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N <br />6 V <br />�r►�y i <br />V c_ <br />rra�yer� � <br />r' II <br />S <br />a <br />a <br />c <br />:1f <br />a <br />Q' <br />C <br />t <br />2 <br />LL <br />L <br />W <br />C <br />W <br />v <br />ON <br />08/28/95 MON 14:43 FAX 583 3282 ULTRAWiR 0002 <br />Alk <br />Waft olPagrclian Agency - <br />Pam Af OM® No. 2050-00" (Expires 93"4) Seo Itestrusiiwlu on bade gA b. L�rtnr.rr of Toeie subounces Can <br />Print ar typ+s. Farm destined for ~ an eiN (IlfrittfiJ Sacranarto, CahfamiaIIIIMMM <br />1. <br />DO NOT WRITE BELOWTHIS UNE. <br />r Yellow: TWF SENDS TNIS,i6AY TO GENERATOR WITHIN 30 DAYS. <br />DISC 9021A (9/93) r (Gi nerotors who arbma hamrdous vAte for transport out-of-state; <br />EPA 07fl0--22 produce campkfed copy of this copy and smd to DTSC within 30 days) <br />Ll <br />v— - <br />c _.... w <br />UNIFORM HAZARDOUS <br />.. Document .�.. .. , <br />WASTE MANIFEST <br />LI <br />-tk IL11-8 17 <br />5 <br />jr-Gdmw�s Name and Mailing Add" <br />ULTRAMAR, INC. <br />525 West ThirdStreet, Hanford,t: <br />1 <br />M rt1l5i4#w��5�aq��YiNih� i <br />5. Transporter I Company Name 6. US EPA 10 <br />•.It <br />{ � �.4�8P <br />• ... <br />... • • + - ft f <br />ti+ Y%L t1�tJi.i r1L r* h L� bta� t* k, obul.il SA <br />• + <br />... l`. .. `o . EPA r Number <br />.'°%,ate. :. r <br />tur��n .Y '. <br />i <br />t <br />9. Designated r r LIS EPA ID Number <br />,& H SHIP SERVICE COMPANY t• <br />i220 CHINA BASIN/TERRY FRANCOIS <br />SAN rRANCISCO, CA. 94107 1 1 <br />{ <br />f� <br />RESIDUE GASOLINE TANK <br />r M, HAZARDOUS i ► <br />t tr4 <br />• <br />t. � L f f <br />iT� K4 .. <br />� �., <br />1m1, .i <br />>Tw <br />i <br />� <br />..u.a.s.3 <br />�� ...�i•. Y°`r'c'"'{ i... ... .r4„.:'T �"},�+ 4+�.r�e�r"�St ��2-.���''�?�`����. <br />.ASL r , .�+L''y �,��• d°i' r � .S' �� <br />� <br />�.�', .:. ..; ,.. "...._ _ ryirr`q�.. <br />P'4L <br />� � .«l'g� <br />UA <br />'4! <br />' <br />Wr`¢' <br />E..,•11{111M,�`'r;k�t�'ru.�e»_..% 1 .=�ci.�,r'Fi3.5�UYt��v.�'t�r. <br />,>e �� <br />IS. SpackA He lastructions end Ad Itional Information <br />i'#15484 <br />3011.81TE!lSTATION, #502 <br />Emergency a.. rNorth <br />APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR <br />j Lodi,California <br />16--IwAcMACLVS CERTIRCATION. I hereby Archnne that the comwo of this consignment'are fully and accurc**tr docrbtd above by proper ihipping name and am doWwd, <br />packed, marked, and labelecl, and age in oll ra%-jech in proper condition for trompart by highway according Ila appi inknwhodul and naiianul 9—nment regulations. <br />If I am a large, quanditygenerator, I certify jhop I hw4a a programreduce the volumeand toxicityof . .... 0eneratecl to the degree I have daiarrained to be <br />disposalecanDmicaily paudicable and dint I have selected the pooclicable, werthad of treah. eat, dorog*. or a available . me whkh minimizAs the present end future <br />threat to human health and the anvim nnvm*; OR, I I am a "nall 4—Aty gonaralar, I have made a good faith effort to mini-i2a my generation and select the 69 7. <br />•.. .._. .� •. a r .. . • •. <br />• + \ <br />t <br />•' F <br />4 ,.. a .. •,.: ..... .. .. �. .; .. .. .. . .... .,. .. ... .. ,.. .: ,.:. .11 •. <br />+ i� <br />r . <br />cam <br />DO NOT WRITE BELOWTHIS UNE. <br />r Yellow: TWF SENDS TNIS,i6AY TO GENERATOR WITHIN 30 DAYS. <br />DISC 9021A (9/93) r (Gi nerotors who arbma hamrdous vAte for transport out-of-state; <br />EPA 07fl0--22 produce campkfed copy of this copy and smd to DTSC within 30 days) <br />Ll <br />v— - <br />