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Foun Approved,00 No.2050-0039 <br /> Please print or type.ftrm designed for use on elite(12-pitch' 'niter.) 2 page 101 T.Emergency Response Phone 4.Manifest Tratking Number <br /> 1.Generator ID Number , (800)424-s301r 002144059 F L E <br /> UNIFORM HAZAR0005 C A 1. 4 0 0 2 2 5 8 0 5 <br /> WASTE MANIFEST Genarator's bite rens(if erent than mailing addfess) <br /> ame and ailingAdd s ARCO 6080 <br /> est oast Products LLC 85 E. Louisa Avenue <br /> P.O. Box 60249 <br /> Rancho Santa Margarita, CA 92688 (949)460-5200 1 Lathrop, CA 95330 <br /> Generator's Phone'. U.S.EPAtD Number <br /> raps er ompany ame CAT 0 8 0 0 1 61 1 6 <br /> Nle to and Sons Trucking, Inc. ll.s.EPA 10Number <br /> 7.Transporter 2 Company Name <br /> U.S.EPA ID Number <br /> 8. s <br /> ad Facfllty me a Site Address <br /> tt� enno M�erc oon <br /> 2000 N.Alameda Street 310 537-7100 CAT 0 8 0 0 1 3 3 5 2 <br /> Compton, CA 90222 ( } <br /> Faci!i 's Phone: 14.Containers otal 12,Unit 13.Waste Codes <br /> 9a 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, No Type Quantity Wt Not. <br /> HM and Packing Group(it any)) 134 <br /> x 1 Gasoline Mixture <br /> X 3 UN1203 P.O. II (Not regulated as a RCRA Waste) <br /> 001 T T ` 00 O <br /> Z 2. <br /> w <br /> 0 <br /> 3. <br /> 4. C 7 <br /> 14.Special F w &WM IYtfXtUre BEJI P.C•.,# l 1v 1 C r <br /> Olifle <br /> Wear All Appropriate E.R.O.#128 <br /> Protective Clothing Belshlre CCN 205882 Affiliate is BP West Coast Products CCN 205863 <br /> tare and accwatety desmbad shove b1 the Proper nems Prf ' <br /> t5. GENERATOR'SlOFFEROR'S` ''' .FICATION: I hereby declare that the contents oi0 �th emaboasil and natSo W govan mental ra¢ulatlens.He�ort lrhlprlrarrt <br /> condition for Uansporl r" <br /> marked and laboledlplacarded,and are b all respects In propernl of Consent . <br /> Exporter,I ce"that the contents of this cons,grument conform to the teens of the attached EPAAcknwdad o 1 am a Waft quantity generator)is true <br /> f l ame karya p�rant�generetor�or(b)(h _. YOU- <br /> t certify that a waste r�i nlmitaT}on statement Identifiede+40 CFR 26227(a)( � ra A� ^- '�O <br /> enerat e s on y acne 1 <br /> Larry Moothart-BESI Agent of BP West Coast El Exp LLC <br /> � t6.international Shipments �Expa,t from U.S. Port of entryJexit: -___—————— —--— -- <br /> ❑Import to U.S. Date leavingU.S.: <br /> Z Trans er s nature for OxPOds on, <br /> IF <br /> 17.Trans or Acknoz.iedgment of Receipt of Aiaterlais na re 12 `10 <br /> � <br /> Transporter 1 Print.. yped Name � <br /> 01) a ear <br /> anatur <br /> zd Transporter 2 PrinledlTyped ame <br /> to.Discrepancy Type Residue ❑PaNa1 Rejection Dull Rejection <br /> iU Discrepancy indication Space O amity <br /> ❑ <br /> Manifest Reference Number: U.S, PAID Number <br /> 18b.Alternate Facility(or Generator) <br /> V Month Day Yea <br /> ta+- Fadlit is Phone: <br /> t6c.signature of Alternate Facility(or Generator) <br /> 19.Hazardous Waste Report Management Melhod Codes(I e.codes for hazardous waste treatment,disposal,and recycling systems) 4 <br /> uJ 1 2. <br /> O ' <br /> 29.Designated Facil ry Owner or Operator.Ce VficaGon of receipt of hazardous materials covered by the mSgnature�pl as noted In Item 1 <br /> st A onih Day Ye. <br /> .. rintedl7 'L O <br /> INATION STATE(IF REQUIR <br /> SERA Form 9700.22( ev.X ) Pravlous editions are obsolete. <br /> DESIGNATED FACILITY TO DEST <br />