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Jun 03 2008 2: 28PM CO�BROS TIRE SERVICE 830401 p. 5 <br /> State of California--Environmental Protection AOency J'-,y�?5--Q.11 <br /> form Approved OMB Ne,2050-0039)ExpWa430-991. See Instructions On back o page 6. Uywiniont al Taus Substance.cam <br /> Plea»prigter"i farm dmigned for use on e4ite(12yinch)ypewriter. Sacramento,California <br /> UNITOW HAZARDOUS 1' Generators US EPA ID No MonFfett Document No: 2. P.901 6forraetiop in the shaded arms <br /> W45fE MANIFEST C,JkC'SYof I.notmgairedbyFederal6w. <br /> 3. (remyTWrName and Mailing Address:. L' -E,v,.r f i f .( .,I:: 'Yi; S'to@}Mgtd bxusaem ". <br /> ulct✓ E t Y Trt 51 tv Naa1 <br /> 0 <br /> TRACY. CA 95-176-44tcifi # nkrdwae � <br /> _ <br /> A. GsnerarorsrPlnne I �?S]91Drv"'^831 <br /> 5.Trem.pnrter 1.Company Noma ! 6..US EPA ID Ndmfer. - . 11 ik p <br /> v i'• <br /> d IRAPE:lY KLEEN SYSTEM- INC RchQ 0 .,'79'3 ' <br /> .'^ 7. TreespoHar 2 Company Nome 8. US EPA ID Number - <br /> y <br /> g 9. D y Yy Name and Site Addrigs 10. US FPA ID plumber P <br /> J =L 523 1¢ LFE:T[ SYSd1-E-MEJ, INC <br /> 6000 88Tt# DTREET <br /> SACRAMENTO, CA 95828 CA000006 451 7 Ph Ynu rfbaae <br /> b`!11�3 <br /> IL US DOT Descriplion linduding Proper Shipping Nam,Hazard Clan,and ID Number) 12. Cemoin.n 13. Total IA Unit <br /> No. T Quantity WI/Yel <br /> F <br /> HAZARD QU-q WASTE, !.Itj(+xu, INI f> , ` <br /> 9 NA3082 Ply II I (D039) tfi29# 171 <br /> G AQUEOUS BRAKE S1131_UTIONE6 3#4fGALt <br /> o N <br /> WW E <br /> N R <br /> T <br /> O <br /> R M <br /> d. <br /> Oil <br /> Q rS„xas <br /> ` <br /> a. <br /> s <br /> 15 ssnnecual•H dlt InsWrJsons and dditla of l 6 motion s s� • :_t):�" t. c.c @t .L. ,, ,,V } <br /> I_1lf.ftta P# Q RISPi}E�f00•-4665-17610 214jfi? <br /> z SK AUTHORIZED TO RETAIN L.ICUMSE'l:r ,t,1XJfsl_:t1t1�tl'T BRIE ?: AF-, NECESSARY <br /> A <br /> 16. GENERATOR'S CERTIFICATION. I hereby declore lhat the comnts of this<amignmaor are fully and occumMydmcribed abeveby propershippingrain.anddre classified,pac6sd; <br /> marked,and 1a6ded,and amen all rmpeals in proper condition for lronspaH by highway a<eerding to opplieab4 InMrnaHonel vnd n klonal government regOotiom. <br /> SI(i am o forge quainK generator,I certify that I have a is um in plop'6 reduce the volume and baiciy of wasto geaerated.Io the degree I have determined to be ecanom kalh <br /> y praadegNe and that I have telmud 1M practicable method of I mlmew.storage,or disposal wrrenlly ovoi661e ro me which minimim Iha present and fouro threat o Fume^hpFth <br /> and the environehnY,OR, If 1 pis a small quantity generator,1 hove made o good faith:Apert b minimize W vrorle generation and soled the bast ovate management method this,u <br /> O mmifable, me and that I can afford. . _ <br /> U Prinf%WTyped Norm - ✓d ) Y.!1 ! Signotu Month, - Day year <br /> Vr i 17. Transporter.] A whedsomom-ofRice"t ofMmmlo6 <br /> W a PrMted/Typ m. signoNry . <br /> V Y+•C]�` /� C-^� �� _,.-' ��,,:� MoaFh- Day Year <br /> 0 a 1e."Immo rre.2 Aknowledicninnen,of Rene r OF Mmart.b. - <br /> W L Printed/Typed Nome Sigmtun, Monde Day Year <br /> us <br /> R Q <br /> 19. D'i.cnopanry lydicoBon Spore <br /> Z Is <br /> A <br /> c <br /> I .. <br /> E <br /> 20. Fg6litvor aro w r Cartiliatle.al nui r of loo deur mission I carered shit manifml axe t as noted in Item 19- <br /> re <br /> T Prinfed/Typed None Signate <br /> y Month Day Year <br /> DO NOT WRITE BELOW THIS UNE. <br /> DISC 8022A 0/99) Blue: GENERATOR SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> EPA 8700--22 - 'To: P.O. Boa AOD, Saower.rge, CA 95@12-WOO <br />