Laserfiche WebLink
FEB/09/2016/TUE 08:02 AM 0 FAX No, P. 002 <br /> Please dM or <br /> p typo.(Farm tlesipled for use,on elite(12-plltil)"biter.) FonApp-sd,OMB No.2050-00]9 <br /> UNIFORM HAZARDOUS 1.DMrwor lD N4mbr 2Agetol 9Ema sry Rwywrse pAtna 1.Manllsst Tocklnp Numbs <br /> WASTE MANIFEST , 9t 6�3,t-s /� 014 7 2 3 9 7 7 JJ K <br /> 5.GmsralP(e Name and Magog Address GMMbya.9NAAdree7 Ld dliamnl AIM maOing dddresij <br /> PRO ON SITE FLEET SERVICES ?.ear.. <br /> 2710 W FREEMONT-;'+aG-Ez' <br /> pI,CA 95215 <br /> Ganaamla pnM.Rc9 STOCI<T0 <br /> 0.Denspodr I CartyOny Nae ._ U.S.EPA 10 Number <br /> RAMOS ENVIRONMENTAL SERVICES INC. CADO44C07556 <br /> T.iranspviw 2Cwnpany Name LLS EPAID Numbr <br /> 9.OwgnaNd Fwdary Nana er-0 SiNAddtss <br /> RAMOS ENVIRONMENTAL SERVICES INC. U.S.EPAID Nmbr <br /> 1515 SOU7rti RIVER RD. CADU4033S% <br /> WEST SACRAMENTO.CA 95891 <br /> Fara sPnmm:915371.5747 <br /> 5a. %.U.s.DOTOWripognOmxenoPropershbP Nme,HuamG�a,ommbsr. Io.coraad,eR <br /> RM "pacw9Gew)NMyll NP. Type 1lillow 12 Unift <br /> IS.Wedi <br /> Qtkyt NON RCRA HAIAROOU9 WASTE SOLID (OIL,bEBRIS) 001 DM <br /> Q P 352 <br /> w <br /> 2 ASO <br /> w,s aam Na b ng irXIM 40m Nd Add,ti.inronlacon _{ -7 �/ <br /> 9&1)PROFlLEYPJ?£dJo/$-t�A/p LRQM71 SO / 4�/ L <br /> E R. CONTRACToi Iii ENVIRONMENTAL <br /> HANDLERS SHOULD BE TRAINED AND USE APPROVED ppe <br /> 15 DEHERAT9,pr'§yl1FpwR ea CER TINCAROIN Ihefepydoml7igtowcort nts OlnN fArulpnnienl well!(y and emgmloly deeMbed abwa by Pe Proper Nnppal hare,wd ere dasafi�d, <br /> mwked erd lebelIi Ire Nbe en0arein e0rgapeca *in <br /> t 0),ton kaU thePMa EPAtokamielle INarebmW aM,uionN Pedmged, <br /> Eapww,lSelNy Ppt ps oarlMlsMAvs Ndd9nment cpuamrotlle tom of NA spaded FPAACknaxl govaallauai regulaamo.lf wPod SNpmMlarrll em the Pdmay <br /> Irxtity dp(IIy'ssaNa rNn)rkadm eta,N '�`�'"a � , <br /> Tell UM7aed n90 GFR 262.21(t)(Iflam a4v9e gvaMty generakr)a@I(Ifl aanuE glgnyly ganenW)1s bi <br /> GerxrafoydlpNmh ypeU Wrnd� _ . .. - ' <br /> SgriaNm Day Yaw <br /> J D.InNrreSrxlSNpm .. . <br /> I' aknppt to U,S ❑Eypbdiomi pad."yleeit <br /> ? PianspoilerlyTibtiirolO®tiaNay7:- - Date I,"U.S_ <br /> � n.mn0,amrxionwleeyme�ddR.nalarNmnay <br /> Wp Tramww I Pdnkdrryped Name <br /> G Siiseare NMOL Oay year <br /> rmmporsrzpinndRypdnalre slyapae itt. pay Year <br /> td.Dlvxapamy _ <br /> ide.DNacPway lMpsArm SPam ❑ aMbty ❑TTpe- ❑Rei ❑pi RapdiM ❑WRaedkm <br /> Nei Raaaarca NMiber: <br /> dib:AYsriule FiWay(aGanerab) U.&EPA a)NwAr <br /> a4r- Faalhy's Puma: <br /> y�j 1dc.Sgnahlm dyJMfNle Fw9lry(m Geremlw) <br /> Q cnlh Day Year <br /> h 19.Hsxudw.Wasm Rai NamagwreM Me0ad Codes radd Idr hili 112 SIN Yae60l0L dVDW,W reryo5g 7yi <br /> 12 /. <br /> m.DegnNaled`FiDmworof aror.Camarzbndr.cE{9IbmudOW" iasimdgncmruTe:iaremnuemlei ... .. --- ---' <br /> I Ud?ypee Name <br /> 41 Signeaae FNmn Day Year <br /> EPA Fam 970042(Roy,3-05)Provlae WRlons ars obsd<le. <br /> DE GNATED FACILITY TO DESTINATIIN RTera IIP❑Mill IMi <br />