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C'3 <br />Z <br />45 <br />LL <br />J <br />J <br />m <br />1. <br />�. <br />1. Customer US EFA ID No. <br />BILL OF LADING <br />Manifest 2. Page t <br />Document No. <br />cAL000291922 <br />12723977 <br />of i <br />3. Generators Nemo and Mailing Address <br />RARE MACHINERY INC - FRENCH CAMP <br />$621 S EL DORADO <br />1.GMOV.phon a 20 983 5122 CA 95231 <br />5. Transporter 1 Comparry Name 6. US EPA ID Number <br />A, State Transporters ID <br />WORLD OIL ENVIRONMENTAL SERVICES C A pp' 0 2 S 2 7 g 0 3 6 <br />B. Transporter 1 Phone <br />7. Transporter 2 Company Name 8. US EPA ID Number <br />C. State Transporter's ID <br />D. Transporter 2Phone <br />9. Designated Fac�::iy Mame and Site Address 10. US EPA ID Number <br />E. State Facility's ID <br />CLEAN HARBORS-WILTVIINGTON <br />1737 DENNI STREET <br />F. Facility's Phone <br />WILMINGTON CA 90744 CAD 0 4 4 4 2 9 8 3 5 <br />(310)335-53775 <br />11. WASTE DESCRIPTION <br />12. Containers <br />13. <br />14. <br />No. <br />Type Total <br />Quantity <br />Unit <br />Wt.NOI. <br />a. <br />tlN1950, AEROSOLS, (EACH NOT EXCEEDING 1 L CAPACITY) 2.1 <br />� <br />D M <br />P <br />(UNIVERSAL WASTE -AEROSOLS) <br />��� <br />b. <br />d. <br />G. Additional Descriptions for Materials Listed Above <br />H. Handling Codes for Wastes Listed Above <br />11 A) 1471717-72 <br />Request # <br />so # 'R <br />15. Special Handling Instructions and Additional Information <br />PMERGENCY CONTACT: CHEMTREC 1-800-424-9300WOES TERMINAL: CERES CS * PROFILE # 9131: 1471717 PAP015 <br />AEROSOLS * P500-00065924 * APPROPRIATE PPE EQUIPMENT <br />SITE: 8621 S ELDORADO STREET, , FRENCH CAMP, CA 95231 <br />p i` <br />/ /[ <br />16. GENERATOR'S CERTIFICATION: I hereby certify that the contents of this shipment are fully and accurately described and are in all respects <br />in proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. <br />)i:yped Name Si <br />Data <br />Month Day Year <br />6 9 l <br />R <br />17. Transporter t Acknowledtemeat of Receipt of Mat ' s <br />Date <br />NPrinWIT <br />a Signature <br />Month <br />Day Year <br />S <br />P <br />d 9l� <br />OR <br />18. Transporter 2 Admowledgeme of Receipt of Materials <br />Dale <br />T <br />E <br />PrirMedfTyped Name Signature <br />Month <br />bay Wear <br />R <br />F <br />19. Discrepancy Indication Space <br />A <br />C <br />I <br />L <br />20. Facility Owner or Operator; Certification of receipt of the waste materials covered by this manifest, except as noted in item 19. <br />Date <br />T <br />Y <br />Printedrryped Names <br />JI <br />Signature <br />0-1 <br />Month Day Year <br />'Lp <br />h <br />