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.or <br /> Approved OMB No Instructions on back of page 6../ of Toxic Substances Control <br /> s print or type. . Farm on (i f C �a ./ <br /> Sacramimlo,California <br /> s 1. s US EPA ID No. DOcue M No. 2. Page/ idormation is the arm <br /> --- is not recprired by law. <br /> W 0 { i O 94k of <br /> and Malling Address <br /> �Lao <br /> w-r4A.41 CA�, ,95-;L-0 3 <br /> ..Generaftes phone VA <br /> 5.Tiansporter 1 Cornpany Name 6. US EPA ID Nundw <br /> 7. M IMA lb WumQc <br /> 9. Dmignaled facility Nome and Site Address 10. US EPA BD Number <br /> ERICKSON <br /> 2255P2255PARR BLVD. <br /> 11. US DOT • ( ,Hazard Class,and ID ) 1 13. T�cl 14. Uemt <br /> NO. TWOWt/Yol <br /> o. <br /> G WASTE EHM TANK NON—RCRA HAZARDOUS WASTE SOLID T P P <br /> E <br /> N b. <br /> E <br /> A <br /> T C. <br /> D <br /> R <br /> CL <br /> 15. Instructions and Additional Information <br /> KEEP Y Ft} E OF IGNtY � 'w .� a �` UID STORAGE <br /> TANKS. 2k :CO <br /> 16 that of the are fully and by pr�aer eemree cued are I <br /> and and far by to applicable al, and lows. <br /> If I an a I ram in place to reduce flee volume and of generated m the degree 1 have to be <br /> economically procticalsle and that <br /> have method of ,or disposal currently available to era which minimizes tee present and fixture <br /> dweat to and the emA t OR, B an o small B have mode a good faith to my and select the bort <br /> that's to me teal B can afford. " <br /> ftkft Signal— <br /> Day Year <br /> ICICA-441WAOX., AVACIVOLI <br /> T 17. 1 Of Recew Of materials <br /> Q <br /> A War <br /> NAll /1071�1 <br /> S <br /> 0I of Reasiat of Materiials <br /> T yped Nameri Mordh l5ay Year <br /> Q <br /> Q ` 4 <br /> 19. Spans -4 <br /> F <br /> A <br /> C <br /> 1 <br /> l <br /> 20, Owner or QggEft CorliMcabon of receipt,of this maniled axcW as noted in ban 19. <br /> T NApeAh/ qpy Y r <br /> DO T WRITE BROW THIS UNE. <br /> Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. <br /> R/" (Generators who hazardous waste for transport out-of-state, <br /> BAC-22 produce completed copy of this copy and send to DTSC within 30 days.) <br />