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07-06-1994 02:35AM FROM PRN Pacific Enuironmental TO 12098383509 P.09 <br />P'.aae Ona <br />nr 1Ype. lean a.eJgneP rur ea. v- . • -. ..- <br />6 C �-- "" a U3 EPA ID NO. W nAearuunn <br />UNIFORM HAZARDOUS P slt �' <br />'°P• + lnlortnepon N N! an.0a0 aHea <br />Dy FeOent ta.:. <br />r' <br />01 is nenpua.d <br />WASTE MANIFEST [ <br />S.er:eer <br />3. G.n.r.101S Name and Malloho A441r41e3 <br />A. 3mta MaM.A D041mMD1 <br />'36z—.a Co .P <br />Nv�wv�k <br />a. staid iD <br />lsRMrfler. <br />tz— \-��ec.�e� <br />• O Q W C _ ` <br />(-- 4 5 3.. <br />Gener.rorePhane�)-1lAl.' SZS <br />M AlA,l� I -le <br />6. US EPA 10 Number <br />C. Stale Tranepvt.fa m <br />D, Tr.MpMo 1 (gmpan> N.me <br />D. TramportKs Phone _ <br />6, US EPA ID .0.,E <br />3sau Tra ~- 0 <br />7. Traniporlar 2 ODmven> Name <br />i <br />F. Trar.o>rtela R+a+e <br />9. Os,;,.,ed Fad, Name and She Addrets 10. US EPA ID Numb.' <br />G. Stu. Facilitys ID <br />6 <br />LEv � (Z�c PLY, <br />G <br />tC.F.U1ay. phew <br />1333 n), H� �t 33 <br />61713 <br />V —4-t,14 Li .1`- . <br />OI _ <br />Proper Shlppatp Name. HaUrd Class, arM tD Number) <br />12. Can teii%. <br />NoI T>p. <br />13. Tole) <br />Ou.nliry <br />to <br />Und <br />Wv Vpi <br />-4 <br />Waab.'Ib.': <br />- <br />1 t. US DOT.DeactipDoa (,.Wdlnq <br />e l�S <br />uj <br />FPA/0lteaf:•,; �cr:;-+�':+: <br />A <br />T <br />D <br />R <br />Stab ..- <br />c <br />IPA/OAaI +• <br />i <br />r <br />l <br />EPA/W11t .y ac <br />i <br />.. <br />J <br />i <br />lNta.Iela -amee AWw. �. .. .:. <br />dans tae l .,::.... ..., <br />J. ♦Od.dan.1.D..nuSp .., <br />R l;ar+dlvp l'.dda. fer Waaaaa <br />l.)aStl :, <br />�...: 'Ay <br />...: <br />'.• - <br />� <br />t5 Spepal IlanWinO lnatrvc>iona end ArldRian+r mlOmutlpn <br />1�too-T-7Lf <br />ay H'2. 6r,61%.� cou ram. <br />-soa- a ss�3�a <br />a �,r �rp� �e�wse ctE�r+-rte- -1� <br />-- <br />j <br />1 fi. <br />GENERATOR'S CtjtTIFICATION: I hweby deetale that the canl."M of Mls eonsidnmeu era Wiry an0 aee:rrlate�ye °.eco0r°deinq to .00[' le mthAtodiifta�nax"MO <br />in G! COnO:DOn IW VaniPeh D> D <br />and a,. CM..jA.o. P.4ee, mehed, and IaDMed. and file In ell ra]peCO prop <br />Aeneolad <br />1.0r al gG.emrnenl re0w+liDne. <br />I eertfly Mal I naw • pOpram N place to reduce me, volume and tosiciry el +..1 0 10 in. tear"1 no"deleaaaled <br />n1iH ar.d.D4 Ip .n. �tlieh rMir-081 IM <br />yto <br />R 1 am a 4roe 0u. OM.nIOr. <br />be eaonDrniull]' weehGDN a" Mal I ha.' seleCNd the omau C.da malnod al Vaa Vllenl, .eraga, fir Gapae.l arAeg,, <br />avast to human Manh and Me-MVDnmenC OR, it I am a ama4 O.anllry gaMlalel. I M.. made a goad 4ilh eNon ro minimi{a e.> �aal1 <br />> <br />present and IMwe <br />and Jel.e1 Ne Deet .•.file manage mom method Met In arN46N 10 m. and ID.t I un eemtl. <br />w <br />genera". 4oaM On »fir <br />PMlad/TYped Nome $grlatwe <br />Cosvv�A J1v`I <br />t). Tran o*rtw I ACanO�leOD.mem DI ReC pI MeteMla - <br />4Mrn<Pemea <br />t6 <br />/Typed Name Si310 IC <br />rA <br />18. iraMparler 2 Acap-Iep.ment Of RaUiOI el Wbnele MPnln DIY Y/ar <br />�i � <br />Printed/TYP•d ueme StaMIWe I I <br />ut E <br />— <br />Z <br />t6. Dieo.panp IrWi<nbnn Sp.c. - <br />A <br />C <br />a <br />L <br />I <br />01 <br />'.� mi an t eace0t a noted m nem t11. <br />2O. FaC m, M OI'Peraler CertdlCaTior: of reCwDl in mous maleryl. Covered D> D1, Year <br />Mono <br />yp <br />- <br />IT>p d me SiOnature ' <br />DNS W� A ` D0 Net Write ScioW ma Line <br />EPA 6700-22 Whitc: TSDF SENDS THIS Copf To DOHS WITHIN 30 DAYS <br />(fie., 6.911) Oraviwe edmees era Cuotea. 95872 <br />' To; P.O. Soa 7000. Sac.-amertto. CA <br />