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h <br />----------------------------------- <br />.r/%/; <br />--------------------------------- <br />R—I:Z.-96 TUE 03:13 P=NYIROPUR WEST <br />--------------------------------- <br />@TAL 892 <br />8574 P.02 <br />r' I Lnr,cwon AgerKy <br />�9 <br />.2050-0W9lbpeea9-06,96) See Instructions an back of page 6, <br />Perm derpnM 6,r ure on elate (/79%k6) Yocr.'rMer. <br />boVatMA of te..c S.Jnerr.cer C. <br />` <br />UNIFORM MAXARDOUS <br />L Oeneraere US EPA IP No. <br />Monife,t Deeamem W. 2. <br />Secrp+.rva. 6e@Iorrev <br />Page t Infom,mw, nem ehm9d e,9ae <br />WASTE MANIFEST <br />C C 1 0 81 0 7 51 6( 1 1 7 <br />6 l 6 8 <br />7 S <br />I <br />of l <br />I 9 r a K EederN ra.. <br />f3. <br />011sterater'e Nome and Mailing Address <br />ti btom Memfeet <br />DaZtm <br />t PMmthar <br />h <br />AIRPORT PASSINGER INC. dba WILLIE BILLINGSLY <br />CHARTER <br />9.Q. <br />N <br />2305 S. AIRPORT WAY, STOCKTON, CA. 95206 <br />9 <br />ID: <br />s. GegraMre Phone (209> 948-1369 <br />- <br />vP <br />S. Lonrporbr 1 C Parry Name 6. US EPA ID Number <br />!•'ss.� r_:_:—_�_�.. <br />�. .,..�.-. _.. _ _ <br />r <br />u <br />u <br />n <br />7 <br />z <br />0 <br />h <br />z` <br />a <br />U <br />1 <br />ID Number <br />US EPA ID <br />PRC PATTERSON, INC. <br />13331 N. HWY 33 <br />I 11. US DOT Description (inebding Proper Shipping Name, Noierd Gob, end ID Number) <br />Is* <br />L, WATER NON RCRA HAZARDOUS WASTE LIQUID <br />G <br />E <br />NE <br />RA <br />O <br />R <br />-_I �I � pI 01 8j5317 <br />H% Fm'Gy'e Phare <br />13. Total 1 14. Unit <br />I <br />J. AddRimni Descriptions for M;mriob Listed Above K Hand4I Gsdes Tor N <br />F a <br />13. 1peaicl Handling N,honion, and Additional Information. ,'., ^•r. •• _?.. <br />24 HR. EMERG.NCY CONTACT: PRC PATTERSON (800) 874-4444 <br />24 HR. EMERGENCY RESPONSE: CHEM 'TEL, INC. (800) 255--3924 <br />WEAR APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR <br />Wt/vol I L Wa Neater :rye, <br />.51aN <br />16. GENSRATOR'S CERTIFICATIONt I hereby declare Mm Me eonronn of this consignment ore fully and aceurwe dew ribed ohov9 h <br />Paded, mmked, and labeled, and o.e n n0 re: ti' Y proper MiPPnp rgrM and ore ekbified, <br />pooh in proper condilien far tron"o by highwv, ..,die, to oppiieoble inremeaonal and nahonol goetrent regulation,. <br />If l am a longe C An" generator, 1 c9Alfy that I hove a progrom in Place to reduce Me wlume old Ieelaity of wade generated to Med ee I hove deirmured to be <br />"On6micalty prodwobts and Mot I have selected M e4r <br />e 0. a I 6,k meMod el.war, erorage, or disposal faith Jf 9.to nie W me which minimices Me prbent gnd future <br />Mast m human nl no and at enrvonmMn OR, d I am , e enlf yuanfry pererarol, I Aare made a goad faith effoA to minimise m w <br />wade mona9emeM meMod that i, ora2ohle fa me and Mat I roa aNa.d. Y osro genaraAon and DIM Me bed <br />,5 siU <br />Ir nwladp9menio ReceiPr of <br />Nerve <br />r 2 Aeknoy!edgearnt of Receiat of <br />Noma <br />DO NOT WRITE BELOW/THIS LINE. <br />Momh pal Yeo, <br />M.omh pay Year <br />Month Day Yin„ <br />1TSC•1022A p/9 <br />SPA 5700-22 .IJI11N :V DAYS. <br />