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Please print or type. Farm bed, OMB No. 2050-0039 <br /> UNIFORM HAZARDOUS 1" GemramrlD Number 2Pa2e1d 3. Respone Phone 4. Mordent Tracking Number <br /> WASTE MANIFEST `— A L 0 0 0 2 6 3 713 4 1 goo- a951a 01937667 JJK <br /> s. G�g9,�rs,r6WtPA0Lq�s�1ARLEY COOLING TOIA£RS Generators NoAadress ofamerentman minds eel <br /> 200 NORTH V ACNERAVE. <br /> STOCKTON CA 95215 <br /> Generators FAcre, 2 0 9 4 8 5 - 3 4 5 1 <br /> 5, Trans ICompany Name O.S. FPA 10 Number <br /> 1TEnvinonnnental Services C A T 0 0 0 6 2 4 2 4 7 <br /> 7. Traosporpr2Crmpanvuame U.S. EPA ID Number <br /> e. Dec"u 1[M`Lr`M1f oga GEMENT- KETTLEMAN HI u.s. EPA ID Number <br /> 35251 SKYLINE ROAD <br /> KETTLEMAN CITY CA 93239 <br /> Faoi9 's Prions 55g 395 1 k I C A T 0 0 0 6 4 6 1 1 7 <br /> b, WS. OUT DescriptionIraning Preper SURaing Name, Hazard Ones, ID Ngmber10. Consists 11 Tow 12 Us <br /> HM ant Parking Group lX any)) Nr. Trpe Quantity Wyryel, 13. Waeb [odea <br /> U 181 <br /> o <br /> ChA 8 Y <br /> x <br /> 3. <br /> a, <br /> as ¢wHana9racpprpptks PtionalMrProfile <br /> ron Sgg7 /8Q/� <br /> �.. Appropciatc PPE Prof ilc # CA615711i� '✓N <br /> gya lolv5 <br /> 15. GENed and '$N)FFFRDR'$ Cd am I A41 ma IM1en proper <br /> re cothe no a hemi d Misdfisg n ent alessie fully and amwanary msmthetl ern a nt l e mopersblpplra namearaere d I am d o Primary q <br /> marked and Iabeleal!! be cona. andare Inialr�e¢b in ban 9mtlitlon sof thep9eaod EPA applicable Ient of DwweM national governmental regulation¢. Xexact¢hpmemstl em de Primary <br /> 1 readyI rthe and be cootie sMgmen¢gnmenl In <br /> Ahis wmaw Mamba " quandt nowiorwCmam <br /> I reaitylhaltM1e waste minimization ntMrenl MeneAed H 10 CFRZd22T(a) (III em a Mryequentiry genttabr) w@) (al am a small Wantitygeneretw) is one. <br /> CarrerarorYOderls PrideMYPb Name r sy o%si am Sl?X Sgnalun Monts Day Year <br /> mMnav sniPmrms �— ¢•5 D1- 1t <br /> olmpm kiN.G. ❑ PgNha D.3. PaNdenlinext <br /> Transporterognalure ttcreapmasanly)', Data seeing US,: <br /> C 17. TransPuaerArknwwedgment d Receipt or Materials <br /> 1w— Transporter i Panteartyped Name sgnNun Month Day Year <br /> a Af�� <br /> TnnsPnnerz wm:aartypraName gnal Morn Dey <br /> } Yor <br /> te. Discrepancy <br /> tea. Disnrepancy lmmabon spare ❑ gyantlty Ll Type 11 Residue ❑ Paul Repctim ❑ Fall Release <br /> ieb. Allosmake Fascism (or Generatwj Mannest Reverence Number US. EPA ID Number <br /> LL Faelty's Ptcra'. <br /> Mie 1ec. GgreWrs elaborate Facility for Genentpj <br /> McnM Day veer <br /> a <br /> 19. Hevrdous Waste RapM Management M MOdi 9.e., Cal Far haundaus waste lostrad,depwal, anti rxycling whams) <br /> Z 11 <br /> 3 <br /> 20. Designated FaaMy ameror opens«: cemAP.aanmm¢alPldla:.mau, MaeH wvema bymemaNrenteauePt.s need Inhere He <br /> Pnmeartroea Nana sgnawee D <br /> h <br /> EPA Form 8T0022 (Rev. 12-07) Revio are plassonate, Z� <br /> DESIGNATZDOFACILITY TO EPA's IFNIANIFEST Si <br />