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• <br />Please print yr Form des' ned for use on efdo 12-pi(eh) pewnter. <br />UNIFORM HAZARDOUS i. Gerieraicr f0 Nurfier <br />WASTE MMIFEST _ A D-0 2$ 4 9 5 0 7 4 <br />5. Gena Name ofd Maung Address <br />qA& HU(34 NEU - STOCKTON <br />1000 S. AURORA ST <br />QTnVKTON CA 952E <br />2. page i of 13. Emergw" Respome pha <br />I ) 424-93C©" <br />GeneraWs Sik Address (i1 d: <br />i000 S. AURORA ST <br />C <br />I <br />'r <br />Foran Approved. OMB No. 2050-0439 <br />ng Number <br />_45008 JA <br />M44M address) <br />CA GQW <br />b. IFWGP ter r t,ompany name -._. _...._ <br />I C A p g Z 8 21 7 4 3 6 <br />DEit ENNO I ERDOON <br />C4DWOR ALAWDAS-R1=ET 1i 35 2 <br />GA 90'2 tCATO800 <br />Eedt s mane: #ii w-71QD <br />ga gb�U`.s. OOT C-ex*fionQndu3rgPmperSh$pirgName,HaradCrass, IDNumber, i0,Cwtaieers Ii, -raw 12. Unit 13. Waste Codas <br />HN wdPii n Gmup(lany)i No. Type auttMty VVtJVef. <br />1. 41 <br />gNC4RCRA WA?AROOItS WASTE, utOD (t#W OC t 4TED OIL OVER q o f D m <br />THIS WASTE STREAM HAS BEEN QUALIFIED <br />FOB ITREATMENT AT THE <br />3. DeMENNOIKERDOON FACILITY IN COMPTON, <br />CALIFORNIA. THIS FACILITY HAS THE NECESSARY <br />,. PERMITS TO REGi!4 *OUR WA9TE �TREAM AS <br />QIIALIFIEDt OUR EPA NUMBCR IS CATOBOOlIU67 <br />I Y. .lp—RAIRl "u IllJl.—N Gov r.wi.al.i-owns —I <br />PROFILE 0981: 327170EWR(3EI YCONTACT.CiEMECOW-4249300 PROJECT465WAM 4B1319 002M, <br />- AM-RONAL EPA COW: 981: , NONE a APPROPRIATE PERSONAL PROTECTIVE EQUIP[i w ' x 6'S <br />15 0ENERATORIWFFEROR'3 CERTIFICATION: I hereby dacha 6W die contents W this CmIg nerd we Tiny and aoauately de xnbed above by he proper slipping name, and ere f WsOed, packaged, <br />marked and rabbAdipIxarded, and are it al eempecb in proper cond4w far transport m=wd6g to appbcaWe rntematimei and national govemmenlal mgjaGons. If ewpod st*xvent and I am ire Pdmxy <br />Exporter, I catty that the consents of Ns opmsig vneo conkrm to the leans of the avxhed EPAAdimAedgmenl of Consent. <br />I exrlfy'•fW fire waste Arnie ZVkn statement Ider4fied in 40 CFR 262.27(a) (l I em a large gvanity generator} or (b) (I I am a swan Wanity geoefator) is hue. <br />ci,., atarslfll mwa PdnWTvned Name S+gnakrte Month Day Year <br />r <br />Transparoer signn:rlure (far exports only): <br />17. Trensporier Aduio'wkdgtnenl of Receipt othbleriars <br />T1�, yPedNpVi—�f�G <br />19. DisaWawy <br />Ida Ug&crepancy Indicalkn Saxe ❑ ovaniry <br />18b- Anarnate Facgily lar Ganeralor) <br />❑ Type <br />Export from U.S. <br />Pori of entrylext <br />Dare feaviiig U.S.: <br />❑ Resioue <br />0 PartA Rejection <br />U.S. EPA rd Number <br />=Ma <br />❑ Ful Rejacbor <br />19. lfuardous'+Fasle Repot Ahsna9emeN tuethod Codes C a.. codex x hacardoos waste Ireabnent, dispaxal, and mcyding xyxlems) <br />01 2' a. <br />a�. z <br />2g• 0es9nat4d Facility Nwer or Operalun Cerukalim of vmc, e1 hazardous malerais careEed by Ice maniiml except as ndA in Item 18a <br />ranted TYped Marna nakr�e - v '`� - month oily ear <br />(Rey. 3.05) Previous edi((ansue 71)96eCa. - DESIGNATED FACILITY TO GENERATOR <br />