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UNWORM KAZARDOUS 1. Generaler'% US EPA ID N.. Dowmant <br />WASTE MANFEST ii C1 Al Ll <br />Generator's Mono and Ma1i"g Addres <br />(MTRAMAR, INC. <br />525 Tiest Third Street, Hanford,.. 93230 <br />it <br />4. Gan-ft's-mong, (209 583-3347 F. 1 <br />5. Tromperfor I CimpoW Nam. 6, US EPA ID Number v <br />m <br />V H ship Serv'ice Cqu pany C_L� [D jjIL4 717 W "T'i�''WIV11- <br />�L 1EA= <br />I <br />1i <br />9. Dc*wmftd Facility Nam and 31M Addres, _'10' fi�EpA_W_t4am__h__er <br />H & H 9HIP SERVICE COMPANY <br />220 CHINA USIX/TIMRy pRAMMIS <br />SAN TVAMISCO., CA - 9 4107 _ IC [A I D IRLO <br />DOT D -113d- (110duding Prop- S*ping Nome6 Hcaord Class. and ID Number) <br />Vicar= GASOLINE TANK <br />VON-RCRA HAZARDOUS VASTS SOLID <br />R <br />IM003 <br />Deparemens of Toxic Subdoxca Ccew <br />"'f 'gia's 4 <br />2. Page I Infonnallon in the shaded cram <br />i =,e r�d *4 <br />s not required by Ricaeral law. <br />of 4 <br />almlmmpowl <br />BEACON STATION, '0502 <br />35 North Cherokee <br />Lodi, California <br />16- GEMIRATOR'S CERT91CAT10016 I hereby deckgre the# ifie cordents of thin coodwrogswave fully and accurately described oh&m by proper shp*g name and am classiffecL <br />pocked, marked. and k6oled, and we in all respech in proper condition for transport bj hkgbrway acnarcling to applicable internotioeal and natlowal govenvuent regulatgam. <br />lf 1 am 0 large q"a1111r generator, I Corfify that I harog a program in plum go reduce the volume and toxicity of -wA.- generated to the degree I hme dumrtnftd to be <br />econcenktAy practicable and thus I how, selected the. practicable medsod of treatment, storuge, or disposal currently oyalkbio In me which vnioirsixtes tht prowl and fature <br />threat M human Neafifi and 11se orwivarenegot; OR, if I om a wholl quantity generator, I have made a good to^ effort to usklimize my waste generation and select +9 bet? <br />---is ovagable to me, and that I can afford. <br />Month Day Year <br />0 2 <br />_Ljj 2 LS 9 5 <br />Jill <br />re <br />0" <br />VFA <br />Frinled/Typed Name <br />NgasR- <br />sasr. <br />Is. Spedol Handling instrucoiloas and Additional kstgrgenfion <br />M—P-cy "culmn Space <br />I - <br />IF <br />JOB #15484 <br />JOB SITZ. - <br />24 Hr. ftergency contact: H & H <br />0(415) <br />543-44AS <br />PROTECTIVE CLOTHING AND RESPTRATOR <br />d <br />BEACON STATION, '0502 <br />35 North Cherokee <br />Lodi, California <br />16- GEMIRATOR'S CERT91CAT10016 I hereby deckgre the# ifie cordents of thin coodwrogswave fully and accurately described oh&m by proper shp*g name and am classiffecL <br />pocked, marked. and k6oled, and we in all respech in proper condition for transport bj hkgbrway acnarcling to applicable internotioeal and natlowal govenvuent regulatgam. <br />lf 1 am 0 large q"a1111r generator, I Corfify that I harog a program in plum go reduce the volume and toxicity of -wA.- generated to the degree I hme dumrtnftd to be <br />econcenktAy practicable and thus I how, selected the. practicable medsod of treatment, storuge, or disposal currently oyalkbio In me which vnioirsixtes tht prowl and fature <br />threat M human Neafifi and 11se orwivarenegot; OR, if I om a wholl quantity generator, I have made a good to^ effort to usklimize my waste generation and select +9 bet? <br />---is ovagable to me, and that I can afford. <br />Month Day Year <br />0 2 <br />_Ljj 2 LS 9 5 <br />Jill <br />re <br />0" <br />VFA <br />LXJ MUM WK11C BELOW 'FMM Lff4NF- <br />Yelb-i TSUF SENDS THIS IOPY TO GENERATOR WITHIN 30 DAYS. <br />DTSC W22A (9/9M (Germs raftrs who submit hazardaug. w&* for transport outol4lobe, <br />EPA 8710--22 produce completed copy of this*apy and send to DTSC within 30 dop.) <br />Frinled/Typed Name <br />NgasR- <br />sasr. <br />M—P-cy "culmn Space <br />IF <br />A <br />C <br />IRM <br />d <br />LXJ MUM WK11C BELOW 'FMM Lff4NF- <br />Yelb-i TSUF SENDS THIS IOPY TO GENERATOR WITHIN 30 DAYS. <br />DTSC W22A (9/9M (Germs raftrs who submit hazardaug. w&* for transport outol4lobe, <br />EPA 8710--22 produce completed copy of this*apy and send to DTSC within 30 dop.) <br />