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<br />UNIFORM HAZARDUUS . t'sbeen
<br />dd's US EPA ID No, Manifest Docume t Me. 2. Page 1 hdmmation in the shaded crone
<br />is nal required by Federal law.
<br />WASTE MANIFEST CAL930053189 51 01 21 01 2 of
<br />3, Generators Hate and Marling Address
<br />ULTRAMAR, INC.
<br />t 5251 Nest Third Street, Hanford,., (*A: 93230
<br />4. G—stele Phane ( 209) 583-3347
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<br />S. Transporter I Compaq Noma. A. US EPA ID Number
<br />• H A H $hip Sert►ice Company C„ A D 00 4 X 7 I 11116 'i3
<br />s 7. Tronspo-lar 2 Company Name g', .US EPA ID M"bor
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<br />V. Designated Fadity Name and Site Address 10. US EPA ID Member 'G}t f y 'il, f q1x .,,1i•,? gWr �4 ..., t'�
<br />H A H SHIP SERVICE CXWANY
<br />220 CHINA BASIN/TERRY FRANCOI9Erg
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<br />SAN ISCO, CA. 94107 CAD 0 0 4 7 7 1 1 f► ' ,; F t' ..
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<br />11. US DOT Dasalptlon (indrwlhrg ProPe• Shipping Name Number) Ckas, and ID ,rnber) W. T Wt/Vol
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<br />G NON-RCRA HAZARDOUS WASTE SOLID 0 0 1 T P 0 9 0 0 0
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<br />13. Specid HonAteg bahuctiora and Additiwrat tafomWion
<br />JOB 815484 JOB SITE: BEACON STATION, '502
<br />24 Har- ftergency Contact: H & H 9(415) 543-4ods 35 North Cherokee
<br />'APPROPRIATE PROTECTIVE CLoTHIya AND RESPrRATOR a Lodi, California
<br />Tb. GEMMATOR'S C13tTIFICATKft 1 hereby dad" tone the conlenss of this caatgnment'are fully and accurately described above by proper shipphro Homs, and are classified,'
<br />packed, marked, and k baled, and are in all respects in proper condition for transport by highway otter
<br />dlep to applicable inlarMlonal and national govemment regulofwrs.
<br />If 1 om a largo quantity generator, I certify that I hada o program in place Io reduce Via volume and to,ueity of wase generated to the degree f hwe determined to be
<br />econorakely practicable and Owe I haw se "d aha prm"CoMe meNaod of treatment, t, storage, or disposal currartfy avalkible to me which mineniaes the present and felons
<br />threat b hemnn health and tiro enAronrne e, OR, R 1 as a s poll gw,.fity generator, 1 have made a good faith effort to minmize my waste generation and sefsce the bast'
<br />walk mm method that is ovailable to me and fret I can afford., ,
<br />Pridqwypald Name \ y 1 MonRr Day Year
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<br />a Printed eV. PE CCI SignaNr eta,, pay yaor
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<br />o i9. Tran rtes 2 Ad orwel®d mneat of Receipt of Malitrigis
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<br />19. Discrepancy Indication Space
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<br />R -2(1.-FodlftyCPpwor_olmraparCwWkcA6nof"m2ipfafhazwdowsmoftdab cowredlk this monifest ggnpt as noted in Ram 19.
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<br />OX 124
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<br />DO NOT WRITE BELOW THIS LINE. vol:::/ )
<br />r Yollowr TSOF SENDS THIS OPY TO GENERATOR WITHIN 30 DAYS,
<br />DUC 8f17MA i9/Vel (Generofors who submit hmardovs' wAte for transport out af-sfahe,
<br />EPA x-22 produce completed copy of thil*opy and send to DTSC within 30 days.)
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<br />DO NOT WRITE BELOW THIS LINE. vol:::/ )
<br />r Yollowr TSOF SENDS THIS OPY TO GENERATOR WITHIN 30 DAYS,
<br />DUC 8f17MA i9/Vel (Generofors who submit hmardovs' wAte for transport out af-sfahe,
<br />EPA x-22 produce completed copy of thil*opy and send to DTSC within 30 days.)
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