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JUL-2-2008 04:25P FROM: TO:4683433 P. 15 <br /> �,Soars of GdiFornla--Envlronm•nlal Protoellon AWcY <br /> fasnApproved CMNo.20SO-0039(Expins9•30-991 Joe Instructions an black 6. O•porir,animFTanieSsr�+F�e•a <br /> Phase print or free, form dislpntd Fpr ust on epee(12plk rlW. sacram•nso;w6mlli q <br /> V�II.O ou$ 1. Owwrorm's US EPA I; .,, Manii:,t Documo- 2. Page Y tnformotwn in the shadtd areers_:; <br /> �., y� r is not required byl'ederelll�• F; . <br /> b <br /> r'- wasrt= ManlIFFsjG ,� r} 4� � I'�I:�1���� �]1 )� � of <br /> j a Lanelu!Do err6yr' <br /> Getymnle Name and MullingAddreu S • t htum /� <br /> L7 r� rr ;' 3. <br /> s <br /> ' a naratar'j,iq <br /> a Jh7 l.7'rf ,ry r j OV <br /> 4. Generasor's Phone( ', 1 6r• Al raf�C s<. :x r_ ✓ e <br /> ey S, Transporter 1 Company Name 6. l,. H iD Nrrmbu <br /> (AXARWAIB "011 ONMEWAI s /) 4 <br /> i� <br /> 7. Transporter 2 Company Mame B, L -. : ID Number an+porror'i ID araad] ry>,flgQ:}�nt; <br /> ,Iur.Pteon• <br /> ., <br /> V. Duipnoted Facdlily Nome and Site Addrr+s 70, ti ID Nvmber c l ry'r!D y' � rye s / <br /> ALVISO IN!)E-PENDENT 011. <br /> f'" r'7 <br /> '�yi�� y114)A��1�1:R �I I•t�1r-� .'+?hono�' �:.i , fi��lr� � <br /> J� N-VISO, l,. 1• 1 ['_I t 17 �. ykar <br /> 11. US DOTDesu ion includln P rSh] In Noma,Hazard Closs, ,$ 'C <br /> . . CSA 95UC1'i. ' <br /> 12. t 13. Total d Unci <br /> a , :lum6erl 2 t ✓ � <br /> � I g � PP g Pte. (�,vpntiy WIN, _ i I Waste Nof <br /> r Stare i}n t <br /> ila{y` ` <br /> ' .N ��it <br /> tv 11193 f 11 - _. ! �" - rte_. �„�. . <br /> 5tasa TWO, <br /> C. <br /> 11 r t✓,s> <br /> Co O EPA/Qtli <br /> Ll <br /> ' y <br /> c/ <br /> s LPAfO,tlw '. <br /> VVVW y� .� <br /> te- <br /> ipnv • p11{ yA 17„u1.�c r s v r Lt f.rwva t w:wu��t�rcz,}��fr ,fir t".g ''�• X i�,7+4L� ` 4^,�.}' r- <br /> • 14/ <br /> s r 4 <br /> . ...r I't,rrt�; <br /> 13. Spacial Handling Instructions and Additional Information <br /> WEAR PPE,EMERt;FiNC'N CONTACT: KIRK HAW-) " :,.1740 <br /> 16. WMIIAT01*11 CUTINCATIONIt 111eraby dodare char the contor. - int ora Fu:Ir uw r props shipping n. e an clau',riad,packed, <br /> marked,and lab lid,and art in aH reopssq in proper condllion for I highway occord. appl,cc "nd narional gavarr nanl ro aMOM. . <br /> g I ass a Largs quodity genwator,I unify that 1 have a progr m in r Ju<e the voiu�La 1 tox,c,ty r' ,d to the dagrae I L.,ea dao_' nod to be 1 <br /> procticable and lhal I have selected the practicable method al t, , or dlsposvl w uvo I=t ;nimizas the presam and f-i shraat roquman fed ° <br /> • ond'1he environment; <br /> OR,11-1 am o small quantity generator,I he•c d lallh offorl t, 'iza n4y 1 and xolait the ba-1 waste r agaman m•�hod ll;e+s ?"— <br /> araiiabie brae and that I son afford. <br /> Prinhrd/Typed Name 1` 11, Day Year <br /> LLJ17 Trans orter 1 Aeknavrled emml est Reeaf t of Mat l+ _ _... <br /> CC Trinred/Ty�bpW Name y /.r r u _�T In bay` i Y <br /> aar0 IZ <br /> 't'i y•. " / iyr i.�,,. .• 'f i .�•!.�^ff J I ��.•� � <br /> tj <br /> r ON Prinftd/T Name o it Day, tYwr <br /> h� <br /> 19. Dlscrsponcy Ream Spon • <br /> Z A <br /> C <br /> 1 20 actli t},mer or Operator Culificalion a1 octal t of ha:ardans 6r this m,a z'-_ ,h Day a YOGI <br /> T Printed/Typed <br /> limn• . <br /> Da ;ITE BEl_CA, IIS !.i <br /> DUC 8022A EPA 16700-221/991 h, . ^ 1 G <br />