|
~'.-il" >:+I,c,iiemia—tadrenmemal/reteoion Ape,uy $ee InstrVCtions on back OF 'ge 6. DeP�'AeM el ToxicS41tanar Cam,
<br /> ''Ot1 fflwd OMS No.2050-0059(ExPires 9-00.91) — Serremeeto.CNifornie
<br /> �?I'd, prim er ype, form daJoned ler we an'04(1T•pltch) "0".
<br /> W T. Pae 1 11 larmanen M the Added areal
<br /> 1, rn9rptoh US EPA ID No. Manifest Decameni 9
<br /> " 66 UN*1C4M HAZARDOUS L4 nor rVgohed by federal low.
<br /> WASTE MANIFEST C A 0 0 0 015 9 0 6 5 3�/
<br /> 7 0eaaroto,',Name andikt6iling Address A._Stere Morelos Doeon+om Nom er
<br /> ` ."
<br /> ]ldvanE ea 1 Plating
<br /> 144956 .
<br /> X1421 Giannecchini Lane, Stockton, CA 95206 a s,a.c.noaa 1l0 ; :•
<br /> 6 I- A. Crtnerat°r'L Aare, (209) 982-1104
<br /> c' S. Tromporter 1 Comas"Nome 6, US EPA ID Number Ci Stale Trdnspener's FD-, '••t
<br /> o, rromp.rk,iPfian. ;'�g00-648=9931 ,
<br /> m
<br /> 21st Century 341 V 0
<br /> 1
<br /> 7. Transporter T Company Name S. US EPA ID Nuber E: State TrampeneYs ID
<br /> m
<br /> F. TranspORdt Phone
<br /> 9. Designated Facllly Name and She Address ;0. US EPA ID Number . SIeM aci 4 ID
<br /> nz 21st Century E9�L
<br /> 37
<br /> 2095 Nekitnnds Drive, East H. fa< Iy9 phone
<br /> 1�1
<br /> 4 : NV 89408 IN
<br /> V D 9 8 0 1819 5 3 3 8 800-648-9931
<br /> v V IT marten 15. T 11, Unit
<br /> ;Z<. 11. US DOT Dewiptlen(Irteluding Proper Shipping Nome,Haeard Clot and to Nomber) N T t Cyon WI/Vai I. Wash Number,
<br /> °• RQ, Hazardous Waste Solid, N.0.5. , 9, NA 3077, X X p a0 so" 171
<br /> PG III, (Hydroxide Sludge) EPA/OIMr ,tF006
<br /> N 'N P � NMe
<br /> 1 FPA/Odor
<br /> o'I A — 1 I arae
<br /> r <.
<br /> 0 EPA/Other .
<br /> Star# ,
<br /> Z d'
<br /> w
<br /> J. Addtlonot Deuripdone for Materiels Listed Also. R. HandR^S Codes ter Wane,listed Above
<br /> Profile M95-184 nkD007 0.1 a
<br /> W
<br /> t .
<br /> Appt# 410
<br /> Q i•
<br /> 0 1S. Special He silmg ingression and Additional W.1matien
<br /> Ir
<br /> Wear Protective clothing as required 24 Hour Itnergancy Phone: 800-648-9931
<br /> 2
<br /> i „�.EItG ## 31 National. Response Center: 800-424-8802
<br /> f u1.6.,OSNERATOR'S CERTIFICATION: I hereby declare that the caatent+of this comignment are fully and aemnsi ty.deurrbed chaste by peeper shipping name and ore Classified,$;t 4;h pocked,marked,and labeled,and are in all rNpecn In proper eaMhbn ter transport by higtn+ey a<wrding M epplieeble infemvllonal ad naRonai pawmmenf regalelient.
<br /> It 1 em a largo it acmwy gat e,ems,, I certify that I have a program in place to reduce the velums and taxkhy of wane generated to the degree 1 hove determkmd to be
<br /> ecorromicnily proarcoblt and sisal l how selected Me proctkable mothod•of.,Meofinenl,storoat,or d'ypoal canewly snailobie le me ankh minimises the present and f thrm
<br /> 0- v threat ro Mman heahh and mr emdronmenh CAT, it 1 am a small gu.4 ty gbneroter, 1 hove ma' a: — IeNh sltoR to minimize my wase generail"and select the best
<br /> / ✓ i
<br /> v ` viand me emenf method that h awilobk b me and that 1 can a(ard. M0 Year
<br /> 0� Printed/Typed No , SI ne y 1, /I1 Z
<br /> r°r �
<br /> ,r"wrter I A41in"Itelgiantirnt of of tt.iah
<br /> Primed/T d Name SignON Mem16 Dry Yost
<br /> L l i� I � IS
<br /> W i
<br /> l S. rem,Fmsrs.,T A<kne dement Of 110401ist of MatVipb �.
<br /> _Prtrtfd/Typed No" Slgmav" Month Day Year
<br /> o
<br /> i l l i
<br /> e; _,.
<br /> W 19, Dlsempm+ey Indication Space
<br /> QN
<br /> U P
<br /> A
<br /> Z I
<br /> L Fgaill •-are rotor GeMiReaden ei nl t of haaardeu>materiah cared this maMte t Ift.0,as m 1
<br /> I•' S. n Nra
<br /> Yi: yped Nome 0 Manta Day Year
<br /> DO NOT WRITE BrLOWT,4K 014.
<br /> White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS.
<br /> .',gYSfJ'0ITA(9/93 To: P.Q. Sac 5000, Socromenla, CA 93817
<br /> EPA 070-22
<br />
|