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Cn N <br /> O O� Ui <br /> O N C <br /> G) w .< <br /> p1 O <br /> in <br /> (D <br /> M 00 <br /> U o <br /> D <br /> o � <br /> CD <br /> + � CL <br /> raw.aorti Rorie 209 62-11.148 <br /> e 1 Hors <br /> Y1r0WD dROiVMEMA1 sErTVrCFS ,�s Evanr�.,p� OC397 I`-.-JI <br /> 7 Tmn,, dzc­raa,e Ck 0021 I 7 036 <br /> tr�,eoer u S.E.h10 rn» <br /> a P�MENNT/NERWONO <br /> 2000N ALAMEM STREET r-r <br /> COMPTON CA 90222 O <br /> F Prete (310)537-7100 CgTOB0013352 <br /> gd 0 US.DOT D—,- "f—k-9 Proper ShPPar3 Nano,NararII Cess.ID Numbe+. <br /> risr erre Aa�ag .9 fa arv11 10.CanWiners ll,Talel 12.Orin �+ <br /> UN1H93.WASTE FLAMMABLE No- iyp� Qwnay vnrrd. taw�leccaes <br /> MA8tFL1QUlU,N.0-S.(GASOLINE.DIESEL. <br /> � <br /> WATER),3.PGIf <br /> d 19 43 <br /> DM so <br /> � I � <br /> 3- <br /> c <br /> - r4.5pxia7 Ha�dlmg lrrahucUons and Pddidcrral lntwmaEon <br /> EMERGENCY OONTAOT:CREMTREC 1-800-4249300 WOES TERMINAL-C£RES CS NAERG#9B1:128'PROFILE 0981: <br /> 396041 GASOLINE,DIESEL WATER* *APPROPRIATE PPE EQUIPMENT <br /> /Y aX3r-) <br /> 15. GFXFRAT0R'S101d f"UK'S GERTIFICA17ON:I hereby deeare that Ure contents or pus consignment are filly and a=ratety desait�ed above dy pre proper shipping name,ani ere ci U d,packaged, <br /> marrrs4 and Iabe9eNplaprded,and are in ail respects in proper wndidon for trans d aroma to apyricaNe hlematmnal and national ovemmental r <br /> W n9 g regulations-ae,:pod sRipmentandlam the Pdmary <br /> Ivl"AJ. Farprxter.I certify that the mrrlenEs d tivS consignment conform In pre tenets of the altachad EPAArknexAedgmen[of Consent <br /> "-""4 1 pre waste minmeapon daler em identified in 44 CFR 92 27(a)(if I am a large ciu nfity 9eneraror or Nl(in am)small gaanfity generator}is hue. <br /> S/w� re M <br /> s ^� signatu <br /> HN4 f! /" od!/ OJ130119,ar <br /> 16 tevnaticrW stupmeniS <br /> ✓^ Import to U.S. ❑EA U.S. 4e- <br /> Transporter sgnffwe W aroma only): Cate leaving U.S.: <br /> Lu 17 Trenspo AdmowWknvulol Reeaiptof Materiafs <br /> ` Tr 1 Pdntedlryped Name I / Signature Month Cay Ycar <br /> a /}/ • r 3d <br /> W Month Day Ycar <br /> Q Transporter 2 Pon yped Horne Signature <br /> H <br /> 18.Discrepancy - <br /> lea.Discrepancy IndiGatlOn spaceQuantity TYPE <br /> ❑Residua ❑Partial Rejec4on ❑Full Reedtion <br /> ❑ ❑ <br /> Manifest Re}erence Number. <br /> U.S.ti4AID Number <br /> Ift A1lsm310 Fadldy(or Gene Wa <br /> J <br /> v (D <br /> La FarJlitys Plwrre Monet Day O <br /> Year 0 (D <br /> n <br /> 18C,Signature o(Altemate Facilfry{x Ganwator) Cc O <br /> I Q <br /> X <br /> ste Report <br /> ent Method Carlos((.e.,modes for hazardous waste treatment,disposal,and recycling sys(emsl <br /> 19.Hazardous We Managem <br /> 3. <br /> � f 02 2 �J <br /> I Df hazardous materials covered by the mani4esk except as-Ain Item 18a <br /> Aionth Day `feu � <br /> CO f! pp.DOSVnated F&cgity Owner or Qparator CertificafiDn 01 receip Signature N <br /> CD ~ <br /> P&Wdlfyped Name 00 <br /> Cil <br /> W � <br /> O v <br /> DESIGNATED FACILITY70 DF.gTINATV01+1 STATE{1F REflulfi <br /> 1 Form 8700-22(Rev 3-05) Previous editions are obsolete. - <br /> -Q.)S a'dtlidona `uarre pH <br /> r(.4" 'rile...., rrre,r, . OCr•ar_ rham„_. loot., <br />