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2�4r.nh 3-29PM �y ECI f 2KS M.914 P.2 <br /> Na 2asa oats t�xpM., aq-y9) 54e Instructions on hock 401196 6. t rtn,art of raxtc subCon <br /> �' �IYPe� fnnn dssl9�d�ru.an e!(/>.172 Alto$ Sa�am•nto.Cwlifortriq <br /> UNIFORM HAZARDOUS 1' a"-4Mlaf a US RPA ID No. Manifest DoMowt N. 2. eq"1 hMfarrnaftan in the.h;dgt'.ae <br /> WASTE MANIFESF C r4 a l '� `3 a2. �` 1 0'2 I aF 1°not rayelred by rede+wl law. <br /> 3 GaneraWs Name and hl9thtt6 Addron FA, gla Mqm'�{' i tgNiN fitnh■6 a. , <br /> ` , <br /> P.O. OX 5495; 3 BAN RAMON t: 3 y •' '''�,•'„'alp,"'II�5�rr' `'. • �,.1 <br /> 1'Pfaf° aM 1� � �'• •+•'may,%w�'y Y^;'y,': 'd�,.' ',v'' 'i ,AF'a"•moi <br /> r, 4- Gatr4 Ph 1 'i �ed—!7"7 ifh ti11F �.j+', <br /> 5. T'"Aparf"r I Co"atgr Nwme 6. US Pd'A IR Ntpnber Cr' b1ld fa PCf4(rs'� ]l ;° .. ..s Jre .� ,•r <br /> ' 1• °°4, .,y (+«�{',+,•f,�,+''i •,r,.h',5� N'ya <br /> 5 ECOi09v CONT89L INDUSTV08 10 1918 7 <br /> r 7. TronsfWfer 2 Cgplpany Name A. US 0FA P Number <br /> N1 <br /> to. us t:FA IR Numr � ���•,..a)d 4";�;��M.ti,, ;,��•�'� t � 4, <br /> r raVL lav I'e i"� <br /> a fr5a PARR BI-VO Sa <br /> !!�� .��• /4�r 1 f~S .rt, w •} <br /> RICHMOND CA <br /> 11. US WT Dasarl an galu4 12 Cani minae 13.Total 14. Unit <br /> ptl tt9 Pfet Shi ffig Name.Hated C(o°s.qnd ip N+rmberF No I Type Qvanfl Wt/Val <br /> RA.7ARDOLIQ%A <br /> SOLID <br /> F. EMPTI Y STORAGE TANK <br /> � a <br /> WAST <br /> A e. s <br /> ¢i4 O <br /> R <br /> d. <br /> u ' <br /> V <br /> f <br /> tL <br /> o i iplii lT WHILE M G, <br /> DLI _WEIGHT-5 OR.VOLUMES ARE..APPk0,XJ fATI?_ <br /> 24 HQul% R.-�tcY wu-�,cT:pAciric mwL4 pi-spAw,"ite& c';j Eel.os,. SX-ru t3 <br /> 1 d. a iRu►7ggJ'y'a rlF +flaN: I herd!.elate That the contents of thi.ant�ignm.n'aro Fm1(Y gnd untl do+erlbed qty(�proper pTstng name aft!are dgY+fiad,pfd. <br /> t rkf+d,gtl �.tl�ot4dr And aro in aA nupaah if,proper amtdttlon far lrgnspott nY hitrhwaY- pe b app a la intemarfona and nmtiono ger•.mmanf foqutatiana. <br /> if 1 am a nHty®eneratar.I orbit that I have g p ogram in plac.to(glace i vaiumv and toxlel of waste generale!to the dew—I have determined to be ow9c IcaliY <br /> •and that(her.set�ped the p�gctkoble ai hagimm+t,ataraae,ar dtllr curmm&avaiz is M me W-h mtMmtm�the preeeal and&b".throat to hWMan heal�thh <br /> and a environment Qg,tf I.qm q sn1pU wsniltY iiaterplP� 1 bora made a e <br /> �aitghie ra me and than can 9tfPid. peed fAiNt effort M mfgilnpp my wrolp 4 neradon and select fh0 6t wgste manfwment method that is <br /> P+9n Nama St6n91a Man Day Year <br /> T17. a Aelotowl a a aF Raal t of Mata ials <br /> 0 <br /> mw-J4004Nome Signafum <br /> a Q.a i <br /> 0 18. Trop atter 2 Acknowled ame t of Rece(Of of Motarlo4 <br /> sPrtnted/Ty*Now Siettalwe Month Day Yacr <br /> R <br /> p 19. Oiscreponey ind'Kation space <br /> A <br /> C ' <br /> 1 20. bal 0-rer or O tar cwdK1c of m2lipt of hagwc1oui Maignols covered hy fhfj manifestt as rale! 19. <br /> T Printed/'W d Noma Si®n <br /> Y � Month Dqy Yew, <br /> d <br /> DO NOOMBELOW THIS LINF. <br /> 6022A 111991 While: TSDf SENDS THIS COPY TO PTSC WITHIN 30 PAYS. <br /> 870t?-22 TO: P.O. Box 3000, Sacramento, CA 964112 <br />