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Sean om Cal 4 jrrw*—Ln%wonnwrllal Nroleelion Agency <br /> Form Approved OME No 7OW-OW9(6cprres 9a0A6) See Instructions on back of page 6.1 111 �'f�D.pa,,m,er�o+Toxic Substances can <br /> e' Pl.r prW or type Form d*Wned for use an orlo(I2poch)4pewrf8'r ' <br /> '- Sacramento Cplifomia <br /> 1 Generators US EPA ID No Manifest Doarmerd No 2 Pope I Information In the shaded areas- <br /> UNIFORM HAZARDOUS r f. to 01 et of a C ",is <br /> not <br /> required by Federal law ' <br /> WASTE MANIFEST C 1 s 161 _- <br /> 3 Gamaralors Nam.and Ma1Cmg Address <br /> ASP <br /> P �i1r,f� L � 550"-r Z1� 'L <br /> on T1\r �f ose��r+il '� r 1/� <br /> Gen.ratars PIKN �� ) nt. � C„Ab 1S"Z3Ce. <br /> 3 Transporter 1 Company Name 6 US EPA ID Number <br /> Co /1 !, 2 G <br /> &101019 '7 7 7 Z <br /> 7 Tn=40044er 2 Compary Name 8 US EPA ID Number <br /> 9 <br /> 2.cKSOIt;l�ny I�n <br /> Z n <br /> and Site Address 10 US EPA ID Number <br /> c. <br />� o <br /> C#. U- <br /> 255 Parc Blvd. <br /> a RiChrnand,CA 94801 1 C 0 0 9 6 ' <br /> 12 Contomers 13 Total 1/ Unit <br /> Z 11 I15 DDT Description(including Proper Shipping Name.Hazard Class,and ID Number) No I Type Quararly Wt/Vol <br /> 3 a NM-RCRA Hazardoa:, Wa.;te Solid <br /> cr E Waste Empty Storage Tank Aro ASSoc4AT� P;-FcO 6 TIP 16 P <br /> b DS <br /> C4 R <br /> A <br /> T c <br /> O s• <br /> ac � <br /> W <br /> Z d <br /> W <br /> V <br /> W <br /> N <br /> Z <br /> O <br /> J <br /> a <br /> O Spanal Handling hlstructeons and Additional Information <br /> a Keep away (torn Tources of igni i:Le n. Aiw-tV!3 W,-ar hatrrl7c CS v,,4"' w'irk C a2 owid <br /> Z U G.5 T 's 24 Hr Contz,cz Na-ML- <br /> Lu <br /> a-M_ <br /> Lu <br /> H <br /> J I& GENWATOR'S CERTIFICATION I hereby declare that the contents of this consignment aro fully and accurately described above by proper shipping name and are classified <br /> V am packed,marked and labeled and are a8 respects m proper conditmm for transport by highway according to applicable international and national government regulations <br /> IF I an a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree f have determined to be <br /> 0. economically practicable and that I have selected the prodxxdAe method of treatment,storage,or disposal currently available to me which minimizes the present and future <br /> V) threat to human health and tie environment;OR,9 1 am a small quantity generator,f have made a good forth effort to mmnmiw my waste generatao and salad the best <br /> waste method"_ts avo0ob c to me and that I can afford <br /> 0 rlrN.d Shg r <br /> Month Day Year <br /> ur r a7T- 0 3 f a si <br /> Z T 17 r 1 Acknowledgement of Receipt of Motenals <br /> itsi Prmted/Typed Nana PS <br /> ip Month `Day Year <br /> N 01' �l i"'� E' L <br /> tat o 18 Trans 2 A wfed mint of Receipt of Materials <br /> cc T Pnntad/Typed Name Signature Month Day Year <br /> O f <br /> to 19 Daereparcy lndhcahon Space �yy <br /> a <br /> V F <br /> A It b • NoT �T� �S SeP�E Lt�E iZ`I'�1 �"�"` <br /> Z C <br /> I <br /> I 20 Foal Owner or 2nratar Certification of receipt of hazardous materials covered hy this manifest*xceo as rated in Item 19 Z th a <br /> Y P--PV <br /> �I o Srgnahe� J ']' J t [ Year <br /> 40 DO NOT WRITE BELOW THIS UNE. <br /> White TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS <br /> DTSC 8022A (1/95) To P O Box 3000 Sacramento, CA 95812 <br /> EPA 8700--22 <br />