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Oct,22, 2012 1:34PM <br />ase pdnttlr 9, Form deet ped for use on Blue 12 I gW(itar <br />UNIFORMHA?ARDOUS 1•GenentorlDNumnsr <br />WASTE MANIFEST C A R g 0 2 0 9. 0 7 2 <br />S. GeneraFICtes Name and Mail <br />L AdtlnkNPL#IOss <br />MAX) STOCKTON BLVD <br />:ACRAWNTO CA OWD <br />Genemlp's Plbna: ei�ues�lee� <br />6. Transported any Name' <br />ASMAYENYIRONRENTAL SeRMOES <br />7. Tnnapodar2Cpmpany Nalpe - <br />• No. 1160 P. 2 <br />Fdrm Toved.OMBNo: 2051 <br />d 3: Emergsn[y R9eppnse Phone' /. nl tT E umbar ' <br />Dn} 4a�.yarm ����f4415' JJN <br />Gendela's 3ltaAddiags'Qf deferenttlran inalling addmea) <br />7tJ0 STOOH;TON 13L11C9 <br />RA11En1TO CA <br />us. EPAIDNumber — <br />C <br />U.S. EPA ID Number <br />^/1. 4,,, I V.J. cu A �U ransom <br />7300%EURON WAY <br />axon CA WIZ <br />dih/s Phone: 17071%3.Q(j(1R <br />9b. U.S. DDT Desdittion BmAuding pmparSNpoing Name, Hazard Clete, Ip Number, <br />end Paoding Gmup (Nepy)) Contaleem 11.701w 12. Unit 13. Waste Dodas <br />t. Type Oaadfiy Wiml. <br />NOf+RL`RA HAZAKWUS tWAM LIUGIO WD OiL M*O OIL) �y 1 <br />(Jul Vv q <br />2. <br />3: <br />r <br />E <br />Wand Handling Inallucdons eMgddkbne n n <br />IALRGS 0:171ePROFILt_#M] DKiOD= EVER( iCYCONTAOT OIFIEMIRM 1-+370.424-MW'A1L0fl0NkePA <br />f1OMO : 9E91. NONE "APPROPRIATE PERSONAL FNOVOT►VE EWFill <br />GENERATOR'SlOFFEROR'9CERTIFICATION: I hanby dadaredmf Ne wdeds of this mndpnnrem are Ntyene ocwnuq tleeulbad above aydm propershlppinB4 ale daseMad,packaged, <br />marked and lenele4lplacaded,aM era snag rospecto In proper coedfion for mpapodecmdingbeppl'mble lntemaearieland neaohd avemrredel <br />Exporter , IMINI` that Ne contents of arts consignment con" to me terms dNs egacm0EVAAdamwl 9 regu�ons. Ifei�odshlpmard and l am the Pdmary <br />I certify that the mate minlmimaon etdemem Identified m as CFR 262.27e Iaaac 9 usn "demem of Consent <br />I)!n Large q"nemtor)or(b)(aIamasmallquantlrygenermn)Istrue. <br />'mw/slDgerpraPddaMype(ItVeme <br />Month Dry ae <br />r <br />rtemetiond Shipments ' 11 <br />Import to U.S ❑Ezpon from U.S. Portotow.0 <br />;porter signature (far exports only): <br />r <br />16. Discrepancy <br />7�� <br />y 19. Nazadoue waste I <br />W 1 <br />O ' <br />20 Oe llgnaled Fedllly <br />yl1 Pdnl Name <br />❑ Rasidue <br />as noted In Item <br />Month Da—y) <br />Month Day ' <br />❑ PeNd RNerdlon ❑ Ful Redaction <br />Mont <br />I <br />GENERATOR'S INITIAL COPY <br />