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12/22/2008 08:17 FAX 8257722 MANTECA SHELL Q 002 <br /> Alffik <br /> AVIRNMENTAL <br /> s <br /> i <br /> SERVICES" <br /> ,an Joaquin Courtly PeananGnt t•IHrAi C006c On FOCilk <br /> -SW SoL&R.A Britlgeftwd Street <br /> itochtm,CA 95205 <br /> Xrect: 5070 <br /> =ax. 208-488-5672 <br /> cnoia DATA SHEET& WAPYIER <br /> susinns <br /> i � <br /> Le A � <br /> Lea 212i <br /> munkmam wsl"r <br /> Sute gnqhazardous waste cavus limit trite use''t ttus type or waste collect on p vgrarns ao tlloge busincsses that <br /> gonerart6 less theca 100 kiWarns(27 gallons or 220 pounds)of hamdous wages per Montt' susinesGee that genarift atone <br /> ttagrt this amount are required by law to use a licenses hazardous warts hauler to manifest and transport thel6 <br /> Therefore,in order to participate In,this program.you must sign the i+�fiowring vAsiver sof lialAft r.We reserve the right to regrew <br /> your annual or c onst:lt with the Coureiyy 8-nvironrr a ntal Health Department io determine your ellgUH y for use of fts <br /> program. Thank you, <br /> i the that t am representing is a Conditionally Exampt Small Quantity Generator(CESOG)who germates ro <br /> more dw 100 k0orams(27 gallons or 220 pounds)of nazardous waste per.-nonth based on an annual average and 1,ft <br /> represefAstive of the Cl*SQG, s and the mammum quantity of waste Occepteo at trw time to ' possl 1s:27 gallons or <br /> 220 pounds and my disposal costs Incurred ahatl be the responsibift of the CESQG to pay at tate time of diF.posael. <br /> s ' <br /> DO HQT VVRITE BELOW THIS LINE <br /> res <br /> INVENTORY <br /> To tw::ompsetec9 sty c ai4aion pomonna,; <br /> item pw�,�on� pawv ofConr. Pnce Total <br /> 30 <br /> pub tool <br /> Prof - # <br /> Total <br /> '7 7n <br /> Com <br />