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04/14,•00 16:14 F.+X 2098366181 Inland-Tracy 003 <br /> Slate of C`alilornio--Enrimnmartol Pral—ion Agenry <br /> Form Apprav d OM6 No-2050-G039[Eapirm 9-3049] See Instructions an bark of 6. Depmtmml of Temic Subsmnc"Conhol <br /> Pleoie prim or typo• Farm dasilgned far me w,Fire(i$-pirah,-�r4wrirer, $aaammia.Californio <br /> UNIFORM HJ~1ZARDOUS . Gewrolue',s US EPA ID No_ Manifest Documerrl Me. 2. Page 1 In me l ion in 16 ibaded areas <br /> it ed ter A ed by federal law. <br /> WASTE MAN1 <br /> IFEST r 3 1110141 1 ,2L I I Ji of j <br /> 3. Generallor's Naaseand Moiling Addreas�r7l4+�C� (Sinn �yr� A. 51we Manifev lhxuineni Nursber 9 r� <br /> ^� <br /> 12 17 <br /> 8. Stara Generators ID <br /> to 4_ Genemtar's Phone iz,. 1 <br /> r_ <br /> CN 5- Tmnsporier 1 Comparsy Name 6. US EPA 10 Number C. Skye Tiwsporlees ID R —d.] <br /> V3 <br /> W <br /> rr A Twrcportarrs Phone <br /> Q i.Ji r•Sb "r.3'-i.r-r r n TG f t. t Q <- f- <br /> OD 7. TraftiWar 2 Company Nome 8, US EPA 10 Number E- sato Transportefs tD fleserved.] <br /> r <br /> f. Transparter's Phone <br /> A <br /> V 9. Desig olel Focriity Name and 511-9 Addram 10. US EPA ID Nu.nlsar G- Slate Fe ility's Ill <br /> ,,, ��r,�.-, r,�y� I I I I I I I 1 1 1J— L� -- <br /> oe y. `� {f� q H. Foc�irli s Pfw�+ye <br /> CA F .. r. ML d.f I, I Ty' d I' <br /> •� - 12_ Conloinen 13. Total i4. Unit <br /> e%cran <br /> 11- US DOT Dipriit m6din8 Proper Shipping Name,Hozord Cess,and 10 Number] Ne Typo Oaonkity Wvol 1- Wade Number <br /> Z a. Slate <br /> X <br /> stale <br /> m E UA/otllw <br /> v R <br /> Q A shale <br /> a 7 <br /> W 0 <br /> R I EpNothw <br /> iL d. <br /> stale <br /> �A/Pd <br /> r!f J_ Additional Dworiplions for LMlerials Uslod A6avt K Hondrma Codes for Wwle f.iseed Ab—e <br /> UP <br /> oe <br /> oe c. d. <br /> Q <br /> z15, Spwinl Handling lnsiructinns oral Additional InFa mntion <br /> F-- <br /> aa <br /> 4 <br /> Z <br /> ' fad <br /> 16. GEMPLAT7R'S CMITICATION: I 6ee6y deciam Ihal the cv,ok f.of Phis cax <br /> .gamont oro fully and uau wIy desu1-J a6we by proper shippia8 nose and are class Eyed,packed, <br /> Umarked,and labeled,aM are in all reeds in propercondilian lar 4omporl by Irig6wwaccording to app rrvbla iniamwienol and uni;ono 9avernmeni reguloimw. <br /> If I aro a large quancly genereler.I darkly Thal 1 have a program in ploy to reduce alae volume and immicity aF.osre generated to the degree I hove delermined t0 be r*nam," <br /> o_ practicable and hal i frame s-9lecled the me4;Co6la method 41 ITePHnent,Storage,w disposal Wrrendy aweVable hs me which minimize�epreseol and Future,Meal b hman hearth <br /> and the rnrimnment:OR,if 1 am o a quantify g—inr,1 hove mode n Good faith eflar4 to minimi—my waslr grnenot:on and se eN the bee-mia management method that is <br /> w ara:lable to tee and&oI l coo afford. <br /> D _ <br /> y Pr&.I/Typed Mo 5ig euro �% M-16 Dot, yea, <br /> u-a T 17. Trop rier 1 Acknar4 d emsml of Receipt of Moiarals r <br /> w � Printrd/T oma ...� Siandure _ --•�� - Meath UOy Yea[ <br /> P - <br /> u- 0 18. Tran rfer 2 Aclur—Avid .meat of Receipt of Material, <br /> C) T Prinled/Typed Name Signature hbnda Day Year <br /> w E <br /> w g <br /> 19. Disvrpnncy lndicalion Space <br /> z F <br /> — A <br /> C <br /> I <br /> L <br /> 120. Fes,+l: Ovine.w 4 eralw C.•Mquoion of'gcr t of bar Jour rewrd 6 tlds_.n•n:la,l r.�opr....I"In Ila.19. <br /> T Prmied/TypodNama Signature Month Day Yes* <br /> DO NOT WRITE BELOW THIS LINE. <br /> Mellow GENERATOR RETAINS <br />