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<br />'California's Full Service Hazardous Waste Recyclee
<br />ENVIROPUR WEST
<br />ftPART I: ., .GENERATOR I ORTIO
<br />venerator Name : ® �fiZ9� ,EPA ID�f1�0(�n? Z
<br />lr ahress°i , `"S�c'`�C7 5 i4-2',�rs^ti?'` Manifest#
<br />Pr
<br />'T41 e waSte(s,} identified' on the above referenced "manifest and
<br />ear, ng, the"California" waste number(s) identified below is subject
<br />t4o`tihe;:, Land Disposal Restrictions of CCR;'"Titre 22, Division 4.5.
<br />' "Chapter r13,
<br />F" U1,:" NAVE' IDENTIFICATION
<br />*Ornia. waste, #
<br />�ecthe ,,appropriate lines. More than one':line may apply.
<br />F y
<br />RCRA regulated waste (If this line.' is checked, please
<br />f,complete other side)
<br />_ 2. Waste oil -aqueous wastes with ;organics identified in
<br />° CCR,Title 22, 66268.112 Prohibition date effective
<br />dr. a:a 5/,8/92. <<N
<br />hail A's,t
<br />{' 3- ,°Non-RCRA metal- containing a ueous',waste identified in
<br />CCR; Title 22, 66268.107 (a).
<br />Non-RCRA solvent waste identified -.in -CCR, Title 22,
<br />lt268.107 (b) . Prohibition effective ' date 1/1/95 .
<br />5. Non-RCRA metal -containing solid,waste�identzfied in CCR,
<br />Title 22, 66268.108 (a)(3). '
<br />.S- .i`J 4a t.,c.. ..3 _4r i � t !
<br />�, �{,:6�. , aPTon=RCRA aqueous and liquid wasFfie contain ng any or
<br />compound identified by EPA Test'Methods ty 808,0,'8'140, 8150,
<br />`1`8240 " ` 'and/or 8270; identi`£3.ed� n"p" ,^ � ,
<br />;n CCR Title 22
<br />b „
<br />66268.112. Prohibition effective date 1/1/^95.
<br />n
<br />7. Non-RCRA solid waste containing43 any "organic, compound
<br />_. `-"identifi'ed by EPA Test Methods'°80"80x;' 8140;"'8150, 8240,
<br />and/or 8270; identified in CCR,.. Title 22,, 66268.113.
<br />"Prohibition effective date 1/l/95.--
<br />8. Other Non-RCRA, California regulated waste, category
<br />includes lab packs, California extremely small quantity
<br />generators, and household hazardous waste exempted in the
<br />Health and Safety Code Section 26179.9.
<br />(see other side for additional information)
<br />Corporate Office: 2651 Walnut Avenue - Signal Hill, CA 90806.213-595.7.431 - Fax: 213.427-2084
<br />PattersonOffice: P.O. Box 1167 - Patterson, CA 95363.209.892.6742 - Fax: 209-892-2248, 209.892-8574 (Plant)
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