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CORMc l?r`n�tRo <br /> ® F: <br /> EMPTY PAINT CONTAINERS 1. Generator's US EPD ID No. 2. Page 1 of <br /> BILL OF LADING <br /> (CCR-66261.7) <br /> 3.Generator's Name and Mailing Address C 3 c'�11,5 Lal kis' , <br /> Time In <br /> 0 r 11 o Time out <br /> 4, Generator's Phone t (cnr.t/ r A -5"3 t") <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 g_ Transporters Phone <br /> 9, Designed Facility Name and Site Address 8. US EPA ID Number C. Facility Phone <br /> SA Recycling CF1000000356 (310)835-7291 <br /> W Corridor Recycling CAL000260353 (310)836-9109 <br /> O <br /> H <br /> Q Waste Shipping Name and Description 12 Containers 13 14 <br /> Z No Type Total Quality Unit <br /> � a. <br /> WI/Vol <br /> 55 GALLON DRUM (S) OF EMPTY PAINT CONTAINERS 7 <br /> a. <br /> NUMBER OF PAINT CONTAINERS SCRAPPED <br /> a. <br /> NUMBER OF PAINT CONTAINERS REFUSED <br /> a. <br /> EMPTY 55 GALLON DRUM (S <br /> a ena s that went into genera ors azar ous <br /> waste rums E. Handling codes for Wastes listed Above <br /> i}a+a ea�a tyue ao:a � <br /> GALLONS `,% ,/ QUARTS n <br /> PINTS <br /> 15. Special Handling Instructions and Additional Information <br /> M <br /> Q r. <br /> LL 16. GENERATOR'S CERTIFICATION - --� <br /> Printed/Typed Name Signature l Month Day Year ; <br /> 17. trarfsporter 1 Acknowted ement of Recelpt of Materials%/ <br /> Printed!Typed Name fgn lure Month bay Year <br /> Corrick Enviro Services <br /> c <br /> 18, transporter 1 Acknowledgement of RP-Oipfof MaterialsA] - _ <br /> Printed ltypedName Signature Month Day Year <br /> 19. Discrepancy Indication Space <br /> 20. Facility Owner or Operator Certification of Recel t of Waste Materials covered by this manifest xcept as noted in item 19 <br /> Printed/Typed Name Signature Month Day Year <br />