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Stay of Califomin—Em,iranmental Probction Agency <br /> I,Ipp,aved OMB Nn,.2050-00391Ewpires 9-30-991 See Instructions on back of Iq I-, 95 Department of Tazic Subep«e,Cern, <br /> Pi a+ Prim ec ype. torn designed fur ase on Blip 111-pitdl%WIN, � Sacrament.California <br /> UNIFORM HAZARDOUS I. GeAemice,US EPA In Nu. Manifest Document No. 2. Page 1 Infannation in 0. Faded arson <br /> WASTE MANIFEST C A 918121 5 1 715121 8 2 1 1 9 d 1 "° required 6y Federal law. <br /> \ - ' 3- Generabr's NoAddress A. SmN Manifest Document Namber <br /> P7!L 22095582 <br /> POM s3MW B. s,aa Genet ,0 <br /> 4_ Gen99011 CA 94583�xrq*Q. TI0N & Q US EPA ID N spotter's �Rexr l7� <br /> 8 RF2IE�IATIOLi, INC• CAD 0 6 3 5 4 7 9 1916 °. rb"'pa"e 'Ph. (4M)268-1196 <br /> C? 7. Troaap 2 Company Name 8. LIS EPA D NVOIDW E. Sub Ttanaparrer's ID[Reieired.] <br /> ' F Trpav tea}Ph.. �. <br /> 9- Designated Facilithiman and Sib Address 10. us EPA RT Nme6. G Spm F«�6ty's 1°- <br /> Q Baric EhvlroTmeentel Teckttalogles t7 <br /> z 2061 Hay Road H. F«dity,Phone <br /> '0 East Palo Alto CA 94303 CAD 0 0 9 4 5 2161517 , 413 324-;p8 <br /> Q 11, US DOT Description lm«lodmq Proper Shipping Name,Hazard.Class,and R)Numbs) 12. Conant... 13. Taal IA. Unit <br /> U No. Type Ouantiy WI/Vnl I. Waste Num6er <br /> a. OILAIUMS LIQUIDS, R.O.S.( 1SO11 <br /> 6IRU, 611MI, 3 W993 FCII spa.UM 213 <br /> 3 c RQ (00111 1161(121( T T u 6 cy G E►uOth«D001 <br /> o N h- Stab <br /> m E <br /> 3 R EPA/Other <br /> a A <br /> T e- <br /> b s ab <br /> @' <br /> R t EPA/Oh, <br /> w a. _ stab <br /> (Wj EPA/Od. <br /> w <br /> H 1, 0.ser' ens For e$3` N T(. Handling Codes I«Wasps Fisted Above <br /> r0 9 -00 011 - � �d� <br /> W 4 <br /> w, �t� 'lLL <br /> °e �ylv� d. <br /> s- <br /> 15. Special Noodling Instructions and Additional I locmoum <br /> a <br /> 111114D7CT MMU CUL (800( 947-7701 'T,1-0, V510(0 D 1-0 61rOnc Nw Y 53 <br /> z Gtv�kNRt AK�� G/r� <br /> Q16. GENERATOR'S CERTIFICATION: I hereby declare that M<sanbnH of this<onsig mens an fully ontd«cvcotdY de.M d above 1, grope,hi ing name and me classified,pocked. <br /> V marked,and labeled,and are in.1 —eep in proper cm-ditian For transport by"high vy according b applicable imernati.: and nafonFgovemmem regulafians. <br /> -s IF I om a lenge queen y genera+«,I cerErfy that 1 have a P1.g in plow b ra use 8a va) and bzici y I wasp ge ,.Nd to the dearer I have debrminad io be«onomicallr <br /> y pr aica6le and that p have selected the practicable method tl aI eat,sbraget'hr dsposd ca dy o.oila6le to me which m the present and hrwre threat b hm,an heaix <br /> and Rhe environment;OR,if 1 small gaaaity 6 .;Whh a fmi p innmiee my wasp gemn.fionnand aelxt the beat wasp management me"Rat i, <br /> O available N me and Mot 1 can afford. <br /> >.. Prinied/Typed Name 'Ynaltne`'� ManM a" Y., <br /> '.� / ? v jo <br /> W 1 17. Travaportia I Aelmawledgement of ReceiEvntMabR <br /> y Prinbd/Typd Name Mw"h Day Yeo, <br /> k 7/ L 3 14f 16- LZ <br /> u. R <br /> 16. Tran2 Acknawledameni of Receipe of FMMida- <br /> O f Pinaed/Typed Hama - MmM Day Y. <br /> E <br /> Q R <br /> M:/ F 19_ Dncmpanq Indication Sp«e - - <br /> Z <br /> — p <br /> C <br /> IL1 <br /> 1`st 1 20. F«ilf Owner or a,Cerfificaioe d d hozandova nabrals covered *6 maeifesl enc as noted in Ibm 19. <br /> T Prised/Typed Name Ha"Ow`O M Ifi Day Year <br /> T — <br /> o�,e - j a 3 i o <br /> DO NOT WRITE BELOW THIS UNE. <br /> DISC 8022A 11/991 - Wile: TSDF SENDS THIS COPY TO DISC WITHIN 30 DAYS. <br /> EPA 8700-22 ,o. P.O- Boz 3000, S.c,amenlo, CA 95812 <br /> t. <br />