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02/22/02 FRI 11:23 FAX 1.949 450 1.177 $.E.Ii.I. Z004 -- .unrarnia—cnvirynmentai Protection Age pWt {u Form Approved' B No.21650-0039(Expiry 9. y Please print or". Form designed/or use oes n alie f 1, ,6, ricer. SE a Instructions on ba, � -ge 6_ `JfJ Department of Toxic Su6pances Can —— — Sacramento,California UNIFORM HAZARDOUS t ZGonartar',US EPA ID No. Manifest Document No. 2. page I Information Inc—aha Sboded areas • f + WASTE MANIFEST fs not required by Federal low. .��0AWOM 0 0 0 of _ _ 3. Genprafor's Name and Mailing Address A. Shale Manifest Decumeot Number ARCO Prarb.tcts CarTmy o P.O.Box 90877 — — 20:830777 'n l a �x42 9858 S. Siate'Genarotor's 1b -A.Lr) Generator's Phone l Y Us Angeles,CA 90001 CA 5. Transporter 1 Company Name6 US EPA ID Num ser � .— C. State Transporter'$ID Reserve .) Q Belshire Raviammerltal Services,Inc. D. Transpi mar's Phone-.—_-)s>�445o0-1oia — � I t� _ ( 4 �l 7. Tronsporter 2 Company Name •••-i- ---• - 8. US EPA b Num ser -E.'State Transporter's Ib Raservir.j ASbary EnVia immeratal S rvi(:es _ __ —_.�_LjZ�.�� [C� QL j� P, Tronsporler's Phone V 9.eQep�Foy�+ty)Jar tp pod Site�ddress 10, U$EPA lb Nvml a G. Stale Facilig/s!D —� Z 2000 North Alameda Stet SLI Oo Caan�ftoal,CA 90222 0 ' 1 S I�. f�c1hty s one (310)537-7100 V1 1. US DOT Description lincluding Pr r Shipping Name,Hazard Class,and ID Nua batt 12, Containers 13. Total 14. Ilnff V Z o i _ No. T 4uantiry Wt/VoI t. Waste Number rX„ f.l.I.l L.7i(��p.P.G.11 S�l 34`�.� 3 (Nat Rep�Agted as a RLV.CR.A Waste) � oN b. ------ — - state ---- ao E 'Q R EPA/01h; ' — C14 A w.-- .. oT ao O State R er ac „_., —_� _.__--..__—._ ��...... EPA/Ofh i-- d State - ---'-- Z W _ V ERA/other W 1. Adddionol Descnptions far Moter)gls Z listed Above K..Handling Codes for Wastes listed A6ove- 2000 a hAnwicei AMWrYgPON , 8 C. 12Sp O � b, w 'u!x bTat Eica►rcm•.ctarsfexxotit is i<tttt �:�ufriid n of JMW sy, 146 15 a HSC Citfllldal 25179.6 r d a Z Q 15. d I,Handlin udions and A ditionformaliun t_ 4ia%iT,Heerl� `eter��We8CA�1inrigtepratectiweClabk4 ARCO 49.32 BBSI# 32205 Z {949)753-58261 haat- ergimcy Phow) 16 Bast Hff&lg{c`l'ay U.) (949)450-1010(Adm-Fri?wn to Shan) 5tt lckxan,C.'A Q16, GENERATOR'S CERTIFICATION: I Is raby declare that the contents of this consignm•est arc fully and accurately doscri6ed above 6y proper�hipp�ng name and are classified,packed, U narked,and labeled,and are in all respects to proper condition for transport by highwcy according to applicable international and national government regulations. IF I am a large gvantily generator,I certify that I have a program in place to reds ce th,volume and toxicity of waste generated to the degree I have determined to be economically Q- practicable and that I(cove selected a practicable method at treatment,storage, x disposal currently available to me which minimizes the present ural future threat to human health ON and Ott environment;OR,IF I am a mall quantity generator,I have made a good faith effort to minimize my waste generation and select ilia best waste management method that is available to me and that I can afford PrAriyrxa&0tlnsr'tffiRM as eft A'R.CO Signature -- Moi�r� -�/\I� Pay Year ZLU D, —••- � JbCJ- r f 7, TronsQorter 1 Acknowled ement of Recei t of Materials R _ _ U, AP' /T dName Signature -- _ Mo h Do Year LU P _-- —--._.—� .. U- 0 f 8. Trans clot 2 Acknowledgement of!, of tp of Materials Prinl ped Name Signature aonth Do _ Year V f 19. Urscrepanry Indication Spore I -""----- Z A C I f 20. FarcilifX Owner or Operator Certification of receipt of hazardous materials covered Y u rr 'fast except as noted in Hem 19. T Printed/ ame Signa a Month Day Yer- y G G, h0 NOT WRIT 8110W THIS LINE. DISC 8022A(1/99) White: TSD1` SENDS THIS COPY TO DTSC WITHIN 30 DAYS. EPA 8700-22 To: P.O. Box 3000, Socromenta, CA 95812