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rormApproved,OMB No.2050-U039 <br /> please Pflntor <br /> UNIFORM HAZARDOUS i.Generator ID Number 2,Pape 1 al S,F�nergerwy Response Phone 1001799125 +!ES <br /> WASTE MANIFEST CAR 0 0 0 2 4 6 2 4 7 V <br /> s.cenaratoes Name and Malting Address YULI5SA GALVAN Generators alta Address(l dl wow than rn^I address) , <br /> FED EX GROUND SAME, <br /> 5655 HOOD WAY <br /> TRACY, CA 95377-7217 <br /> Generators Prone; - <br /> U.S.EPA 1D Number <br /> 8.Transporter 1 CmMwY Name <br /> OLLA ES TECHNICAL SOLUTIONS J D <br /> 0 U,S. It)Number <br /> 7.Tranaporter2 Company Name <br /> TRISTATE MOTOR.TRANSIT CO, 14I 0 D 0 9 5 0 3 8 9 9 $ <br /> 8,Dnated FWUly Nems and Site AddreU.S.EPA 10 Number <br /> essg <br /> U'EOLIA ES TECHNICAL SOLUTIONS, <br /> L.L.C. <br /> 1704 W.FIRST STREET <br /> Fads sPhone, AZUSA.CA 91707 Ic A D 0 0 8 3 0 2 D <br /> 98. �errr <br /> 9b.U.S.DOT Daws tion(In WhV PreperShlpping Name,Hazard GM os.ID Number, 10,Coniekii.Total 12.Unit 13.Waste Codes HM errd Pecking Group(l any)} No. Type Quar" WWd, <br /> i. <br /> UNl2F003 D001 331 <br /> � ti3, ASTE PAINT REL,ATBA MATERIAL INCLUDING T T�I NING- DRYING-REMOVING.OR REDUCING <br /> RQ(D00f) 2 D F 2 85 P F005 D035 <br /> X 2' UN1993 T&RAM LIQUIDS,n.o.s., U002 D001 <br /> (1,2-XYxACETON",11 <br /> 1 C F 2 3 P U239 331 <br /> % 3• UN 1219,WASTE ISOPROPYL ALCOHOL„3,11 D001 <br /> I D F 44 P 331 <br /> X a. UNI 64 8,WASTI AC TONT L&3,11 U003 331 <br /> 1 C F 3 9 P D00I <br /> 14.Speda€Handling Inandons andAddftal Inbmw0w ER Service Contracted by VESTS + Cor>;bw retained bj11M:I28ZJO416j ator confers <br /> agent authan�r on initial tTarr orter to add or substitute additional trap mars 0n eneratoes b ehal pp97:71501 A AZURPK3 LABPACK 3)�G:1291.71501 A.-AZURPK3 PAC) 0:17 W: <br /> �S� AA2URP�3 m5 <br /> 15. OENERATOR'SfOFFFROW8 CEIMFICATWN:I hereby declare Owt the contents of ft oonelgrtmenl are*and aocura*desplbed above byPW BN** ,and ore dasalfled,packaged, <br /> marked&W Iabeledlplacarded,and are in al me"in proper condllon for trenaport acoa*V to appBDabla krlenredmW BTA nonoral Wvermia W t4pulatl -It o*d aNpment artd I am the Primary <br /> Exporter,I certlf that the contents of ibis canslgrurrent conform to to Ww of the attedred EPAMMOMedgment of Cort <br /> I tartly that Ow waste min1r*a9w statement lderdltlBd In 40 CFR 282.27(a)(d I am a large quantly(f }or(b)(Nl am n WA yuantlfy is free. <br /> Genera soffames Pdn4a ry wd Namelure Day ear <br /> naiLk <br /> 18.Intematlona Shipments rapport lo U.S. ❑Exportfrom U.B. Port of onlry uk <br /> Transporter slpnatura(for exports ori# Data having U.S.: <br /> W- 17.TranapWorkknaWIlmontofRanelptofMaterials <br /> Day <br /> tial 1 Prtnlame you <br /> Tram ^ Y6f <br /> 18.DEmancy <br /> 18a.Discrepancy Indk:i Space ❑ OUently ❑Type ❑Reefdos ❑Parted Refer t ❑Ful R**n <br /> MaNfesiReferenceNumber: <br /> 166.Alternate Fadlfty(or Genaratx) U.S,EOA ID Number <br /> 11 Fedllty's Phone, <br /> 0 18c.5 gnalure mate Fanny(or Garwrator) Monlr Day Year <br /> 19.Hazffta Waste Report Management Matltod Codeg(I,e,,oodea for hazardous wine treatment,disposal.end Toyckv systems) <br /> i 1 2 <br /> 13. 4, <br /> 20 signaled FaclUty Ormer or 0pandor:Ca of rete l of liezartfasra materials covered by the mw&g except ks riled 14 1811 <br /> hQw 1 Nf <br /> n a <br /> @PA Form22(Rev.1247) previous editions so te. D 51l'aNATE[]FA TQ EP 'S a•MANIFEST SYSTEM <br />