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SIW of Ca ilomia-Enw"rosunenld Prdecrion Agency <br /> Earn Approvpd OMB No.2050-00391Eapires 9-30-99) See Instructions on back of -fie 6. Department of T=ic substances Caro- <br /> %ease print or type. Form designed for use zm ekk f12'nchl n 'M. 606195 Sacrament,Calihomia <br /> seeUNIFORM HA7JIRDOU$ 1'110 sus EPA ID No. Manifest Document No. 2. Page 1 m <br /> Infa. anan its the Fs�loweas <br /> is not rd byWASTE MANIFEST CAT 0 8 0 0 2131318151 8 2 1 0 4 or 1 par <br /> re <br /> 3. Generabr's Name and Mailing Address rT" sYo f 6«um t N91 i iij"- DSII ;s <br /> fTI il .11 <br /> n. PT4CIPIC ffid. Roo * 6000 <br /> 2515 SOUTH ORAWE AVE. ^7 3 B sict ' ' ID x <br /> a cenerab., PhanaFrio CA 93725 (9.75)873- X,0&& <br /> e..N <br /> PITWpe'Ms[f SPCV ZAr1rI0N & 6. US EPA ID Number C Stale Transportalx 83{R t 1 ��* <br /> h <br /> m + <br /> IZF MIATI(RI, INC. ICIAID101613151417191916 D. (Fanspar)p/s PSroae (. 268=.. ) 1196 <br /> 7. Transporter 2 Company Name 8. US EPA ID Number Traaspgrtxrss 1Ti[Rosmad j - ; <br /> V 9. Designated Foci' a and Site Address I O. US EPA ID Number $pMe Fat <br /> a� 11 <br /> R is Eavt *wantal 7ectmologies E� r t , <br /> 2081 Bay Road H <br /> I <br /> East Palo Alto, CA 94303 ICIAIDIOIO19141512161517 ` <br /> 3 <br /> 11. US DOT Deusipfiea lindudirg Prapr Shipping Name,Hazard Class,and ID Number) 12 Coami,ens 13 Total 14.No Type Quantity Wt/U t <br /> Val I Wada <br /> z IGIM LrL1/{B6 LIQBIDS, I.O.S.(CAS( M, DIM), 3981993 )CII �e <br /> 01011 TI T 010L,210 10 G FPA/Otb4. <br /> E <br /> Aa1e :. <br /> -} R EPA/tnher <br /> TC. - <br /> 0 <br /> R EPA%c�rhe�"'��-` <br /> L <br /> '4tcto -- <br /> 7 <br /> r <br /> tc <br /> } MOWN4 <br /> C4 <br /> t. ^ <br /> x <br /> $15 !W H.Idl ,llnoc <br /> fi.nuna Additional Inro.maiion :< <br /> d 0160MU WMISI CALL (000( 947-7791 �i rE A4DRESS o7S/S Sojw 40R4.JcE <br /> Z At/En/✓E <br /> � �FTEs.�/p, /'A4FOArn/i4 <br /> a 16. GENERATOCs CFRTIFICADON: I hereby declare that the contents of this scessignmen,are fully and accurately described above by proper sh�'pping come and«s d«sified,pocked, <br /> t) marked,and labeled,and ore in all respects in proper cornditian For o-ansport by highway,«cording In Ii 61.imernarianof and nafionel government regulations- <br /> Iflonartlargo,.conti gen error,I erlly shot I hove a p in place ro reduce the vel me and bziciy of waste generoled ro die degrce 1 hove determined ro 6e«onomicoR <br /> =4 <br /> P acficable and truhI huve selct <br /> eed the practicable method of Treatment,storage,«ch"sal currently a nsila6k us <br /> me which minimizes the present and future threat to humors <br /> K and the vironmedF OR,d I sma0 quantiy gwserotor,I'Bove mbda o goad faith eNote ro minimize my waste ganerationond»lea the bent wash management method then is <br /> n ava8o1fle b me and that I can afford. - <br /> PriM.d/Typed Nnn. JOSf PFI 5MACM C*4 &IF# 0i Signatar Its Day Year <br /> wOF af3!IeT PELN 2 o 2- 7 012 <br /> Ur It 17, Tzemporhor 1 Adeno of Recro al Mohrials - <br /> Noma sigeaNry re Month DYear <br /> Z 7 <br /> . a I8. transporter 2 Acknowledgemeast of Receipt of Materials <br /> RPrinted/T <br /> W T YPed Name Signature Monde Day Year <br /> E <br /> R <br /> 19- Discrepancy Indication Sp«e <br /> Z E <br /> A <br /> C <br /> I <br /> k <br /> ` t 20. Fera' Owrmr« rotor Ceaificm;on of race' of hazardous motetbls corered this manifest e..gAcanotted as hem 19. - <br /> T Printed/Typed Nome � signature Year_Month Year <br /> tr. DO NOT WRITE BELOW THIS LINE. <br /> TSC 8022A(1/991 White: TSDF SENDS THIS COPY TO DISC WITHIN 30 DAYS <br /> - <br /> sA 8700_Y2 Toa P-O. Box 3000, Sooamerao, CA 95812 <br /> w <br />