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FROM_ :SIM THORPE OIL FRX NO. :1 209 368 1851 Apr. 21 2006 09:38AM P3 <br /> Sbla o{CaifomirEmirannlental PratB[Ilan Ag <br /> as <br /> Form Approved oMe No.zo50- 391e.pi...Pwa`�-Wl See Instructions on back of page 6. Department a„ic rtan�nt2 <br /> Ploomfed torype. farm de.lgrmdferuw on*lift(Y2-pikh)rype,Yieer, Soaamwb,California <br /> UNIFORM HAZARDOUS I, Generawr s US EPA ID No. Manifest Document No. 2. Paas 1 Ihfommlion in the slrad.d erws <br /> WASTE MANIFEST t ' s rat required by Federal bw. <br /> '•1 �. �'I � G: •r r, l t� �f '�.t. •-1 ( of '1 <br /> 3. Gewrobr's Nome end Moiling Addreu y. „ <br /> Yt. <br /> O <br /> rA, Gonerac/r Phone 1 f �^- - H°p ,t✓N'' "r <br /> h5. Trctmporkr 1 e,re emy Name 61. 5 EPA ID Nembu <br /> o npg�s?IC.*1S3 kf/}s �E-v intn,at�nlL eve s p '� z.g - a .r <br /> to <br /> 7. Transporter 2 Company Nem. S. US EPA ID Number <br /> �� ✓ ".iM/a•' �j,';.r n one ati1'y`i'x,%'".^*r <br /> le'e"Q r.• ' �q `', r i;d�rx:+'%.n�eN d <br /> 1V 9r. °✓%I°.k�'?XrK?1f4 N ! SE:'�:r:. la. us EPA ID Number <br /> Ay <br /> a a <br /> Lv.. rJ <br /> yJ$00 <br /> CA hV. T i Y <br /> .,/n om n Y"/A• �1 s ii <br /> Q 12 Centainen 13. Total 14. Unit <br /> 1 I.a 5 DOT Description(including props Shipping Nam..Hazard Clam.and ID Number) " <br /> 4y,2 12 i M Tota VNVd <br /> NC 044tCRA HAZAF�f1C3 My WASiTE! LQUID <br /> _ •�'� :ac's.': <br /> ~ r (Iii Y WATt R , i} T rcs >U LJI': <br /> E D <br /> ry <br /> o T <br /> Lit <br /> O f 'p s ,��,�`' i'�.i'r/l�,r f v d,•':..+, rrr Y r � .",n,,t`.n"J( /,Y+yJ'� >.� ���d'e' frµt�'YL,Iv ✓�'M1),v°' ,'Y <br /> 5 <br /> w ''�'jYr r�Yr ✓'ri�'"vS vr"J�/Yrrrr rrt' e'rr� Y'"l�r J� 'S✓���� ,ros r aY' r "" <br /> z +i Rr', „v+ Y1rg r//rr�i✓�4"f'"�� r/i'f'�Y n�°�'s4lrr r%rr frkr l: rr�m'w r�.,Y r'��',� �•,P �rJ n Y r„>�J3w',�^ "f�'•.K '�i`. _. <br /> 15. S...ial H.ndling'Intauetions and Additional Infermarlun I, <br /> z GLo'+✓i~S <br /> ur EMEAGFNCY" PH[0 4F 2(4.667,8957 <br /> p Y Y pp <br /> Q Id. GENERATOR'SrlaIdIbe6d Fa d am in all declare 611 coed on far tmtnmao by F ghway according to am im6b imernotional ovd naamoon V ernmem Nifulmiens,ir;gi am and are Red,packed, <br /> speets. P Wr <br /> It t am a large quavery g.nmatw.I certify that I have o proymp,in place to reduce the vol me and bsiciy t waste generated w the degree I have duermin.d a be acorwmiwllr <br /> H prenicabta and 4m11 how lecrod the P.xrioolel.nw,had of troatmear.noraae,w dispo of rurrenry available b me which minimi:..the prevent end 6-,o Ammer human hIN <br /> and the envirm m`u;On,if I am o small gaanpy y.e.mmr,I hove mode a good faith effort ra minimize my wrote oormwion and wlect the batt—IN mw I-060d'hot is <br /> Ompllahle to me and that I can.ffcrd. <br /> Prinud/Typed Nam. 5igmbrre �.._.•. r Y� <br /> .w <br /> z <br /> w T 17. Tram r 1 Acknow emanl of Recei t of Mammal. <br /> V, Month DAY Year <br /> i Prtnud/Typed NomY� Si tore } <br /> I i <br /> w f ...� lP 1111 ^, <br /> 1 S. Trarive 2 Ackoow6,1emwt of fecal of Nwt.dals <br /> va m 5iynamrn Month Day Year <br /> O f prinNJ/Typ.d Nome <br /> w E <br /> Q <br /> e <br /> U 19. Disu.pancyudicorian Space <br /> Z F <br /> A <br /> C <br /> 1 <br /> k 20. Faeili Owner er O .abr Grfifiamie of mui l el huerdeus materials aov.r.d 6 IN manila ecce tae lwtad ro hum 19. Manih NY Year <br /> T Prinud/TYPed Name Signabn <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> Yellow: GENERATOR RETAINS <br /> DTSC 8022A(1/99) <br /> EPA 9700-22 <br />