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UG/441 UL- 1'[Cl 11:40 HAT+A U4H 4OU till T3,E.ti. 1, l¢J 006 <br /> Please tint or V �� '1axp,ms 30-991 <br /> P type, Form designed/or us� e�t)i, P�KfiI typewriter. �.ee I lStlUCflOns Oil I <br /> " — of page 6. <br /> Department of Toxic Su lifonces CO <br /> UNIFORM HAZARbp�S 1• Generota's US EPA ID No. —'— _ Sacramento,California <br /> WASTE MANIFESTS ManiEast Dotmnan!Na. —— 2. page T ------�_.�. <br /> p� g InforMotion in the shaded <br /> areas <br /> 3. Generator's molt and Mailing L Q 0 & O p V l of is not required by Federal law. <br /> BP West Coast Products ILC {�.+ r ".Ifc 11or qp A "_-r.'".--- _— <br /> O Y� n 1 1 irx •". .: <br /> P-0-BOX 9M7 <br /> A. Generator's Phone 1310 1}dQ <br /> ,��LORAngeles,CA 900x9 <br /> _5 Transporter 1 Compeny Name <br /> al" <br /> C? 6. US EPA R t Num ter .'- r `��dM <br /> VSia it d'r 7 rrF 1(keye h5 <br /> airnnt nntnrnT S v <br /> + 7. Transporter 2 Compony Namo I -"--" -•x=�-L1�1:. �5�.� j a '' �'{ r +w t <br /> V� 8. US EPA It Numl.er <br /> 1,!'!i"� 'y7�*. <br /> � 9. Designated Facility Name and 511n Address <br /> T0. US EPA ID� NomEor 1�8M,anrlp 7�rlicTts„ti <br /> OO2000 North A1EffY1£d8 Sti f et <br /> L Garr�taz�GA 9Q�27, <br /> 1 1, US DOT Description Iincluding Prop Shipping Name,Hazard Class,and 10 Num <br /> V �, 12. Containers 13. Total <br /> Z o. —•---•�_.. 1 d. Unit <br /> �ra5Aline l5 bd _, No. T Pe Quantity Wt/Yol <br /> F- G 3 UK]203 P.G.II <br /> �$!�`R A. � <br /> o H <br /> OD E <br /> V AS�.e <br /> L1 <br /> R 1r r 04M11, <br /> . <br /> Old <br /> �! <br /> U, flsfa 9 4jp a <br /> W <br /> ZKp�l ti <br /> 1 fJ ii � F <br /> 2 <br /> PMK 715 <br /> Q t' �, � I �t( S � •t, 1 <br /> d 15. 5p cial}landl�ng In.lru�l„u cmd Ad4Jional Informalio "- -..-��••.-+�•, >.:•<...,..... <br /> T P . <br /> _.. <br /> 4 Gasoline and Water iYl xll teat r - -• _ `, " ry L' �FQ.a <br /> Z OR! protective[..aL ng— ARCO 4932 F3E5I# <br /> (�45+)?53-5826(2�1 houre <br /> X f 9�F )�$p-1 t710 f MC12a-�I i"l;am t YiPkiLme) 16.East 1 Twdirtf;Way 1 <br /> 16. GENERATOR'S CERTIFICATION: I her —"—- ---------. <br /> q re that the contonh of this cons�'gnmanl era h ny and accurately dosuibed atwve b pp <br /> V marked,and labeled,and are in all jai acts in proper condition(or lrvnsport by higl:woy,according to appricabfa international and or onof goysname neehregulations. pocked, <br /> If I vm a large that I Z generator,t certify that I have a program in plata to reduce the v slvma and bxicify of waste generated to the degree I have determined to be economicufty <br /> rq prarF cable and that I hove selected th' proclicable melhad aF treatment,storage,or fispo:al curraroly ovailable to me which minimizes the present and future threat to humvn heailh <br /> and the environment;m and IhOR,if I am n sm U quantity generator,I have mode a gdod fa Ih eff rt to minimi my wosfe generation and select the bast waste Management threat <br /> am method that is <br /> Q available to and that I can afford. <br /> >- Printed/Typed Name —L <br /> U Signature ——_ <br /> Z _ I.mtx�_Maothsul•I�F, s� of CO -�` a - pa e <br /> 17. Transporter 1 A owled _Tent of I — --------4` _ <br /> 114 Printed/ a 0 — o aterials ,r..e <br /> I ` 7 rgnoture <br /> 4t S - 1a/ t Y�..� Y �f Do <br /> LL <br /> O R 1 T ons der Acknowle ement of Rec t Materials `- <br /> T Printed/Typed Name _ <br /> W E Signature AAonlh pay Year <br /> UR __ <br /> F i P. Dfscropancy Indication W. <br /> Z A t_— <br /> C <br /> I <br /> L _ <br /> Focilily Owner or Operalw CCertifica�ion fret i�of hazardous motarials covered b th s — <br /> T Printed/Tye ifesf a ce 1 as noted in Ilam 19. —`--—- <br /> Y Siguatera —••�`— Month —Day Year <br /> DO NOT WRITE E-hT1W THIS LINE. <br /> OTSC 0022A 11/991 <br /> EPA 07700-0-22 White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> To: P,O. Box 3000, Sacramento, CA 95812 <br />