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10.15'97 14:14 $510 974 4232 PG&E CGT GSTS 00: <br /> NON-HAZARDOUS WASTE MANIFEST <br /> No=Mint or type (Fa m for use on We(12 PtrrA)typewriter) <br /> NON-HAZARDOUS I 1.Ga eretbrs US EPA 10 NO, MBrtltsyf 2.Page 1 <br /> 011003175 7 Document No <br /> WASTE MANIFEST Lia;— of 1 <br /> ( J.Generatol, ydMaBI Addreti6f <br /> ?AGIV41 id Mal <br /> �:`,'�CT_.fL" CID. SITE_ LINE 0107 <br /> �.�. 9+r,k ',7%? PATTEISLa PA$S VV- <br /> T!Z2 CY, C'+ t 53v [YJlC TUAC . U <br /> son <br /> .Generalor'a Phe( �,:)2. 3945 <br /> 5.TrnnSoORer 1 COTppny NamO d. UG EPA ID Nv-bur A.5tats Tranriporlur:;ID <br /> 7 -• .. '. '.S. 8.Tranwilefr I Phone <br /> 7.1 rensporter 2 COf*Danq Nmne e. US EPA ID Number C.State Trerispomrs ID <br /> D.Transpener£PNorie <br /> 9.Dignatedyr�actity Name and She Address lg. US EPA ID Number E.State FacffVs ID <br /> Vol.,CVt7_lr.%l` <br /> Cie 95336 '161*'0794133 F.Fzaty's Ptane <br /> 11.WASTE DESCAI"ON 12. C411taIMK 13. 14 <br /> Total Mil <br /> Nu. 1 We Quarulry WtNel. <br /> 902,41AZARMUS Shit_ 01 OT tI Y <br /> G b <br /> E <br /> N <br /> E <br /> R <br /> A <br /> T <br /> 0 <br /> U R u <br /> n <br /> y2 ` G.Additioltal Descrbtrom for Materials Listed Above H.Handling Codes for Wastes luted Above <br /> r <br /> 7 <br /> t5.Special HandNng Ingi:ttrrinm and Additional Information <br /> C <br /> VA <br /> *1.GCNCRATOFf a CERTIFICATION:I hereby Certlty that thtr COMOMM Ot this sHp-omm nr.1,01yand accurately descrined and are M ell respects <br /> In proper CentlAj"for trri rp It Tho rnaterutls deWD"on thl;maneost ern nm mtnforr so f dar.11 ho erdous waste regulation <br /> ' Date <br /> Primed—,,ped Namr; Slpnatore / m7riltr coy Yew <br /> !fir p <br /> r 17 Tren Rorie 1 ACknpwln 1�nmont Of RftYIpl of Maleael: <br /> Data <br /> qPrinted/Typed Nw" F O fafu c Month DAY year <br /> P <br /> 0 19 T,an6porter 2 Ask wwbdac nMrt nl Rnonipt of MatOn319 Dat¢. <br /> TPr:ntaTIMped Name SlgPaw- MpliT11 DAY YearE <br /> R <br /> 19 Discrepancy 1rdiicaflon Spec, <br /> F <br /> A <br /> C <br /> 20 par nity Ownor a Operator.Cert.Ncntmn of ruC&f l of rhn w.ste ms!enale covered by that.�tanitset,excepr tm nplgd�+itln1119 <br /> L Osla <br /> TPrimed Typoo Nmmu ylgneturo Mo„tn Cray rear <br /> Y <br /> F14 PrlrlPd ny Ubelmeale�.An AmerKon l.lbelmatk Co..Chkago.IL 60918 fB0g1621.:B00 ®rRiffEir <br /> tlwnwn�n*PAPER EpvlteK Hev.31y5 <br />