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Plea$o Pinl oflype.(Form designed for use on elde(12.Pit0)typownlor) -- Farm APptoved.01,ID No.20500059 <br /> UNIFORMHAZARDOUS LGenerabl lD Number 2:Paget of 9:FnmgmcyRespansa Phone 4.Manifest PacNfaq i2l- u <br /> WASTE iMNIFEST CAL 0 00 2 6 9 3 7 5 1 (8001424-9300011827246 JJ K <br /> C.QmNhlghNAmaano MadngAddreu Gerrtratoya S3eAddrass(ddtterenl NanmaaroaMr¢ss).: <br /> F�'K N PllLUN80 i <br /> 4RRLARK OR 3927 CLARK DR <br /> TON CA 95205 STOCKTON CA 95205 <br /> h.Trensponert Company Nam¢. . V.S.EPA IO Number - <br /> i <br /> MEHIAL SERVICES <br /> 7.7mnipoder2CompanyName > U.S:EPAID Nrxnber <br /> 8.Q¢sgnat<d Fao,Ty Name andS:IeAddreu U.S.EPA ID Number <br /> DK DIXON <br /> 7300 CHEVRON WAY <br /> DIXON CA 95620 <br /> NOe$PWO KAT080012602 <br /> Ba. <br /> So.U.S.DOT Desaipton[w4jd--g Proper 6400 Nama,Itaaard Class,lO Rumba, fO.Conla'arera 11 Total : V Unt <br /> HUI.#J.dNftckawofaq)) No. Tye¢... Quanbty` . M1WA'ol 13.V.Wto Codes <br /> 'NONACRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OIL) 001 T 0 <br /> G 221 I <br /> 4. i. <br /> 74.SpeUal NaMarg InshUcbgss <br /> NAERGN 9B1171" PROFILE Al 91311;DK100184EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 <br /> ADDITIONAL EPA CODES:9Bi:,NON F� P 0 RIATEPERSONALPROTECtIM�EQUIPMENT <br /> 15 GENERATOR'SIOFFEROR'SCERTWMTtDH:lhery6F Uwl UafgMeitlsolCip lerrlara fuSyandamtleHtfl a6arroDyUppaep7taldppygguna.ardareJassited,pedpped. I <br /> mponw.IxCw%fttUwrded,ardaraNAFreApecbNPraper o9rld6on fa0ampalaopuJrgfoepp&table inlema[gaWaMaleCeoiWpotanneNetrpulafbns.NmippASlYprMnland lamrhe Primary j <br /> ExpglenIul4fy Aa1Urewsenba1 Wsmnr'gmpNconWmtolMlemuolme eEEUMd EPAAdwAWq enlofCoraK . <br /> I cefthailhawasle RinIni afon stanwnlldsrsWh4gCFA 28227(a)(11 Aa1 akwgw-w pens!ala)a(b)w"m AmNpMaOVSe wm)bhue. <br /> GeAwAW&Mo(S PrinledRyped Nouns Swula N DaY .Year <br /> —r TF_kd <br /> yrmnls <br /> ❑impod to S. ❑Eapod Gam .S. Ponolenhyfea <br /> .. .rrmevala*d4roatella oroYh Datekavxqu.S_. . .. <br /> N4.TrAtFlpadsr 1WRea-0lor ` I, <br /> p_. T( OWN Sig re Ygnal Us, t <br /> p i <br /> 2 TronS erg ' -7ygar ZZff <br /> I <br /> S Month Day Years <br /> r <br /> 18a.D&mpargw.tabnSpace ❑onamIY ❑Type ❑❑Res:9M r ❑fu7 Rexton i <br /> paM1ralRaetew <br /> Manfesl Refeteme Number <br /> 184.Allwnale FaWry(aGenera:a) U.S EPAIONember <br /> U <br /> LL Faaltysphom _ <br /> w tBn SynaNre o/Nlemate fasdy(a Geneala) I.w1h Day Year j <br /> w1h.HuuddnsM*Repod MOAMAGWIg elhodUes(w,cedes for harardoes v to 4ealmeM disposal,and rerye&g syslems) <br /> o L 7 ' J:- 4. - I <br /> i <br /> 20.Desynabdfft*aamrw OM(r..CerfdcalrnalrerefplalhaaNprsma(ends corered bythe mnri6a aceptasndedhllam lea <br /> P bremouth Day Year r <br /> l� V uH <br /> EPAForm 870022(Rev.3-115),Preybua edklonsA4reabadeta. DESIGNATED FACILI ESTINATION STATE(IF REgUIRED) <br />