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01/26/2010 12:743 FAX <br />prs�Srote o1 Ceg(erni o—EN o. 20 -Nal Prelumian'Ag racy • <br />Fenn Api.l., OMB Na. d.,ignd39 I,..,m9.j.f I2 <br />Nw.. pint or ype. Perm dazigndlor v.e en.lde 112-p;,dlJ rypewrinr. <br />8 <br />a <br />vv <br />C <br />u <br />u <br />e <br />C <br />u <br />v <br />L <br />L <br />i <br />See InSlrUctlOnS On back of p1*6 <br />0006/019 <br />Dii,mn.n, el T-.ia Su6a.na., Comtel <br />Snvil .nl., Cnlll-rnie <br />L/ CO NOT WRITof E B L'OW Si�tdt~`/ <br />DISC W22A 11/991 T. P.O. E-xJ3000, DS ISaere eMe, CAS CQff TO O 95812 <br />WITHIN <br />30 DAYS. <br />EPA E700-22 <br />`—X, .. <br />1. Genera-/, US EPA ID No. <br />Menlfn, D-wm-n, Na. <br />2. Pay. 1 <br />Inkem-Iieln .n rh. ehad.d areae <br />UNIFORM HAZARDOUS <br />Iw,.pm•.d by Fderel le.. <br />WASTE MANIFEST <br />1A 110 10, 10 12 IS <br />al <br />3. Gane raw', None and Melling AdO—e <br />A. Slat. Mani {C,rD-e-mml Number 24849684 <br />TOWER MART #104 <br />1983 W. 190th STREET, TORRANCE, CA 90504 <br />6. 51.I.G-n.m1ar'.0 <br />A. O.--mbrit Phone I j 10 I <br />S T..... Per 1 C-Inpm, Name 6. US EPA ID Numb r <br />C., 51aI..Trm,pi,mr, IDtAbdP=PS,], <br />M NTAL SERVI S <br />D.T.enzpem.',eh-n. 916 371-5747 <br />7, Transporter 2 Company Nome E. US EPA ID Num6.r <br />E. 5ram Tmmpomr', ID 11 ... r..e,] <br />F. Trempernr'a Ph.. <br />9 Ue,ignated Fudi y Name and Sil. Addreu 10. US EPA ID,Wm1»r <br />6. Sion Facility', 10 <br />PACIFIC RESOURCE RECOVERY <br />3150 E. PICO BLVD„ LOS ANGELES, CA 90023-3683 <br />N. Fori6Sephan, <br />(8001 499-7145 <br />11. US DOT Da,impfi.n F.dudiny Proper Shipphnp Name, H .rd Clam, and ID Num6.r] <br />12. Conlo'narr <br />13. T.Ia1 <br />Quant <br />Id. Unit <br />WWd <br />I. Warn NmP <br />No. <br />T <br />SOLIDS CONTAINING FLAMMABLE LIQUID,'N.0.5.,'4.1, <br />sten 33 1 <br />EPA/Olh,r <br />G <br />r <br />2 <br />ET <br />E <br />N <br />U <br />6 <br />sa. <br />E <br />EPA/Olh.r <br />R <br />A <br />State <br />T <br />a <br />O <br />EPA/Oher <br />0. <br />d. <br />Sla. <br />EPA/Olh.r <br />3. Adihian.l Dewipfi-m for Wiwi Aho,. <br />K. M -.dung Code, ter Wa,n, <br />U,led Abe n, <br />lla. yrs- o1fopl oocn <br />06. <br />d <br />15. Special Nondling Imlmcfi-m and AddiNmel Iniimmalien <br />HANDLERS TO SE TRAINED AND USE PPE. <br />24HR EMERGENCY CONTACT: 916-371-5747 <br />192 LATHROP ROAD LATHROPt CA 95330 <br />n'T .1`a''ao Dr7:r1 <br />16. GENERATOR'S CSIITIPICATION:IMv.by dealan lh-IIh.<mnnD ei rhll eanllenm.nl are fully-darcuranlr d..aribed ehev.6y Prap.r.hiprin, home and a re elo'Mod, pe.k.d. <br />marked, and 66.l.d, and are in 611lnpeee In 11-1-1 m -lift, 6, Vemperl yy highs «cording b applicable Inlemollmol and mh.n.gw.rnm,nl negulolia". <br />II 1 em a Ivg gwnriy yenereror, I e.rlify Ihol have a pregrom in Dloa te r.duc. A. .olum. and roniE el va.r. g.n,lol.d w ,he d.gr.. hen danmin.d le 6-.commlcoll <br />z <br />and +01 I Mee ,eleemd Ike pmeim6l. melhod of Ireelmenl, .nrag-, or di,pe rnnlly p of 61e Io m- rhich the preen, and fulm- 16nor to hvmon h..IIK <br />9rgakabl. <br />CZ Ih. mdr-nlnenl; OR, 111 m --.m-1 quonliy Wnerabr, 16" mod, a gmd <br />ro minimi: m .roe,. g.no I.c1 the bell "n. monagmnenl methd IMI i. <br />... 0.61. to m. -nd 16e, I em -fiord. <br />Drinted/Typed Wme <br />Si len <br />Mandl Day Y.o, <br />1,915- <br />y-17, <br />e/�. <br />O <br />17. T.mn, a.r I Acklrmv m. -I of 49.1p, .1 Mal -riot. <br />month Day Year <br />I <br />Mnled/TypSlynel <br />o <br />Z c <br />R <br />I S. Trane nal c aW ,d .m.nl of a.e.l I -f Mandol. <br />SiyrwH•. <br />Month Oay Y..' <br />T <br />Primeavi ed Nom. <br />R <br />19. Diungmglndic-Ii-^ Spot. <br />F <br />A <br />C <br />I <br />20. Pecili Owwr oro robs 6ni5c-'on neeei rot bzardom marorio6 <br />covered moi <br />ej in Jtom 19. <br />yea, <br />T <br />P.imd/Typyl.ehma 1 \ <br />Slgn-wr <br />Manlh Oay� <br />T <br />l <br />L/ CO NOT WRITof E B L'OW Si�tdt~`/ <br />DISC W22A 11/991 T. P.O. E-xJ3000, DS ISaere eMe, CAS CQff TO O 95812 <br />WITHIN <br />30 DAYS. <br />EPA E700-22 <br />`—X, .. <br />