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f <br /> . `¢11Torn­-1f0AMW101 Yratecuon Agency � •'See Instructions on back of page 6- Department of Toxe:S�bnravicea C—,,al <br /> approved OMB No.2050-0439(Expire,9.30-96] <br /> Sacrammco,Colifomia <br /> armt or Type. Form designed for ow on afire(11-pitch)rypewreer. <br /> - 1 Generator's US EPA iD���11ocument No. 2. Page 1 lnlormation in the shaded areasUNIFORM HAZARDOUS _ s nor required by Federal Iaw- <br /> WASTE MANEFEST C L A D 0 0 9 1 <br /> A, State isAarsifert Doct,tnartt Number - <br /> 3- (bet,trator's Name and Mailing Address - 9 59037,32 .; <br /> . <br /> ! HUNTER CONTAINER CO. <br /> S, CA 95385 <br /> 35275 HWY. 33 VERNALI <br /> g s,otef�erteratolsfD <br /> Generator's Phage (209) 848•-4280H I A i H I Q 13 16 10 5 6 4 4�2�-_� .' <br /> 5- Transporter 3 Company Name b. US EPA ID Number .C-.State-T--pO11°rs 1D.-..lei o�- - ^� <br /> .. - <br /> !� ! RICH HAMILTON TRUCKING CA0 0 0X11 2 4 1 3 6 Tr°"�°`'�r`%'°"° 209--578-4100- <br /> L <br /> 8. US EPA ID Number E. Stall Transporter's ID <br /> I 7. Transporter 2 Coeame <br /> pny Na - <br /> F. A-assporters Phone <br /> C C, Sdate fodfrty's 1D L <br /> J 9'Designated Facility Name and Site Address 10. US EPA ID Number vC_,AT 0 0, U I.] Q' C7, -, 1 7 <br /> CHEMICAL WASTE MANAGEMiENT, INC. <br /> 35251 OLD SKYLINE RD. <br /> ®a' KETTLEMAN CITY CA 93239 Ic IA T O D 0 6 4 6 1 1 7ne = s <' =-800 .222-2964- <br /> 12. Contairs) 13- Total la, UnA <br /> US DOT Description(ittclvding Proper Shipping Name,Hazard Class,and SD Number) <br /> I1. esc <br /> No T Quantity Wt/Vol f:Wasxrs Afuert�ler ,a :•. <br /> S I a. <br /> ' RCRA HAZARDOUS WASTE; SOLID NOS—DO08 <br /> EfiA/Cltfeer rs".k'7E'i,'i:' <br /> a D T I T <br /> nl <br /> V i I EPA/CXher <br /> a 4 I j I Sila" <br /> 1 T i <br /> p O 1PA/Cklher <br /> ®— d <br /> U i %EPA/ofhar:. <br /> -' IG HarsdPng Codes for Wortm Usteed Above <br /> Adcfdforsal Dncriptions for Materials listed Above b. <br /> - <br /> n rii <br /> I I LEAD CONTANATED SOIL <br /> c- <br /> d. <br /> SLI I <br /> i I5, Special Handling Instruciions and Additional information <br /> a e WEAR PROTECTIVE GEAR i <br /> FAICLITY # 800--222-2964 <br /> GENERATOR # 209-848-4280 <br /> 16. GENERATOR'S CERTIFICATION: I hereby drdore That the conte of rhis consignment art fully and accurately described above by proper shipping name and are classified, <br /> pocked,marled,and lobcfed,and are in all respects in proper condition for transport by highway accordirsg to applKasle inter-national and national govemmtnt reguletions. <br /> I <br /> � <br /> If I am a large quamiy generator, I certify that I have a progrom in place to reduce the volumn <br /> e and toxicity of waste generated to the degree I have determined to be <br /> I <br /> ecanomicoily practicable and that I have sekcted the practicable merhod of treatment,staroge,or disposal currently availabie to me which minimizes The presets and future <br /> n Ihreat to human health and the environment:OR, if I am a small quantity generator, I have mode a good faith effort to minimize my waste generation and select the best <br /> was"management method Ihat is available to me and that I can afford. Monsh Day Year <br /> Y <br /> i Printed/Typed Name :Sig <br /> Ji <br /> r 17. Transporterr I Acknowled ement of Recei t of Matevols , <br /> nature •.';r �� Month Day Year <br /> s Primted/Typed Nome <br /> �f <br /> 18. runs r Acknowled meat of Receipt t of Materials -r Morrfh pay Year <br /> u Si Signature <br /> ! <br /> PrirHed/Typed Mame g <br /> n19. Discrepancy Indication Space <br /> 2 <br /> JI <br /> z ' I� �/��— rw �"' P /��� %.vS <br /> 2 . Foal' Owrter or Operator Certification of receipt of hazardous mPnth Day ateriak covered b this manifest exce t as noted in Item 19. Year <br /> f Typed Name O / <br /> DO NOT WRITE BELOW THIS I,INE, <br /> i vri,i�• -cDF SEt,—S -F.IS COPY TC DTSC WiTIiIN 30 DAYS. <br /> [ F.C. oo. 3ao,, So-romenta. CA 95612 <br /> DTSC 80Z7A (1/95 <br /> I EPA $700-22 <br />