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Please crvttlorType.(faun(fcs•jred for use on eke(i2-pfIci)ryl m-la,) FormADplrwa.0`,19 No-2050.0039 <br /> UNIFORM HAZARDOUS 1.Generator 1D Numhor2 Page I o1 3.E,T,ngenq Response Phone t N;iniraslTrack!cg rfvmbcr <br /> WASTE MANIFEST CAL 0 0 0 0110 3 2 1 (800)4249300 ' 016-139095 JJ K <br /> S.Grssra!or's Nanlrt and LlsT�+M,drey. Grnet7dor's SP Aftess(it ftrap-d own mai6"g adcLassl <br /> JIFFY LUBE 0)598 1130 N MAIN ST <br /> ii30 N.MAIN ST <br /> MANTECA CA 95336 MANTECA CA 95336 <br /> 6er,em:crsPf+ma! 263239-D805 <br /> 5:Trzn:gN4!t I Cgr.,p,-„FWmc U.S EPAID P:u:st.u- <br /> ASBURY ENViRONMENTALSERVICES CAD 0 2 8 2 7 7 0 3 6 <br /> 7,Tra-porlM 2eempar;Narcr. vs.s?rtDri¢nt�r <br /> 8.Das:3tulcd F,ru?t'y Homo z„f Si;c Arld.�s U.S.EPA ID Nurater <br /> DK DIXON <br /> 7300 CHEVRON WAY <br /> DIXON CA 95620 CAT080012602 <br /> Fan t/sFbono: (707)693.6008 <br /> ga_ 9b.U.S.OOT Des6p6cn(including Now Shipping Name,Huard Class,10 Number, 10,Conlainors 11.Total 12 Unit 13.Vwe Codes <br /> Hkl and Packing Group Cd any)) Ab. Typo OuanGly 0 AV. <br /> a I NON-RCRA HAZARDOUS WASTE,LIQUID(OILY WATER) 0 01 T T G 223 <br /> I. <br /> w I <br /> z 2 1 <br /> 0 <br /> 3. <br /> I <br /> r <br /> i <br /> IA-special Hardin 91nsDucf ons and Add;96=1 ln.`ofmaw <br /> EMERGENCY CONTACT:CHEMTREC 1-800-4249300 NAERO# 9B1:171*PROFILE N 9131:OK100110 TRUCK 8 <br /> ADDITIONAL EPA CODES:9B1:,NONE*APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT <br /> 15. GENERATOR'S'OPFE?0TSCERTIRCATION:I hereby declare ItoI the axle-4 of ltir,inns m=i aro Dr;y and accurately descrSed above by rhe prop rsh:pp ng name,and are dans lid,pxk;5ed, <br /> morPrdand -ndl::Inrrglortarrrrnfn0-Kapp:cab!o-uRenatiatwfaxJnaEanaroa:emr ,•:Jr¢!lu'�.ina!Ieryronsl+;+n'.enland1amthePl�nu)• <br /> &PUlef,1 MDty IhZn OW[rDtnL ciftswttvaralonfrmintIvms4jkn:ttt-d FPA Af"hoM69rota ofCorti nt <br /> I c„rdNy thallthe ttal meal Ida-bT.ed in-IO CFR Zn22Tr zq[if i ani 6vga gLwe?gu..a(¢r)or(b)(41 ama sm31 W.V,ty gcnea4,ar7+3 eve. - <br /> C- sraa''sR7'_+cfsPriired'T” dName 9zav;u l df=1 ' �T! err <br /> )c �(�s 2_' erg - ��'� �E rl, i <br /> —f Idi.In:ema5vml sh�pmsr�ls <br /> � ❑d:npard W U.S. ❑Export morn .S. Port of enUys`ent -.. <br /> Transpafw s'bnalurc(for worts only): Dale lasing U.S,: <br /> w V.Transpcter P.ctno:dec'gmenlofRec*iplofMrehalz - <br /> Tmnspndcr t-Prii+t-dlRyrdl,5rsz S� f.srth Lx! Yea+ <br /> a ` l <br /> rr ;.1cRa r�:w rras d.r:ami s� c!cra eAy Ywr <br /> ID.Mscre"xxv <br /> le&MR,epancy ir.dira°m,Spore LI P"anFl ❑ <br /> y Type; I...J R�duo ❑Pat.sl Res:P:m U Fu'1 He;ecucn <br /> tlarrletl Rctece sNosNMr <br /> 13h.N(mnaln Fad:1Y(o:rar,^ra:n1 !1S-EfW0 ttun'ixr <br /> J <br /> u',.-..&:S+nowa cl'Rntmtts G,•M(?;C-¢nar:,ht1 I.:onln ❑�� Ynr <br /> Q <br /> 19.bozordeu5VlAslcR:tadfr.:-a�..men[h1o(W. Codcs(i.e..wdc;rcrlw±crda:Gwastatrcatm:nt,f;p7�.Dndrecv6rn;$;,=1) <br /> to _ <br /> - 2• a. <br /> ?0.Cz�ignat�d Fac-R'y Orner or OU•ra!ov Cer65caEon of ra<ept of hazaniars Inal^.%�as wcercd hr Uw man:iesl except as rtdcd in Item Ula <br /> PdrrJTyp[dtJ:;rr, Sa;+nbua .. - I;,pr,ln YCar <br /> [PA FAnafi70022IRnv.3d5) Pry.4iscdilionsare obso!ole. DESK; ATL FAd"LAT"'TO ESTIRIrJi0N ZY`7•.1TC(1;- REC1UMIr-o) <br />