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NOS',iAZARDOUS WASTE MANIII, <br /> Please print or type (Form designed for use on elite(12 pitch)typewriter) Manifest 2.Page 1 <br /> NON-HAZARDOUS 1.Generator's US EPA fNo�. Document No. of <br /> WASTE MANIFEST CAD 987. 5051 <br /> 3.Generator's Name and Meting Address <br /> unifia3 -4estarn�Gro <br /> cCr,i.aercett1'pat90,uiliaraetY <br /> 5200 SAaila Straet, <br /> 4.Generator's Phone( 323 264--5230 <br /> 5.Transporter 1 Company Name fi. US EPA ID Number A.State Transporters 10 <br /> i3Z Iat Trans Inc. CAT 030 012 800 B.Transporter I Phone <br /> 909-389- 0 <br /> 7.Transporter 2 Company Name B. US EPA ID Number C.State Transporter's ID <br /> D.Transporter 2 Phone <br /> 9.Designated Facility Name and Site Address 10. US EPA ID Number E.State Facility's ID <br /> Ra:aBiy Ea vir'Jamentil F.Facility's Phone <br /> 3200 E. Frontera Street 714-630-2307 <br /> Anaqaia CA. 92805 CAL 0'00 200 530 <br /> 12. Containers 13. 14. <br /> Total Unit <br /> 11,WASTE DESCRIPTION <br /> No. Type Quantity Wt.No1. <br /> I <br /> a. <br /> 1011-'IX?A'ZD01S "4kSTE LIQUIDS <br /> G t;--- <br /> E <br /> E <br /> N <br /> E <br /> R c. <br /> A <br /> T <br /> O <br /> W R, d <br /> a H.Handling Codes for Wastes Listed Above <br /> G.Additional Descriptions for Materials Listed Above <br /> N nja-aazar4aas +,rater <br /> M <br /> O P10FILE #04-'iIT-01-069 <br /> 0 <br /> Q 15.Special Handling Instructions and Additional information Job SStL7CK1011 F3Gilxty <br /> 1990 Piccali U. <br /> Z GLOVES & GOGGLES Stockton, CA. 95215 <br /> O <br /> Z E; &LW*AV* <br /> 1S.GENERATOR'S CERTIFICATION:I hereby certity that the contents of this shipment are fully and accurately described and are in all respects <br /> In proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulat€ons. <br /> Date <br /> Printed/Typed Name Si nature Month Day Year <br /> Date e <br /> R 17.Transporter 1 Acknowledgement of Receipt of Materials <br /> S Prin �Name <br /> � Sign r Mo�ih Oay Year <br /> P 18.Transporter 2 Acknowl dgement of Receipt of Matena€s Date <br /> d <br /> R PrintedlTyped Name Signature Martih Day Year <br /> T <br /> E <br /> R <br /> 19.Discrepancy Indication Space <br /> F <br /> A <br /> S 20.Facility Owner or Operator;Certification of receipt of the waste materials covered by this manifest,except as noted in item 19. <br /> L at <br /> T Printodrryped Name Signature <br /> Month Day Year <br /> Y <br /> F-14 0 2002 LJLBEL.IyUSTFA®(800)fi21-5808 w 1011 81ma.41er.CCm PIPMED ON RECYCLED PAPFIR Rev.3195 <br /> NsiNc SOYBEAN IW AT= <br />