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1. <br /> 'i <br /> e <br /> J TC`MANIFES'>' ; <br /> . ' t it#porter I Company Name. £ t!4 EP ID N � r r h ft>�gf� F f t rti <br /> h <br /> WIT <br /> Y�--K4 OCIRf�►. � arMr*pors.r a , <br /> 7. Transporter 2.Company!lame- a. US EPl�-1p fJfaltber �iaRsA4lyt�!; 3 x�t tl:� <br /> - <br /> Photo <br /> 9. paalyneted Facility Name and Site Address � { a Ctty�Fay�Ia. r <br /> SN' i 'KLEGN /MP, <br /> 5050 "L I DA ALVD <br /> 4CAT 00"13960 . ao�IRr e Pfton. w ,. <br /> SALIDA, 95368 <br /> iii $45 <br /> 12.Containers 13. Total fa40 , <br /> it. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Ouanttty Unfi i111ute No. <br /> TYPO wt i vot <br /> a. WASTE PETROLEUM NAPHTHA stat#. 741 <br /> a�..�`M E COMPUSTIBLE LIQUID UN1255(OQ01 ) (ERG 0;17) 'H P EPA/fljher 1)001 <br /> ..+r E b, <br /> -Q ; i.ic �l.yl"`.:) L Y.4 S.: + `"°'u• '�t+�*• y4�+rld yr �,, pr <br /> - ¢ d slow <br /> EPArCEW <br /> W <br /> J A+fdjtlortal Description*trx Malertala Llstad Above +a t; ' <br /> ` tt K.t fur wastes Uflod <br /> 03ti� # wee ^r c �4 <br /> �hfiR^ }^ z ° ,Uj <br /> u <br /> * Z 5 �i xax` <br /> rwy <br /> u <br /> 15 I Handling Instructions at d Additional Information <br /> 24321 <br /> 'VIERCENCY ES " } x <br /> 1 SKDOTO A. 500 C: D. <br /> U <br /> t8. <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by'proper shipping name <br /> ant ere classified,packed,marked,and labeled,and are In all respects in proper condition for transport by highway according to app.leabis International and <br /> IL national government ragulstiorui. f, yrs :r q4.} ., <br /> a I am a IRMO Quantity penereiter,I oertlfy that I have a program In place to redwx the volutes and toidcit�f of Waste generated to the is 9r I have'Qditermined <br /> 0 to be economically practi bio and that I have selected the practicable method of treatment stofaq%or disposal currently availsbta(o m6 which ""Zee the ' <br /> present and future threat to human health and the environment;OR,If I am a email quantity generator.I have made a good faith effort to minimize sny.waata <br /> U generation and select the beet waste management method that is available to me and that I'can afford. s <br /> In Printed Name Slgnat ' o M s ;eY <br /> edlTy <br /> Uj <br /> C7 / � f " <br /> I /;It e e <br /> tUN T 17. Transporter I Acknowledgement of Receipt of Materials <br /> R <br /> Z A Printed/Typed Name Signature a" Mon Day ar <br /> 1 - S Noel 1 *rnto <br /> 0 p <br /> W O 18. Transporter 2 Acknowledgement of Receipt of Materials Of <br /> Q R PrintedITyped Name Signature Month Day Year <br /> Z_ R <br /> 19. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L <br /> l 20. Facility Owner or Operator Certification of receipt of hazardous materiels covered by t ' msnifea sept as noted in Item I <br /> T <br /> y Printed/Typed Name Signature r M r <br /> Clark F. Hill <br /> DHS 8022 A Do Not Write Below This line <br /> EPA 8700-22 <br /> (Rev.6.89)Previous editions are obsolete. <br /> Yellow:TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />