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02/22/02 FR1. 1.1:24 IiAXI' 949 450 11.77 iQ]005 orate of CAlilornia^-Environmental protection Aggenhy Form Approved Oµ8 No.2060-0039(Expires 9.3� Please print ortype. form designed for use on elite t.. titer 56'- i11 'Yt.'Ct101TS on be e 6 n' Department of Toxic Substances Conir UNIFORM HAZARDO 1 Generators US EPA ID No. Manifest Document No. - Sacramento,California 2. Page 1 information in the,holed areas- WASTE MANIFEST ( is not required by Federal low. 3. Generator's Normo and Moiling Add�essS�"'�`�C� - ✓1-O O t of ` A..Stole Monlfast boevmaiit Number `�- ARCO Products Cp,rr>x,W y — to o P-0.BOX 90877 —vim 12 5 4 9 rn A. Generators Phone( 3 10) 3471-9Z1S B: State Gtsnirsilor s 1D t\ _ Y os Angeles,CA 9001)9 cv 5. Transporter I Company Name 6. US EPA ID Numb. -1 U- LI)6 W C. State Transporfer's ID[ eiery d-,) r@IF+111!E Ti Virmrnental Services,rT]C. 9� �� I D. Tronspdrler's Phoir®op � 7. Tronsporter 2 Company Nome _�`'`LAI�--`•- =t$181416 1811 `940) 04 010 — 8. US EPA ID F umbo E. Slule Tidnsportors'1D - Asbury)3nvirotl enW COS rQ c P. o -2 3 7 0 3 6 _.,___ F. Tcansportai's Phone 9, L1yii�gole�dQliAt amep and Site Ac ress 10. US EPA tD umber G: State Facility's lD' ~`' �Z 2000 North Almneds str t U�u. i I `I? )oe O t:piYl�ttalk,CA 90222 H. f«!lily's phone Tj O 1 B1 C 0 1 3 32 (310)5377100 �U1). US DOT Description(including Proper Shipping Name,Hazard Class,and ID Numb rrl 12, Contain f 3. Total 14-- Unit -� JZ No. T tY Wt/Vol I. WaslefVumbw,-�`.,, 317N1203 P.G 31 stale 1 3 E 34 (Not ke! lllited a5 RCRA Waste) d�� vA/ ftnpt o N b. - -- -- —G w E slate v R EPA/Othor o T c 0 O State — R I '' EPA/dtfrer Z State w U w _ ___ EPA/Oilier 7. Additional Ueseri tions for Moierlols.tist A.ave Z p - —'- K. Handling Codes For Wasters Listed Above O 1996�Taai Pkrxaeric�a'KMIRGBNCIC 14►78 f'rUlUB k7O. 128 n. b Uj .LDP Nadficationstt4g*ais`natregdmed es of-Tw sy,1996 d HSC Cit9ion 25179.6 Q d Z O 15. Scial Handbag Instructions and Addisional Inlornation _-- --- --`--` _... -- aline and Watermbinle. Weer appropriate pycttet_-tive -lot]dng ARCO 4932 BTs.sl# 2"7843 Z (949)753-5826(24 haur inergen y Phone) 16 Hast Em-ding Way Uj (949)450•-1010(Man-Fri 714n to 5pcn) Q16, GENERATOR'S CERTIFICATION: I here'y declare that the contents of this consigtrment ore fu ly and accurately described above by proper shipping nnmo and art classified,packed, U marked,and labeled,and are in all re acts in proper condition for transport by higf way a-cording to applicable inlernotfonal and national government regulations. IF I am u lorge quantity generator,I co�afy Ihot I have a program In plane to reduce Ilre vc lume and toxicity of waste generated to the degree I have determined to be economically practicable and Ilial I have selected th ppracticable method aF treatment,storage,or lispos,d currently available to me which minimizes dse present and fuwro shreat to human health 4, and the environment; at I if t am a sen fl quantity generator,I hove made a good fa th effort to mini Ize my waste generation and select the best waste management method that is available tomo and�tal I can afford. r Pri a jig? �B 'x85 of ARCO Signature ~_ �W � �n� Da Year v �J Z _ T 17. Transporter 1 Acknowledgement of Recsfrpt o!Mororials ��- L A Printed/Typed no Si nature g .f Month Doy, Yea i TR IT Transporter 2 Ac nowledgem.nl of kern t of Materials �' --- C Print p Name Signatu /�� — L 11 f ((( on Day Year J 19, D screpanty Indication pa a '— F A C I L l 20. Facility Owner or O orator Cert((cation.F recei t of hazardous materials coveroar-ilest except as noted in Item 19. '- T Printe Nom _ - Sign ure � Y J March Day Year DO NOT WRI ) -- ►W THIS LINE. )TSC 8022A(1/99) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. CPA 8700-22 70: P.O. Box 3000, Sacramento, CA 95812