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aiu�u a UIM1QgIKJ—irov �. u <br /> See InslruclloTls on hock of payed """ 1 "V 1 <br />�!�F dd type Forth desfq�ed <br /> for et)e an cite(17 pdch fyrwr...Aer) Socromenlo Collfornn <br /> 1 eno,olo„LIS EPA IDfYo Mandell Documono No 2 Pope 1 Iri <br /> UTJIFORM EIAZARDOU$ d <br /> maf 4n In the trudecl 0190%6 <br /> 11 I 1 t I of Ir nol read try reden511v+r <br /> WASTE MANIFEST r 1 I 1 f I 1 r t r 1 <br /> l y A Slafe},arJn,,(7ocsxnenl 'bor <br /> �� 91592962 , <br /> J , rolofa-r <br /> eNomedEAc�rn4Addross Canteen S�L'V7�f:E � <br /> 1500 Shaw, R. , Stockton, CA 95215 Slaig a1or` <br /> A Geno,otoys Phone( 9161 466-2709 I 1 ! 1 1 I 1 1 1 <br /> I S ltd+spo,ter I Compa"y Norse 6 L5 EPA ID Number c Stab lrarnpollet I ID <br /> pT Envi o amental Service CI At DI 9181 ?10,4 .0 , 2 101 6 ° lra'"rte!'Phom 916 6�52-5535 <br /> 7 Tromporlef 2 Comporry Ncwme S (JS EPA ID Number E Stale Transporlor',ID <br /> r'"ted/�FPrI�,P�y! `�^( rL,� G I 1 r '1.�I YIr/ I r' 171 F ltarss t=r-Ptlo,la - =o .7J } <br /> 9 Oasignofod roc>fty No"and Me Address 10 us EPA ID Number G Sale rOcMY$D <br /> Refinery Services 1 I Didl BI �1 t 61 bi 7121 $ <br /> FI foclldy,Phone <br />'o 13331 N nighway 33 , Cl At nt D1 Ftl 1 1 1 1 l r 1 - <br /> �)r x�9�53b 12 Conlolrgn 13 told lA Urvl <br /> TFu:el <br /> ttc,e 1$t ricJudlrp opor )tpPA no Haza,dCloss orXfNtxnber) No 1 Quant WINotLWCxleVote <br /> petroleum oils-nos Combust-Lble Liquids 221 <br /> EPA/Othaf <br /> E <br /> I0 f I <br /> N b slpte <br /> p E <br /> LL R <br /> A I I I 1 I I I <br /> s <br /> lat. <br /> T c <br /> O <br /> R <br /> 3 1 ! I 1 I I I <br /> d <br /> Cv ( \ t f I I I 1 I 1 <br /> J A"Iond Doscrlptrore fa Malorlah LtsledAbove K 1Sondlv,p Codo,for Wasfos Wad Above <br /> 1-1 FjAel fills with Undetermined Wbount of halogens a � b <br /> w 1-2 Waste water <br /> r <br /> IS Sooclol Lsonol oFrntnjL-lom and Adddronol InFomuf,on 11 i1 'TA_ _ ��a Vi.0�M1'l,V�11 <br /> 1 <br /> Z Capital Tank Service 'li <br /> a 2518 B & C Alley W \\ - <br /> Sacramento, CA 95816 1 <br /> Q 16 GENrRATOR'5 CERs1FICATION 1 ha+oby docloro ll ai Iib conlenh of thk cornrgnmgnl are Jury and occurAoly descrrbt+d obove by plopor srvppirq name and ore ck=lred <br /> z pocked marked ord lobrelod and 010 h aR respoels n proper conddron Iof Iford porl by hrghti vy according ro oppbcahle nlarnot ronol and nalronol govorrvnerA repulolbni <br /> 11 I ern o large auonidy gonorotor I canfy that I home a pcOgrorTn n pbce to reduce the volume and 1oz�fly of> Cnje generated 10 the degroo I halo deierminod 10 be <br /> eConomrcofly pro^_Ik-cbb and ttral I have t loctad the prortrcoblo molhod of Imatment sto, Qo or deposal cu,+anity ovorloble to me which mnsnties tt a present and fulure <br /> Itvoat to hixry3n fx)atth twid Ihn nr"orvnonf OR r I cin a vnall gtxxrldy gonarpfor I Tuve modo o good ludh onort Io nxn+ Ero my wasfe gonerol.on and solecl the bet,wtmlo <br /> X mcmgomonf melhod I"a avoiloble to me and that I con offo,d <br /> r <br /> PmlodJfypodNorne Spnaltwo Month Doy year <br /> "K, q C <br /> a �Ae� N�Q� � y �i3 I�I I <br /> C) T 17 Ironsporte+t Acknowledgement of Roce,pl of Moterroks <br /> j R Pmfodlly me Spnalure 1Nonlh fJr7y YeA <br /> r N <br /> w s �� � � � t1. � _ � I �1Sr' t1 71 <br /> C9 P <br /> Vriq <br /> 0 16 bompoder 2 Acknowledgemeni of Rote I of Malerrah <br /> Monro Day Yeo, <br /> R PmlodllYPed Nome 5rgnalue <br /> w T <br /> 19 prsCro hdreal ion spots L Gr LJ ( = «�rA �',rr r'E �> ( E�.J 1/,`�v 11��� /J roc,E T� <br /> A A;-I'L �a 6z <br /> I <br /> l <br /> 1 20 FocOdy 0smor o,Oporalor C.11 of recoorpl of Ixtzrdotn maioncjh coveled by flus mEn nn m <br /> arvlesl excepl oted da19 <br /> PmledllyAod Nome Srgnoltxe <br /> Mon N, flay Yotr <br /> T <br /> IDO NOT ITE BELOW Y111 NE <br /> Wrote TSDF SENDS 11115 COPY 10 DIS WITIAIN 30 DAYS <br /> C)4(5 W22A(12190) 10 p O Box 3()00 Socromenlo CA 95812 <br /> EPA 6100-72 <br /> J <br />