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EMPTY FAINT CONTAINERS 1. Generators US EPD ID No. 2. Page 1 of. <br /> BILL OF LADING <br /> (CCR-66261.7) C 4900 1 ` <br /> bo %q <br /> 3.Cnera rs Name and Mailing Address <br /> j�O S XQal!1��, QQ Time In 'fibOW <br /> 83D r'td T '� J.sc�d t Time W/O:53,. <br /> 4. 'Generators <br /> 5: Transporter 1 Company Name 6. US EPA ID Number A. Transporters Phone <br /> . r <br /> CORRICK ENVIRO SERVICES CAR000217711. <br /> (562),591 -8209,s <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 ,�- r C. FacK Phone <br /> SA Recycling < Mom 00355 ` , (310)835'72911 <br /> IX Corti or RecyclingCALOOZ5 (310835-9109O0353 <br /> O <br /> ' <br /> r•.`� t <br /> Q Waste Shipping Narne and Description I 12 Containers 13 14 <br /> 0W No Type Total Quality . Unit <br /> Z <br /> W a: WUvol <br /> L7 <br /> 7 : 5,00 1 <br /> A 55 GALLON DRUM (S) OF EMPTY PAINT CONTAINERS <br /> NUMBBt OF. .AINT CONTAINERS SCRAPPED <br /> a. F. - <br /> NUMBER OF PAINT CONTAINERS REFUSED - , <br /> a. <br /> EMPTY 55 GALLON DRUMS 11. <br /> Materials that went into generators hazardous 7v_aste druffis E Handlinges for WastesTsted Above <br /> ? • L1quN Qold b Shcd - �' lJquld 8opd. ,:�, <br /> GALLONS QUARTS Pik" ,, r�+• <br /> . 15 Special Handling Instructions and Additional Information' } <br /> J 1 t,, T <br /> r ='7 S��t ws• <br /> `a r. 3 K ArL ... <br /> I& GENERATOR'S CERTIFICATION <br /> Pnnted R a e Sign Month Day.. Year <br /> 17. transporter 1 Adcriowledgement of Recelpt.of Materia <br /> Printed rr <br /> yped Name t j. Month Day e <br /> aL <br /> ;. <br /> COrrick.Enviro SerVIC@S ' 5 ,.. 7� Z / " <br /> 18. transporter 1 Acknowledgement of Receipt of Mateoms <br /> PrintedF/T.yW Alame- tf t <br /> rg 1 Month Day. Year <br /> r- Lxt <br /> 19 Discrepancy Indication Space <br /> ,N .:" -r.`. .: •.\< .� � ,fly .� ... <br /> .1 - I <br /> 20. Facility Owner or O erator: Certification of Recei t of Waste Materials covered b this nlanifestLi as noted in ite 19 . <br /> Printed!Typed Name Signature Month Day Year <br />