Laserfiche WebLink
al I UNIFORJ* HAZARDOUS <br />WASTE NIFEST <br />MA - <br />T-3. Generator's Name and Mailing A d-drell <br />4. Generafor's Phone 1 209-1-943 <br />Wo 11 - <br />'See Instructions on back of a Ill Department of Toxi Substances Coal <br />*h) <br />IC <br />S...to, California Arit— — <br />1. nerator's,US EPA ID No. Manifest Document N31PF Information in the shaded areas' <br />is not required by Federal law. <br />A L 0 0 0 0 6 7 0 8 31 9 0 8 9 9 <br />PANELLA TRUCKING <br />SWO E. FREMONT <br />41111111 iiiIiiii 1111 0 N <br />STOCKTON, CA 96215 <br />5. Transportel Company Name 6. US EPA ID Number im <br />PACIFIC COAST LACQUER C A 0 0 0 8 2 5 2 4 0 <br />7. Transporter 2 Company Name 8. US EPA ID Number <br />M <br />Q <br />9� Designated Facility Nome and Site Address 10. US EPA ID Number <br />'PACIFIC RESOURCE RECOVERY <br />:3160 EAST PICO it <br />LOS ANGELES, CA 90023 C A D 0 0 8 2 5 2 11 0 <br />DOT Description lincluding Proper Shipping Nome, Hazard Class, and ID Number) <br />Re, Waste Paint Related Material. 3, UN1263, <br />PGII (Dil <br />tic <br />*61 -7 ","1 A�777777 <br />E <br />15. Special Handling Instructions and Additional Information I I 1A) AP #6329 140', AP #68" &W AP "_aS <br />Gloves, 602810s & Protective clothing <br />EMERGENCY NTACT- CHEMTREC 1-800lo-424-9300 <br />ERG#. 11A) 128 14iii ws lill iII", <br />16. GENERATOWS CERTIPWATION: ilereby declare that the contents of this consign are fully and accurately described above by proper shipping name and are classified, packed, <br />a 'N <br />marked, and labeled, and are in a 'nespects in proper condition Ill transport y highway according to applicable international and notionalgovernment regulations. <br />!f I om a la gnti araror, J -certify that I h a pr rom in plata ro use the volume and loxiciry of waste generated ro the degree !have determirred ro economically <br />practicable and that ! sel the ticable ma of• nt, s or desposal currently ovaitable ro me which minimizes the present cnd future threat to an health <br />and the environment; OR, if ! am a sma I quantity generoror, 1 mode c faith effort ro minimize my waste generation and select the be:t waste management ad that is <br />available ro me and that !can afford. ,�� <br />pn* Name Si Month Day Year <br />177"Trand POrtitill Acknowledgement of Rpilpt of Materials <br />PrSig re month Day Year <br />54; <br />=inkd1Ty_P Nome OL <br />19. Discrepancy Indication Space <br />F Ki.02 1 if <br />