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PM <br /> AA Y <br /> E;AIAi4 <br /> S Generator's N e aria MaU Address <br /> 1`if <br /> Tvt �L iso �T _ ,i Z jAN Q"'-x991 <br /> H{1RNTON CA 9S <br /> 4. Generator's PhOM209)794-2303 <br /> US <br /> 5. Transporter 1 Company Name <br /> p, EP Lliwm-bor C.dtala T ev'e it1' <br /> " rergporttr',a <br /> ti _u <br /> n 7. Transporter 2 Company Nama a _ US EPA:ID.Number <br /> ..ko 7. Tr-nspo._.�....__..._.- }.!�.,�...,-.-.�.-.._.. —� - � ... r.' �* h <br /> LCbbS Q. Designated Facility Nama and Site Address 10. US EPA Number [>L $11it1w FaCilitya IQ <br /> J <br /> SAFETY-KLEEN CORP. 7-M-01 - <br /> 00 50 SALWA BLVD <br /> F.eiify a Pham <br /> CAT >! 96 <br /> E <br /> 12. Container 13. Total 14. try L <br /> Ousntity Unfit 1Mas a No. <br /> O 11. US DOT Description(Including Proper Shipping Name,hazard Class,and ID Number) No. Type Wuvol <br /> < a` WASTE PETROLEUM NAPHTHA stn» 741 <br /> z G COMLiUSTIBLE LIQUID UN12;55(D001 ) (ERG #27) G1M P EPArOthar Q001 <br /> E <br /> N stwtert <br /> E b. Y <br /> T .rr <br /> NA <br /> State <br /> Im <br /> d <br /> EPA/Otheir <br /> W <br /> U <br /> K Fiaodlhy Codes for <br /> Wastes Llstad Attova <br /> J. Additional Descriptions for Ivlaterlals Llated Above . b <br /> s� (A) D034 DO1$ d. <br /> fir Y, <br /> •�p?t <br /> 15. Spaelal Handling Instructions and Additional Information <br /> 9101 22499296 834755 7-193--01-3077 ai <br /> z EMERGENCY (RESP#I^70£3-e99-4660 <br /> SKDV# A: 501 B: C: D: <br /> J <br /> J <br /> U 18. <br /> GENERATOR'S CERTIFICATION I hereby declare that the contents of this consignment are futty,and accurately described above by proper ahipPi^4 name <br /> J and are classified,packed,marked,and labeled,and ora in all respects in proper condition for transport by highway according to applicable international and <br /> J <br /> d national government regulations. <br /> k 1 am a large quantity generator,I certify that i have a program In piece to reduce the volume and toxicity of waste generated to the degree I have determined <br /> I <br /> be economically practicable and that I have selected the practicable method of tquantity generator, have maiE a gcuff ni faith effort t minimize MY wtly available to me which iastethe <br /> present and future threat to human health and the environment;Off,it I Am a emelt quantity g <br /> Y generation and select the beat waste management method that is available to me and that 1 can afford. <br /> 0 Signet morifh Day Yeer <br /> Printed/Typed Name j'� J <br /> W f . <br /> WT 17. Transporter 1 Acknowledgement of Receipt of Materiels Murcia pay Yeer <br /> < <br /> A PrintedlTyped Name Signature <br /> N <br /> U. <br /> P is^„-I inoz�tton <br /> W O 18. Transporter 2 Acknowledgement or Reca#pt of Materials Morerfi DeY Year <br /> U) R <br /> Printed/Typed Name <br /> Signature <br /> U T l <br /> E <br /> z <br /> 19. Discrepancy indication Space <br /> F <br /> —A- <br /> C <br /> I <br /> L <br /> I 20, Facility owner or Operator CertiFlcation of receipt o1 hazardous materials covered by this manifest except as noted in Item 19. Month Day year <br /> T Signature <br /> y PrintedlTyped Name { <br /> Clark Z. Hill <br /> DHS 8022 A Do Not Write Below is Line <br /> EPA 8700-22 <br /> (Rev.6-89)Previous editions are obsolete. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />