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016774132JJK <br /> Please pnni or type(Fam desk red V usa rxt aIke I2 cool type-miter) Form ved.OMB No 2050-0039 <br /> UNIFORM HAZARDOUS 1.Generate IO tJ r Mr i.Papa t el 1 EnwrgcnCy Rcspe sc F hone l Trad5 t <br /> WASTE MANIFEST CA L 0 0 3 0 4 2 3 1 8 4300 016774132 JJ K <br /> E Gmrrator'a Nnm and Ma/hq&Nares Ca nr;vR rs SAo Fddraas(d ddiemM Own nn firrp eddnnj <br /> TRACY CHEVROLET-Q 8 M INC <br /> 3400 AUTO PLAZA WAY <br /> TRACY CA 95304 <br /> Generators PW a 209 835x4500 <br /> 6 Trarytater 1 Gxv ny Name US EPA;D N~ <br /> ASBURY ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 <br /> T.Transperw2t4wwyNae US FPA 10Nwnbm <br /> 6 D#WwW FKAty Name and Silo Ad&m US.EPA ID Warba <br /> US ECOLOGY VERNON INC <br /> 5376 SOUTH BOYLE AVENUE <br /> LOS ANGELES CA 900'e CA 097030993 <br /> FwAl ra Ph wa: _ <br /> oa. ob.U.S.OUT Descrprbn oci, rq Proper 6hipping Nang.HaoM(lass,ID Naber, 10.Conlainerc 11.Total 12 Until 13 Waste Codes <br /> til end Padwq Grasp(K 9")) No Type Qua ally yy Im. <br /> 1 NON-RCRA HAZARDOUS WASTE,SOLID(OILY SOLIDS) 352— <br /> DM <br /> x2...D P <br /> ZW � -- <br /> W <br /> 3. <br /> 4 <br /> i <br /> i Hard frig tnwurc bony and Addllwal Irrhnrruhbn <br /> EMERGENCY CONTACT:CHEMTREC 14800.4249300 NAERGO 901:171*PROFILE M 951:AP191625 OILY SOLIDS T3 <br /> P500-00043437 *APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT # 2,9 t x55- <br /> 11 GENERA70R'1YOFFEROR 6 CERWICATION:I hereby dedare that the contents of fob oonsWormr1 arc fully and wumtoty desuiood above by ow pmIw z1*0 p name aeam cleasdW,w Mgod, <br /> narlrad and loinladlpiarwded,and are Ind respects in pmW ovdtlon kw aanspM soronYg b appRtilola Irllamalarnhand natlanal govertanerrtal raprlalkons.E aqui shipmera and 1 an the Phnary <br /> F�orlar,I ceMfy filet Ihr cbntenls d tNo om%W wn(can m loft Isms of tx a6arhad FPAAdomvW mend Carson. <br /> 1 cattily brat ft roans Aad In 40 CFR 262.27(a)(K I am a large quantity genwAx)or(b)(K I am a small quantity gerw*M Is true. <br /> yw.d Nana Wartii Day Ymr <br /> t� o7 12 <br /> 6 YornelOnal S1Mmards <br /> Z lam{ertar slprriura(Far 6)"t o": Dak Ieavhv U.5: <br /> Ix 17.Trwwpo*Ao awladpmadofRaodpldMalve" <br /> ane sq Mordh Day Yew <br /> 0� 12,7117 <br /> Tranaftm1w 2 Print w rSlgratu MOO Day Yea <br /> I <br /> 16a_awop4ocy Wicetion Svce LJ Ouantihy ❑Type Hasidut ❑Padhl PAOCaon ❑Fat Pgei <br /> Maolvst Re(omnce Nrarw <br /> 18b.ANomate raouty for Generator) — U.S.EPA ID Nuntw <br /> U <br /> ; FarW,.Phew: <br /> 'oL .. tdAh vm% wJily(or GNwatm) Manor Day Yea <br /> t <br /> Z <br /> 10.Harardoa Waste RCKrt Maragemem Mea,od CodfIR(ie cocas Ier h6Tard&A waste tf"tnvK oopwal,and ngrcong systems) <br /> 2. ]. 4, <br /> 20 Dougnatad Fws*Ov«rra a rJperpbr Ce tlAta W«receipt d haradous m*Ws oovand by the msnaes(eRcepl a rrmad in Nam 16a <br /> Nmvwftm bay yea <br /> O <br /> FPA Fom 870(F22(Rev.1-05) Previous editrcms are abwtete, DESIGNATED FACILITY TO DESTINATION STATE(IF REOIARED) <br />