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08/28/95 RON 1443 FAX 583 3282 ULTRAMAR 0 0 2 <br />State at Ptutection Agency <br />Form AiWoevatl OAM No. 2WO-0039"(Expkes 9-30-94) See 1"trudions an back Qlgo-6. OMmwft-* of Toxic Subdornmt C. <br />&Wcm print orj. <br />I <br />I. - <br />10�j <br />DO NOT MUTE BELOW THIS UME. <br />Dr3c q0nA f9j" Yellow- 'rSl* SENDS S. Y TO GENT TOR WITHIN 30 DAYS. <br />EPA 0700--22 (Gerteralars who iubms hazardous vAM for tcansprort aut-af-annta/ <br />produce completed copy of this copy and sard! to DTSC within 3d dI <br />UNFORM HAZARDMIS <br />WASTE AUMII <br />—Nonm <br />Generator's arsd-Micging Address <br />ULTRAMAR, INC. <br />525 West rhird Street, Hanford, CA,' 93230 <br />4- 0—ralm" 1*— (2119) -3347 <br />583 <br />5. Transporter I Company No. 6. US EPA ID Momar <br />7. Transporter 2 Company Name M. US EPA ID Number <br />FC <br />9. 00eignated Facility Name cmd Sao Address 10. US EPA IC1, Number <br />H & N SHIP SERVICE COWAmy <br />220 CHINA BASIN/TKRRy pRANCOIS <br />SAN FRANCISCO, CA. 94107 [CIAID101.014171711 <br />11618 <br />S <br />RESIDUE GA90LINE TANK <br />N6N-9CRA HAZARDOUS WASTE SOLID <br />M� <br />ME` �7!1711P-Mr <br />% <br />I I Sp-.kd Handling Instructions and Ackli <br />MB #15484 A JOB -SITZ: BEACON STATION #502 <br />24 Hr- Emergency Contact: K & S(415) 543-4W,,. <br />35 North Cherokee <br />APPROPRIATE PROTECTIVE CLMMINr. AND RESprRATON <br />1# Lodi, California <br />— <br />16- GEMPATOWS CEURCAUMs I lweby dechum Hug theco,00twi of This consignmerg'are folly and accurately darnb!d above by proper shippiq or me and am da-zifivd, <br />pocked, marked, and labeled, and awe in all rotpects in proper condition for tromport by highway acceeding so appl inhetTAdional and national gmi,mment 1MgMjUj;0ft5. <br />If I on a 101,416 quantity Qenffroldrr� I cortify that I hem a proween in plow to reduce the valums and toxicity of wage generated in ifte dogreo I have detormirvid to be <br />economically practicable and that I have, selected ibe procticable method of treatment, storage, of disposal ctwrontly available to rue which minimizes The present and fulusm <br />tfirear to human hocilth and the environment, ()R, N I on a small qLmFQY gereirator. I have made a good falth effort to minimize my �%Ie generation cmd soled the bert7. <br />wqde --- goarew mothard tho in.aMMO&&I to <br />U—M <br />A M�1414i7-M, 71-, <br />Missile <br />DO NOT MUTE BELOW THIS UME. <br />Dr3c q0nA f9j" Yellow- 'rSl* SENDS S. Y TO GENT TOR WITHIN 30 DAYS. <br />EPA 0700--22 (Gerteralars who iubms hazardous vAM for tcansprort aut-af-annta/ <br />produce completed copy of this copy and sard! to DTSC within 3d dI <br />