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Sur.of P.owcnm Aq <br /> Foran A,,. OMB No.2050-=91E� 0.90901 See Instructions on back -fo9e 6. Deaamnw.of Tor.5ubrroncw Com. <br /> Plea.pace or type. Form d.ugned for vw on eM,(12pd.%WmwnAu. '"111110, 5aranenM,C.M... <br /> UNIFORM HAZARDOUS 1. Cw water's US EPA ID No. Manifest Oacununr Na. 2. Page 7 .not . .. M d y shaded mem, <br /> WASTE MANIFEST // l .� of / :net,egai ed by Federal ave. <br /> 3. s No.and Mailing Addmns T OoeVroii! ""'Y-C`e��r <br /> In <br /> fL Std- zt <br /> r?�, � so 9 S' ,zti►e sN� saP'��aV � g.,. �T4�� � � � :..� ,: <br /> mA. Cwrwrarar'r one (.S/f7^ ——7777 - 9 J 7 'q` d 3 �c« .,[ <br /> 3. irorapornr I Compwy Name 0. US EPA ID Number C'S1eb-Tivsapo.fels ID r 1 �;T - <br /> "'R(9'.Y+' sTC..�a:. L '1::.:Y T JJY Y, y. <br /> .amp .. <br /> m <br /> oklt_Pfn«u -�:.K+Yr 't:-+,✓'�';_H'T �".. ....''. <br /> RAMS ENV1c. I 14 !4 I ! i I y• " :• _ <br /> 7. Ttaeponer 2 Compon,,Name 8. US EPA ID Number E.Slee iroraporters ID _ �yFA. <br /> 9. Dwpwled Facility Nan-and Sile Address 10. US EPA ID Number C.^Slala f ecM a ID 7s <br /> RAMS ENVIRONMENTAL SERVICES t r . -C <br /> 1515 SOUTH RIVER ROAD, WEST SACRAMENTO, CA 95691 H FegTy'uMw» <br /> .-{< D 101414 '010 15 15 b 9161 =r <br /> C, U <br /> (AwZ 11. US DOT Descdptien(including Proper Shipping Name,Hazard Class,and ID Number) 12. Conte m. 13. Total1 14. UM t7 %., <br /> ' Al <br /> ` , �'G/.[`�'�` \�� ,(�` Quantity I `N1/Vel tWas�ejNaefir._..' <br /> 1-77t <br /> I0 a <br /> lhtlt/ ®A_ x�� k <br /> E <br /> N r v <br /> r <br /> a p I I 9A•Ln=y6�p:��: <br /> CID <br /> G <br /> F 6x� <br /> d. Shale- ?�s <br /> l <br /> U <br /> Z R'. NarsA'mg Cada tar Y/dlm Utled"Xla.a <br /> elm <br /> a <br /> G ,w `' d. SFr 4_ <br /> ewZ .�: Y _ <br /> RUMP <br /> 77. ,Oe J�.. <br /> Q IS. Spedal HadBng`Imhuctions and Additional Information �7 EiQ� <br /> Z HANDLERS BE 40 HOUR OSHA/SARA TRAINED 7J <br /> t..W AND USE NIOSH APPROVED PPE. 2 � + <br /> EMERGENCY CONTACT: 916 371-5747 <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the cm a of this consignment am fully and accurately dwribed above by proper shipping rune and am cla ified, <br /> packed,named,and labeled,and an in all respMm in proper radium for transport by highway«cording to applicable international and national gowmmem m9ulatione. <br /> U <br /> If I am a large quormy panreroror, I certify that I have a program in ploce M reduce the volunne and toxicity of warm generated to Me degree 1 have determined to be <br /> y _ econankally practicable and that I ham selected the practicable method of mat ant, storage,or disposal urrenmin <br /> ly available to me which minimize Me pmerm and futum <br /> —N thr.el to human heath and Me*rrommsem; OR, 9 I am a small quantity generator, I how made a d Fa effort M minimize my wane generation and select the bw <br /> gC wade method Mat is awilabk M me and that 1 can afford. <br /> `O PnI R7ped Name Sig reMath _ Day Year <br /> -Z 1 17. Trampoomr I Acknowledgement of Reca h i <br /> (� A PrinMd/Typed No., SignsoNr Month Day/ r <br /> eery S SQ <br /> t <br /> W 8 18. Transporter 2 AcYnowlW f Rech of Marorlah <br /> EPret-d/Typed Name t re Month Day Yen <br /> Sys L 19. Dhcmparscy Indication Spore <br /> U F <br /> A <br /> Z C <br /> IN.- 1 <br /> L <br /> 1 20. FodMv Oevar or Operator Cerdlkation of receipt of hazardous materials covered by this manifest except as noted in[arm 19. <br /> -- i PrI /Typed Novae Signature Mash Day year <br /> Y <br /> leu <br /> DO NOT WRITE BELOW THIS LINE. <br /> White. TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> 4DTSC SMA (1/95) To: P.O. Box 3000, Sacramento, CA 95812 <br /> EPA 8700--22 <br />