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CORRIC ENVIRO <br /> EMPTY PAINT CONTAINERS 1. Generators US EPD ID No. 2. Page 1 of <br /> BILL OF LADING <br /> (CCR-66264.7) �i �- �' <br /> 3:Generators Name and Mailing Address Time In <br /> Time Out <br /> 4. Generators Phone <br /> 5. Transporter 1 Company Name 6. US EPA ID Number A. Transporters Phone <br /> CORRICK ENVIRO SERVICES CAR000217711 562 591 -8209 <br /> 7. Transporter 2 Company Name 8. US EPA ID Number B. Transporters Phone <br /> 9. Designed Facility Name and Site Address 8. US EPA ID Number C. Facility Phone <br /> SA Recycling CN000000355 (310)835-7291 <br /> W Corridor Recycling CAL000250363 " (310)835-9109 <br /> p <br /> Waste Shipping Name and Description 12 Confeiners 13 14 <br /> u I No Type Total Quality Unit <br /> W WWoI <br /> � a. <br /> 56 GALLON DRUM (S) OF EMPTY PAINT CONTAINERS <br /> 7 SCO »S- <br /> a. <br /> NUMBER OF PAINT CONTAINERS SCRAPPED <br /> a. <br /> NUMBER OF PAINT CONTAINERS REFUSED <br /> a. <br /> EMPTY 56 GALLON DRUM (S) <br /> D. materials that went into generators haz5—(Uo—uww—a—sTe drums E. Handling des for Wastes'llsted Above <br /> vaba sow uwtd a<cd ' <br /> GALLONS + QUARTSM <br /> PINTS j <br /> 15. Special Handling Instructions and Additional Information ff <br /> J <br /> V - <br /> Q <br /> 4. 16. GENERATOR'S CERTIFICATION <br /> Printv.d'1Typed Name y Signature �/i Month Day Year <br /> ✓ ,.---'�' =,sem-.s�•.�........ � <br /> 17. transporter 7 Acknowledgement of Receipt of Materials <br /> Printed/Typed Name Slgnatute•;-i--T rMonth Day Year <br /> Corrick Enviro Services <br /> 18, transporter 1 Acknowledgement of Receipt of Materials { i <br /> Printed/Typed Name Signature , Month Day Year <br /> i <br /> 19. Discrepancy Indication Space <br /> I <br /> 20. Facility Owner or Operator Certification of Recel t of Waste Materials covered by this manifest exce t as noted In Item 19 <br /> Printed ITyped Name Signature Month Day Year <br />