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%mb hMMdbir Avnw <br /> Ferre AM"vW OW l+ie.20904XW R*kw 930.96) Sorinstruttions on bads ^s page 6. Dwmwmrt of Tom&&wMem Cw" <br /> Mem.prw or sype. f.nw Il9e+d fm um m&I*(r <br /> Sevan.ao,Callfarrie <br /> U N 4)RM HAZARDOUS GMWOMes US EPA ID No. Mar&* No, 2. Page 1 hrfomnalian in Mw dreaded os.as <br /> WASTE MA T is not r.quked by Federal low. <br /> � � � � � s ss � � � lam/ <br /> 3. Gam aWs Nan.and AAaisrq Address { C! f G x <br /> s. a.9,"'s Phan. ( ' '10 <br /> ) �f 3 f �3. r f?J Y <br /> S. Tmnsponw 1 Campary Nan. 6. US EPA ID Number <br /> 'fl w� te I( - 0 0 4 <br /> < 7. Tnensperlsr 2 Compary trlana B. US EPA ID <br /> t <br /> u r <br /> V Z 9 Dn�SMdC�Nep oud".aim Address 14. US EPA ID Number <br /> \1 255 Parr,B -oJ. <br /> }'} PiCtWK*V3,CA. 94808 f" <br /> 11- US DOT Daeription(indudtng Proper Shipping Name,Hazard Class,and ID Number) <br /> 12. Canlalrlef! 13. Total IA. Unil <br /> V►t/Vol <br /> W.N-AMA Hazalyd uz waste Solid <br /> E Waste y Storage Tank. P 01 Ole P <br /> i N b' . <br /> E <br /> R <br /> A <br /> T a <br /> • O <br /> CL <br /> W <br /> V <br /> 13 Sp.6d HandRq lnshnsellaer and Addltiond Wormalfon <br /> < Kip away from som-CBs of igniticrt, Ahways wear hardhats when Avrkir q as 3 <br /> z U.G.a.T. 's 24 Hr, Cmtact Nam. yr- 9.9 __„ & Phone �V <br /> W j r• <br /> - .—�..� _......» <br /> 1 <br /> k5 COUNWAT10Mf: I hweby-�d des Mwt tfw conmft of alas eaaiamwnt are fully and amrakAy&Knl.d above by proper shipirq nares and are ckmA%d, <br /> .d,markedand Iab.ledand are im aR nopecis in proper candMw for franspoR by highway according to apprKale bowrrwlior i and rwsfiosral gover m ret rawlaiansa Ism Sumak r,I cwNfy Nraf I hang a program in pkim to redime dw of+sash.�r w�tfnae.--"".�s1d IlesSEM. abls m Med OUNWMimnl. Y �'m isties degse�have d.Mnllille!M;bsb hnneon h.aMlr and Ane anvira rm of i*f1 I am a swap :lir da dti�in fonwvrhieln naranat.sIles p d sw and fubwquanliry yawrabr, f hove mad.a good faith effort fo mirrirnae my wash ysrwration and select Nes bestnwlledthatisarsibetomeand6wicanafford. <br /> WW Nasnr Sipnalnne Modh Day Year <br /> 17. T 1 of of MaNrio4 <br /> i PrY�1ed/Tjrped fawn. momh Coy Year <br /> ls. T of of Maw. <br /> T Month Day Year <br /> P <br /> 19. mm"w'"Indoa1, Spon <br /> P � <br /> A <br /> Z c <br /> 1 <br /> III20. or CwrlMiooNan of of mawrio6 covered ft manifest as rwl.d it Item 19. <br /> Y Prierv7pd Plot a Month Dq Year <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC sa22A(1/991 Yellow; GENERATOR RETAINS <br /> EPA VVO-22 <br />