Laserfiche WebLink
10.15.97 14:16 $510 974 4232 PG&E CGT GSTS 005 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> Plaice print or typo (Fo(mmdesigned for use on ellte 12 )fypowrlWr) <br /> NON-HAZARDOUS 1.6qoqwrloe'-)UG EPA iD No. oONment No 2.Paye 1 <br /> WASTE MANIFEST CA?•3 003;757 <br /> 3.Generalor a N:urw arxi Mailing Address <br /> ACTFIC GAS i =;,ELTRiC CO. ST' F; LINE ,IJ: <br /> :1LiG?. G1 �S5376 T ACT, rA <br /> a �eneratoraPrronn( �If► �/$Z-3Q35 <br /> ;.Transporter 1 Company Noma P US EPA 10 Number A.State Trateporter;ID <br /> B.Traneporter 7 Pligtie <br /> 7 1 rensportor[Company Name 0 U8 EPA I D Number G.Stwo Tror>cporter a ID <br /> I ' _ D lrrn—r nrt 2 Phare <br /> 9,Dneignale0 Fagildy Name and 5rts ACMrW3 10, LIS EPA IQ Numhnr E.t3lnto Fnollhyn ID <br /> i 993,9 Siff rE AI7STIN ROAD <br /> I'tAfiLi;G:<, ; �333r rFacility's rtyaPnono <br /> • 2¢� 9�Z-,428 <br /> 11.WASTE DESCRIPTION 12. Confn nam 13. 14a <br /> Total urns <br /> No. Type Q.wbty WSNoI. <br /> I <br /> ' l;F1''N--i4A7AkT"T,% Sie?1. 01 DT <br /> G b. <br /> E <br /> N <br /> E <br /> R <br /> A <br /> T <br /> 0 <br /> W R a <br /> G.Ad(i Lunel(Je6alpil0ni for Maier%13 1-13ted Abovc H.Handlrnq Castles for Wrol-.i i-trrl Above <br /> I I JOB ACCY.Y']ViCF NO. 52'_►--t,32 <br /> 0 <br /> 0 <br /> al ' <br /> 1;;.SpKial Han Ing Inatructlprir:red Additional Inrorrr*VG r <br /> = I I <br /> t5.CtKNERATOR'S CERT7EIC�T70N:I hertby oeNtr that ttN C9nhant of IIHa altlpmant are hllry aM aCCUrately da9CrtbOd turil.ire m 8G re6DeCt6 <br /> in r mppr mnd:tion for transDort.The materiwa described on thFS nundesl are not sut>fect ro f6ftfftl naMITIOU3 wailo regw.ruuots <br /> Date <br /> Prime!vTy[wtT4vr- yfgnitUM Murrd: Day year <br /> 'r 17.TranEpoAof 1 Ack,YM-rlpnmant of Reoelpt or Materials _ Qutu <br /> RPrintBdrTyDed NamO Slgnaiure wnm r7pY Yaw <br /> N <br /> 0 18.Transporter 2 Acknavleo ke f of Raoapf of Malenel8 Milo <br /> RPnntedfTypetl Name &Wnalwe bfonN r7ny Year <br /> E <br /> R <br /> t'1 0.•arcranoy trolcallon SP=0 <br /> F <br /> A <br /> C <br /> 20 PaclLly pvvnnr nr OparatOr'Ge!tltleatien of r+eeerC!W me wawa m�tana!s Covered oy t'+n manlleat.except&:.ngtgd� dein 1 D. <br /> L Data <br /> 1 -dr:ad(Typeo Nerve Slryldh:rC Month DAY Year <br /> Y <br /> r1A Printed by Lubiir,malei.An American Lebelmark Gn CHrrago.iL 00810 (800)021-5509is USK SOMEM I- <br /> PAT=C"REMLEo►ysa Rev.3i" <br />