|
See Gnsfructions on back oI'pr baparlinent of Tbxic Su6sldhcae Control l
<br /> 51cMe of CdlIfornlo-�EhAr9hrnenldl yroldehoh Aeenty 5dcratn•nla,Cbliforala I
<br /> Form Appr;r-Ad OMtl} 2D50-0079(Explrea 9.30.99) wnMr.
<br /> Rleoee print or lyp•. rarm dellgh.d for We an Of&02•p,tzhl%p® Manifest Document No. Z. Priem 1 Informdlloh ih the ahoded dr®oa
<br /> +e
<br /> UNIFORM IFORM GiAZARDOUS T, Ganorolces US OFA 10 No of 15 hat regVired 6y Fadtml Idw•
<br /> r�g�lfla �
<br /> WASTE MANIFEST
<br /> A, Sidis Monifeet Documenl Number :.�,y� ,w 1 - .?. 'I°�.n
<br /> 3. G,narafct'a Name ah Mdilihq Addreae >EQUILON PIPELINE I�Ctt IRAN'Il ;, ,3M,i 1. 'wd� +we
<br /> ATTNz T. DAZEY, TE-Ft9V, d..Sloh O.hergigr's ID
<br /> C
<br /> P11 Ike sox 24.48 '
<br /> t`n A. 3eneralor's Phahe f �.y 1 .I 7- I ;' C, $Io1s Trdnsporf®r's ID( ^ ,1
<br /> t, 6 US OFA lD Nu. •r
<br /> 17i 5, Tranepotler 1 Compdny Noma l
<br /> CO I D. Tranapohlrl•'e sham®
<br /> O t Em G iv NTR - }0SE 1. e Ilk. USO PA IDN I Q� ,3 / .i E Stu f9 Trdheporlec'a ID[QtlL:t l
<br /> W j 7. Tron3perler 2 Caldpohy Nein®
<br /> .� f , F, Trdrt:perfo�N pN.one
<br /> US EPA 10 Nu'nhlt G, Sl I*rdcl ay s R
<br /> Dedgndled Foollity Nam,and silo A drees
<br /> YjCr3L,(y�syy� NTp.'Q . 35�DU ' rn:ES H. fdci Ity's Pfldil'M
<br /> Z
<br /> ay 25r5 I7I?R p010 b
<br /> 0 12. Cbnidld®rs tb. 1'okal 14, Unit wool■Numb■t
<br /> Nb• Te Quanhly WI/Vol I,
<br /> = 11. U5 bOT beocrlplion(Including groper Shlppidd Warne,Htlzard Cldee,and Ib Num6erF Sl9t. iii 2
<br /> '•.. Z U. 0511E
<br /> C � ) 0 1 OT EPA/QIHhr
<br /> I./IFIBEPLLASS PRODI-IT PIFT�*t `
<br /> G S,aie
<br /> E
<br /> o N b. EI>A/Ofhrr
<br /> m E State
<br /> �r R
<br /> A c
<br /> � •� •pAl01Rir '
<br /> 0: 0
<br /> r
<br /> w Cl.
<br /> ECrAlOfher
<br /> w
<br /> U
<br /> k. HdndGng,Cl, rs fmt Wasted 11�eWd Above '
<br /> gddl londi baetrlpkldhrfor Mglel•tdls Liejek�Above'. u,
<br /> V) k °,
<br /> 1 S. Speelal Htlndling Ino{ructions and Addulonal lnkrmohan �,'�Ca'I�:L$',f`A
<br /> SCERVICIE ;q'�ATI�I�NY
<br /> IMDI
<br /> z� �.!( T 9rlidl"f 6�4� WILE.R (f�t0) A�-9 g8o VICTOR ROAD
<br /> NODI CA
<br /> w �4�
<br /> r 6 ro .r ehi h ham.anddro dlaeelfl.d,padrod,
<br /> 16. OlA�@ttATOhrS CERfIEiCATIAN: I h.r.by ddeldre That the conl■nM of th{s conaiQnmeht are fully and ticcuralel�deeerlb.d haf Y p P p R
<br /> 4 mdtsed,dnd labeled,CRI dfld oN In all/eepect!In prapet condhlon for ltdheporf by hI01-Oy octordind fo app Icdbie Inhrnaflana!and ndflona!gowrnmenl ragulatibha.
<br /> V o me vamoh lee)to zee Ih.rG*I kl and Wlur.fhredr Ed{+umdn heaftd
<br /> If{am a dandgtha111lha fjord Or the lQitdefl t I Ildmela roF ttoni 4aflly
<br /> imtinlF,eWf n®,�ot®Ike volume at epWdl GUrrenllllydlall66la to m q®lak n0fti
<br /> ro INa d,®roe I l a d•iorml ihreci Id b,•eonontlaa
<br /> i dnJ ilieb�a
<br /> dnd fie eq andmanl;OR,If l am a the 5 f ica y gpherdd a I Have mad,d goad fdil�effok la nfihimise'my•Note aenerailoh and a.letf ih®beat Wdal•mondq.mehf mbl ed Il+al Is
<br /> oc avalld6le Ib me and 1ho1 1 don afford. Year
<br /> e ON >OlC� 4LG= MPnih �O �-�
<br /> Prini"/Typ,d Nom, // f
<br /> t 17, Tion% orfor 1 At rio%dl,rl Omani of Iteral 1 of Mol•rlall
<br /> rt 5lgnalurey �. ' 7
<br /> ace
<br /> Mon{h bay o0
<br /> Ptlhi•d/T otiNam, .r W r' ��i.�.. ,w•,�..
<br /> Year 1 a. alis 2 Ac:6`1 ed .menti of Rec.i 1 of Mdl,Nal. Month bcY
<br /> Signalur.
<br /> O T Frinied/typed Ndme
<br /> ut E
<br /> in n
<br /> 19, Dt,crepancy lhdlcoilon Space
<br /> Z p
<br /> C
<br /> � Month Day War
<br /> i 20. Fotlhl QWner ar d erdlch Cmrhficaflon of reel V df hozbrdous mdtarjob endure 6 Ih'ra mdhthsi exce i de nolo In item 19.
<br /> T Prinled/'Typed Ndme
<br /> Db +EO't �iTE BELOW THIS LINE, •�
<br /> 1 DTaC a022A 11/99)
<br /> EPA 67001-22
<br /> Z•d ZE T •ON SAJbdS I03 wdS0:e T_zeez•z nnr_----
<br />
|