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07-06-1994 02:36AM FROM <br />n. .p.•Ar. ym.:nr ,. .. . <br />a;w mm it r/y. fs••n °wpwo fw rr w Ww /1 ]a•aM1: <br />PRN Pacific Environmental TO 12098383509 P.11 <br />wr. Swemw•o, Cehle•we <br />I _ <br />�' IF1, reroi I US EPA lD No. A.emkr• Deeum•nl -.. <br />UNORM HAZARDOUS <br />3, pep• 1 Wermaie• i• dIe dmded erevl <br />by P•dwel ler. <br />WASTE MANIFEST <br />. wr Ipdred <br />i <br />I <br />3. C...,., Name end Mm;4nR Addr ll <br />I(pwa r/c S Qt fr lo 4,^1 <br />a 9 s'z <br />r�rero .e7-yT�,��5 <br />!. Tremwno 1 Cempem Nem• 6. US EPA lD Numb•r <br />•P_M+?A° <br />PETROLEUM RECYCLING CORP. CAT 080 011 059 <br />1 ! <br />D Wiz„ <br />7, Tpnysner 1 Cempwry nmlN• S. US ipA 10 Number <br />Rw - <br />FF�Y'xy�q���r <br />9, D•ep d Fmeifq Nemo end Sae A4,o10. US EPA ID Neme•r <br />�Cu iamZt�' �U <br />PETROLEUM RECYCLING CORP.`� <br />13331 NORTH HIGHWAY 33 <br />1 <br />t+P�Mm <br />0 '% �4g:4 <br />D6T't F'4 -nm1 <br />; <br />12 [eNe�nen 13. 7.,.L ;4 Una - <br />11. US DOT Delcryeen (i•Kludiy P•op•r SNppnp Nome. Neserd Clwf. and 10 Numbe•) <br />Ne. Type I OupndN wrNel - <br />"/VoN ReAA f/A2XIR004S k1HS/P <br />/ <br />C o rL 1 tu�T z <br />G-"_' <br />h. <br />.�.�"'i' - <br />' <br />I <br />I <br />I <br />R <br />A <br />T <br />° <br />I <br />0 <br />bi :. <br />_ '��'w <br />� �1ADterY� Abe•e _ <br />� _ �' <br />]Ca}(p:•dr•:9:Pd•={a(7VGA[iiW?d ATwwe^JSC ZJ' <br />i ?-_r�"�rj,�a �A.; P m. Z <br />-'a:iS} % YY.: �t L'-Gf ; <br />� <br />��t�. <br />�•t. <br />C i J-4s/�/��XtiLL• ^w'��� <br />p���f�'ta� �`Ya�w:"C��� <br />< �'. /J Fit <br />r3F•. <br />13. SpKc HpndEr•p Nyrucuonl and Addnvwl Inlom•erhsn <br />24 HR. EMERGENCY CONTACT: 1-800-874-4444 <br />�24 HH. ElSERGENCY RESPONSE: CB$1 TEL INC. 1-800-255-3924 <br />& RESPIRATOR <br />o•e ebuil:ed, <br />10. 70R'S CERTIFICATION; 1ORNERAG <br />M wa( r• lfw trnwaNpr•menem h m••5"h•"il!W' wee e^ra9 reeT pn < yl 1 . <br />po , mooed. mod Imbekd, dAd mre m ell respern prop•• <e••d <br />i <br />If I am m brp• euwdry panereler, I c•Idfy •a I hove ° pneprom k place w redue• rhe mWm• end roawM ei wIr• eener.Nd •e d.. hpr•• I he.• d•rwnwed ro be <br />d moreLe, er demolml curlwldT e�e•isbk re me ..h:N .m:Pn Pn+•nr mId IpN•e <br />..•.. <br />ePnnm:cody p•wdnbl• end rhes 1 ha.a ulcered IM p.emcebk meshed m•vrmwlr, b. <br />' ed {e:rb elven •e minim:{e reY -vale p•nerpren And ulPn do be4r <br />OR, A I o a u1•al1 1' p••rraer, I by made ° 9 <br />i IrlNer ro hurwn Mold• end rhe •n.lepYrl•N; <br />ff.d. <br />woe meno menr mashed d•m n a-eieble re m• end TW I <mn afford. I�� <br />_ <br />0 •ea'7,] <br />Pr.n•dRT � name / Sgnellr.• <br />� I � I l <br />I <br />� <br />I r <br />1 17. TrpnNr , I Ack•u•nede•m•m of R•e••p el bereneb <br />_ <br />yen* op. Tea <br />I d/Frd Nem• �, //++ ,;? ° ........... . <br />�� <br />ty <br />O <br />Tremeen 2 Achno.•ieder••e.+ ..b � <br />y°nrr: Oq Tev <br />i vrrl•.wRTv.d Nem• I S•9"e""° <br />I I I ! <br />119. DSer•po•KT MdKPen Spore <br />I <br />f <br />A <br />I <br />I <br />T <br />I <br />T <br />20. Fed5N 0. , o rmlvr CorMfk el r d 1•pzerdevl mp•nem eewrmd <br />':TQC`. <br />• !m1 rg11d �• I•ern 1 <br />yw•n Oee YPer <br />14 I� <br />DTSC dp]]A O/M <br />EPA 470 22 <br />DO NOT WRITE SFUOW THIS LINE. <br />Whin: TSOF -_NDS THIS COP* 70 OTSC wYTX'N 30 DAYS. <br />Tm, P.0- ma 3000, CA eSR12 <br />TOTRL P.11 <br />