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Generator acknowledges that no material change has occunao either In the charanenstics or In the process generdtlntne natena;OMB No 2050 d039 <br /> Pleas¢pint or type. Drm <br /> UNIFORM HAZARDOUS tG«remprlDNpmb« 2,Pape fm 3.Emerei Response PMnt <br /> WASTEMANIFEST CAL000359102 (900)463-3719 015N254 <br /> 70 FLE <br /> 5.Geoeasrsna eson iW Aoerass contrasts lap Md.(Rdamem man.iare aldon.) <br /> 2252266 W.Washington Street 2526 W W ashinpson Street <br /> Stockton,CA 95203 Stoaktan,CA 95203 <br /> Gantrasrspnana:(20913203700 ATTNGennr Huffman <br /> 6.Transporter 1 Company nameus EPA 0 hl:; <br /> Ca....N.,ba.9TllvhrurrnrrentaHSeNi. et Gn Ccv�0.6_0_ g <br /> ].TrantpabrR Cgnpany Na Us.EPAIU Numbsr <br /> B.DmiSlahE 1.14 Name aM Sire Mdrasin Ds. PA IDNumber <br /> Clean Harbors ButtonwiUow LLC CAD 9 6 0 6 7 5 2 7 6 <br /> 2500 West Lokem Road <br /> Buttonwillow,CA 93206 <br /> fa* sProre. <br /> is, M.U.5.00TDaw0pnliM MPmp«SNppre Naas,N®mC ,IDNumber 10.Cmrebers II.1a1N 13.Une tI.WSY Catls <br /> MM aM PaWrerNwP(daM)) Np. Type Ou«MN 4YtNol. <br /> rc f-NON-RCRA HAZARDOUS WASTE.SOLID.(ARSENIC.LEAD. , ve <br /> SBS <br /> VANADIUM <br /> z z. <br /> w <br /> 3. <br /> d. <br /> 11.CHSB1799n 9wmm«g Mtln«al lnMnla�on <br /> 15 GENrlmr on Intel <br /> Contract retained Gy Generator Corners all"94. <br /> 15. GfNERAiOR'SOFFEROR'e CERTIFICATION: IbereUyaeaare mal to ransom,Otis wregnmenl are blN mtl aovrabryammbed above by tlro gpper NRpvg rssme,rap. <br /> Es mo aM bC¢kEIPIdWNM,dntl aro In all resptt6in pNntr WMlfian(IN II&la[G1 S%9ltlirre b appliWbk InrelNllOnalyb naEONI ppuflNgnUl rreUbOaM.NaIIpM aNplr9nlaN bulla Rlmary <br /> I pi MmnoNmaubinisma arsNismnsipnment mnlprmmme 27(a)( 1amacMtl Euanift wwleapmenr(bDII par. <br /> mNty mal th waste minimiaalron sbrement ManMfietl in b CFR26R 27(a)IHI am a larye quanelygentrabr)or(bl(XI ma arntllgWnplypgbmb)i4aw. <br /> GmaratMsrsRintedRypetl flyym 59 Mmm Day Year <br /> 4,. Rl2IJ/1 ✓J07 7 131 lZo <br /> asImemaAmss Sbi«renb <br /> r ❑Impmsu.s. ❑fropnnpm u.s Pmawm rasa <br /> z iransppdar sgnatwelsreapasmNl' Deb bamp Us: <br /> Up n.TmuapalerA,*m.*dparemot Remipt or Warrao <br /> To, <br /> rl PrinteM Name SgruNre Mmm Day Y.ST 31 w <br /> Tram r2F eN yNName S b Mmm D„ Year <br /> I• 19.0baepmry <br /> IBa.DN«epeOryl«paAm Spay ❑ DuarNry ❑mm ❑ROods, ❑PaVal Roston ❑Fud Rwison <br /> MaNfM Reimeriro Number: <br /> 18D,Pmamab FafifN(w Gentmw) DS.EPAID NIxM« <br /> U <br /> LL Faoaya Prole: <br /> tec.sgrobrt dAlbmma FdSmy l«Generav) Monro Day rear <br /> ta.Ibnmoue Wmw Repos Manag«Ibm Memos dates li.e..mmsl«raramooawasb owment mspasal,Nq repNiresysbmsl <br /> f. 2. 4. <br /> H132 <br /> zD.l>y*ip /uyo¢a�l.r«oparabr canrl�mrrorlay*�iJ�p�dlplcampm maNdms m..aa ey ms mannastasmptarmmmlrem tea <br /> 1 /j/ 1,1/� pntsre /on, Y. <br /> EPAFwm57002U((Rw.12-171 Pre usedtiohsare DbsDble. D SIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> Clean Hallorshas Me appropriate pennris for and win accept the waste the generator Is shlppng. 712003941220 PPW <br />