <br /> P° <br /> morkd.and labeled,and ore in all respect:in proper mndiKan fen Ipdnsparn by btokway accarding is applicable International and aallana!pavemnwnt regulafions- rr <br /> ba <br /> conomiml <br /> IF I ae,o large gvonli ganeratar,1 cot*that I hove o pr tori,In place 3a redpw the-elµma PAd raxidttyy of Haste generated to the jagnthe p a I have da M min tr ci to human healil <br /> y og I storage,or disposal eerrontly a ailalala fe me which minimizes the present and future three d♦tial is <br /> n prot6eable and 6 I l+a-P reldeted lbs practicable method of Yr o.c mi,e 'Og d falth QFFort la in'tmiza m -Osla generation and♦sled the Derr wdsm monagamenr meths <br /> y and the an-Ironmont;OR,IF 1 am a sme I puonliiy generalar,I fra+re made o oa r <br /> >Y w•edablo to me and that I can of wd. <br /> Manlli Dar Ysor <br /> OSI ra.` <br /> Pr' ted/Typed Name / a <br /> -`7�1iLKC fit- �"1L � i <br /> T 1 T. Trans orter 1 Acknmrfe ant of Reraipt of malerials month Day Year { <br /> Sign lura �y e� / ti ,j <br /> LU p p�nn Typed Nome — fry C� <br /> jo <br /> w S Nf'lA4rL7��f e <br /> rL 0 18. Trans over 2 Admou.ied emmnt of Reoai t of MeteripL- N4antfr Dar roar 1 <br /> ILF <br /> O F Printed/Typed Name Signature <br /> w 4 <br /> � 1k <br /> V19. Diserepaacylndloalian Spaee <br /> F <br /> A l <br /> C ' <br /> fMonth Doy Year <br /> 20. Facili Q.nor or O Grater Cartlf[cat on of reeoi t aF hasardous raarerials co-er•sd b this maniiast ezce 1 as note in tem <br /> T lr <br /> T I'rinlad/1'yped Name Signapure <br /> Y 13 (j C- <br /> UO NO WRITE BELOW THIS LINE. j <br /> �F " IvS TIi1S .0?Y 'i<J'i:i�1_ 't;flilhi 30 DAYS. <br /> s: :r ✓:'. "uilUli, .incrmS'tio, CA .G1: ! <br /> OTSC 8022A 11/97j <br /> EPA 8700-22 <br /> t— — -oc+,•n►I q AXHAC; I O'q W81!72:E 2002'22.8HW <br />