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1.Customer US EPA ID No. Mardlsal 2.Paps 1 <br /> BILL OF LADING Document No. <br /> CA , OGC1A (1 �' S3F�f: L .#..+c, of t <br /> 3.Generator's Nemo and Me"Acidoses <br /> FOOD EXPRESS INC F00017 <br /> 1250"T 804M <br /> RD <br /> 4."T 80Iror>e( ;:C) k J :' L�b 2 CA 9I5330 <br /> 5.Transporter 1 Company Name 6. US EPA ID Number A.State TFaneporter's ID <br /> WORLD C,,'L HIYIRONMENTAL SE1WIrC, CAG 0 2 3 2 7 7 0 -3 G s.Transporter I Ph" <br /> 7.Thnsporter 2 Company Name 9. US EFA ID Number C.State TmnsporWs ID <br /> DL Ttaneporter 2Phons <br /> 9.Deeignaled Facility Name and Site Address 10. US EPA ID Number E.State Fedpty's ID <br /> US ECOLOGY VERNON INC <br /> 8378 SOUTH BOYLE AVENUE F.Facility's Ph" <br /> ANGELES CA 90088 ICAD09703099 (323)277-1BOO <br /> 11.WASTE DESCRIPTION 12.Cordalners 13. 14. <br /> Tim Total Unit <br /> Ouentlty Wt.IVci. <br /> d UN1950,AEROSOLS(EACH NOT EXCEEDING 1 CAPACM 2.1 (D M P <br /> "IIYERSAL WASTE) <br /> b. <br /> 0 <br /> Z d. <br /> 0 <br /> LL G.Additional Descriptions for Materials I Above H.Hars9ing Codes for Wastes Listed Above <br /> O <br /> _J <br /> m <br /> 15.Spedal Handling Instructions and Additional IMametion <br /> EWERGENCY CONTACT CHEMTREC 1 42493OW40ES TERMW 4 CS `' 'OFILE#981 827W—F00017 <br /> AEROSM `P50 OM2133*APPROPRIATE WE E0UII." ;::NT <br /> WE: 1 <br /> 16.GENERAT'OR'S CERTIFICATION:I hereby owft that the oomems of this shipment are fully end accuratey,described and we In aN respects <br /> in proper condition for transport.The materiels described on thb manifest are not sub t to federal hazardous waste regulations. <br /> Date <br /> PrirdedRyped Name S91sture Mph Day Mer <br /> RT 17.Transporter 1 Admowiedgement of Receipt of Materials Dale <br /> A PrkdeWlyped Name Signature Month Day Mei <br /> N <br /> S <br /> R m <br /> 19.TFansporter 2 Admowledgeerrt of Receipt of Materials Date <br /> T PrirdednVped Name Signature Month Del' Mer <br /> E <br /> R <br /> F 19.Discrepancy Indication Space <br /> A <br /> C <br /> L 20.Facility Owner or Operator Certification of receipt of the waste materials covered by this mandest,except as noted in Nem 19. <br /> I ewe <br /> T Prirded a0ed Name siondure Month Day Mer <br /> Y <br />