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iWra of Ctiifurnia—En•imnmemvlProla n'an Agenq' No' <br />corm Appmrad OMB N.. 2050-003P I Expim 9ID-79) See Instructions on back of-^qe 6. Dapemmcnt of iaz',c Sn6sianea; Conme� <br />'I.sa print v, Type. Farm olnigned ler uxa an alit, 112-pil <br />Saevmen•o, Colifamia <br />Xi <br />S1 <br />nabr, u5 VA ID Nnh'mniiesl Onamenf 2. Y a I lnfarmalian m IiR snodad areas -- <br />UNIFORM HAZARDOUS + �n <br />is of agaired 6y cxdaral law <br />WASTE MANIFEST Iw,� �7J.�1L'1 til *\, r* � - �' � aft <br />r3 Gu,araror's Naint and Mailing Add... /p , F F h:.'Storc N,nn (Bet'�aaamrnl No,d6er ^y - {� <br />4. GmeraWYx Siam ;'C-3`/�V f lT,s•.T]• \-J �".i `1-/�.V ,' ! 1 1 �, ! <br />5. Ttompariar I canap .y Name 6. U5 EPA ID Number `C.,ShY,mnspotta ©f8t••«%�a2 1 <br />n en-pericf �h nv <br />R4VA7 $ UVE IRONMFi�TI;,L Irinttrnllrlrxlr(ri^loll "}hr�-���^ <br />7irannparter ^_ Cwnpvny Name B US AID Nsrie6er <br />t SfaiY S•m,aR6M&,4D <br />fa <br />I ! <br />F�:Tvo poria vi'(1W5v <br />\ <br />9. Duignotad Fod{iy Name and 5iN Addrns ID US EPA ID Number <br />ALVISO INDEPENDENT OIL <br />1hi, iAli <br />5002 ARCHER STREET <br />ir:•'�peeli Phonq <br />� . 'mak <br />R^7 d,lT.'g10110f1 a <br />I). JS DUI criprion Gnduding ProperSh'ppimg Mama, !tnzord Claax, end 17 Num6ei9 12. Comainm <br />No. <br />73. TnWI <br />7 4ba%q <br />ie. Lint, <br />Wt/Vol v. a:r T - <br />aP <br />�i <br />..w f <br />NOM -RG? HAZARDOU9 WASTE, _L*W - d /12 <br />G <br />E <br />E <br />b <br />5rmow <br />v <br />Ri <br />i <br />��1'ff6_inrf <br />I <br />A <br />..• <br />TI <br />41uY <br />, �.•c -. <br />ORI <br />I,tn ti �rJ <br />I la <br />x <br />r <br />ny$N\'�rjifnKa"ye-c1'IniMrs larNda,q'nk'Y.ire2Arbo`Jr i..s. �.. Mfa.•Ri"Z.3•.3s�yi"ye.`cTiy�T'` x �.'cHgr,�Y srrblT ,iw`�t.ras{WWi,d ?WDvcr {y N m- <br />r a-w+f'»� rt S� ''�»' ,. '^t b f.a �, x' <br />a- <br />a e r , �vyir... ..s•(�J1y �`l�}� f <br />C.a^��a"jn'YI6�\?� 4T5�L•.-�Y'J'�xt �c3. �1'Yyss 6af ys\JM�N /T: <br />y1Ai.1G2�1GL]iIYN{'io-(fN�\E!-S4Y-S\�-Y1 ,+Y+�'�N <br />yy a^ r'.ow i yi, k 'C� w�+r v X � a{ w. b � �4� �.x.rsif!K2 ] Y Fs "?\ Z r1 •dr <br />oa _ Y �i^-•' ^i"I ' Jrf"�'',•�d� %� 34, 'R ..�,�ti'i s <br />.gyry J%az +�•s'rr+`i' e..lLaY��+` 4e m'"1s /"'`h � teY T n <br />15, Special hon Mrg lnstruenens ar._ nddihona information <br />WEAR PPE, EMERGENCY CONTACT KIRK HAMARD 510-47&-MQERG # <br />jGJ�?s/-05`Oc3-oSY <br />1 <br />GENERATORS CERTIFICATION: iharc6y declare rha;Weaonbnnarthi: convipnmamarafuffy anbommvk62nscrilxd ahvn 6•pproryu ,hiu+3nome and on dmunad. wckm <br />Iib <br />y highway nvrding b app ico6le intnnniinnal and naliontl 9avemmenr rcgulalians <br />moiled and h6aled and arc in all respects ir. proper condition for Ironspan Eca <br />If I am a large quar,tlry 8eneralor, that 1 heva v pnprvm in pivca r, radvq l,e vdume end ,o Wy f .*W R.n ated Ia the dvaree 16nva determined ra be economically <br />procfico6le and shat I Faye s610v l :he vmdi<a66 mmhoa of neatmant, slemge, ar di• I o .tly avuilohlc W me w61ah minimises rho p...t and fularc thrvai lo human health <br />and the emn.man!; OR, H 1 am o sural! aaa miry ."..nor, : hmro mode a good a r, b m nimim Veriw geMratim aad be!eR rhe 6n( vasm marrognmam method 11,91 Is <br />wail , m me and thct I can afford. <br />Print T Nom a Sign.i a Menlh Day Year <br />Z. i1tiQS I �lln <br />T <br />17. Tron arnr i Acknowled e�naiv of RaceiJi afof Moreriais <br />A <br />Printadrrypvd N..// Siena <br />, r-Rtt+C P.KS <br />Month Day Y.,Rs <br />a C� ' G1� le- 1; <br />P <br />B <br />7 R. iraqDo,xr 2 Aehnnw!cdaemeni of 0.aaai6r of Marerial: <br />Menti, Day year <br />I flPrinted/7Yped:Name <br />Sfgnarure <br />E <br />R <br />t 1 <br />79 fhscrat.mey bdlcaYan Smee <br />F <br />A <br />C <br />T <br />20. .00 O nw o• ooera i,ficmion of roceia� m nv_ arda�s ma:ariau ewxred' ma st - '� kam 19. , <br />1 a nma,'- Nrnr ! 9• / ! I Signvly Month Dy ywr <br />Y Iy 1-00 _�X=ioIGi.a' <br />N07 WRITE BELOW THIS L{NE. <br />,u4F�ra: TSDF SENDS THIc CG,'T' TO W54!- WITHIN. 30 DA 'S <br />DISC 80224 II /99! 'rn' YO 6.x:1000 Sacrarcmv [,a. %.ia"1 <br />EPA 97p0-22 <br />