Laserfiche WebLink
-xi99I See Instructio <br /> eTon bock of k(y; .27Q06 <br /> rne(12-PiksJ n _ cepa al d raric Srib,Lonc;s can <br /> 11- GenerNar',VS EPA ID No. .w - Swram«rb.Cdi(omia <br /> �,»PiORl14 HAZARDOUS Moni/e.I Dwumea No. 2. Pogo MTorm .M 16 A."orw. <br /> WASTE MANIFEST <br /> / of <br /> -1. ceneraw•.Nome a,d Maury Addre., PAC 6CCL - w sr4.AkarrYey p„q,y,,, - <br /> ?.de Rot.30/ poor" 3E000 © s <br /> p 1-12- <br /> SNw RAW W. Q4Slr3 a. s».a.w+rAar_ + • 4. <br /> 4. G...,a /,Phaoe 1 41_-77.r .7 /7 _ <br /> n S. rrompe.ler 1 Coeper.y Name .�. US EPA ID NmeMr - - ; <br /> Ecology Control Industries 3 0 1 3 �' - - <br /> 7. iron,pwb 2 Canpmy Nome 'R. AA BI r4 _ <br /> .. . ' - <br /> F- <br /> 9. Deaw.*.d iwrj;ly Nome;Zft Addrn, T0. US f►A p Naebr - _ . ilde - - ::.r <br /> Romic Chemic-8) Corporation <br /> r 2091 Bay(toad a' <br /> East Palo Alto CA 94303 6 rJ 7 <br /> 11. us Doi D,w;0M Ii hop«Shipplq Hone.Hoa«d Cbu,'o;w ID Na Ar j 12. Caebinen _ 13, rad t i Unn - <br /> .. - .. Hw r oaoeey yJ1. <br /> . Wpm nd <br /> Mae <br /> N <br /> A <br /> T <br /> sla. <br /> - R � <br /> d. <br /> -Ai <br /> ' - 1•, Ah"� , . `' - I[. 14M�rp Cedba NIr M4eMI,li,LrAlo.e'. <br /> KTRMIFUM HYDROCARBONS 7096 T 0096 <br /> / WATER 4WV% - <br /> � 1 <br /> 1 MNvc6on and Add;depal lda <br /> *earpr"RA?protecKe equipment—while handling. Weights or volumes are approximate. ER(37t11a.128. <br /> 24 hour emergancy(lumber. QKr- qT/-77n) 'k�B,R,t1 SITELOCATION., 'yyb r)F,5�140 Cg <br /> 24 hour emergency contact 46/0-23_o�_I443Fr.1 AIN PQ hit IMBER <br /> Ee3 /ii�'P(;ar�ea�i cr ad. <br /> 16. GEM"TdW$ CUMFICATIOW 1 h«eby declare Ina dw mnl rrb old::<�•p��a1 we Iu"y and actureMy deu.ibed abo.e by proper d."nv name and an cbuih.d,pacLed, <br /> 1 TwLed.and 66W,and are in all m.pe M prop«candiliarr for Nen,perr Ny h;ghamy wcad;ng b applicable inlenrofiwd aed ea„,wl govornmw.sgvloria,.. <br /> If 1 orw o Iwg<yuanny gen«oq.,I ucay rhe I hove a pr.g,.in ploae b.eclat. I-v 4a ord b-illy d..o.Ie g«waled b the degree 1 h.d«ermin.d b 6e«onwnkall,. <br /> i l pacficable ord dwr 1 ho.e,d«hd rM prancabk�nerhod d 1..almmr,.nroge,w di.po.d c.nandy waiklJe b me wAid min; dv pra.aa wd I,mne IMeor b human hold. <br /> Pfmmanyrd <br /> Md Gro«rvirwRMi OR,iF 1 an a.melt yuonliy gerreeb,I Iwve npde a gaud(ailb eHw.b minimize my ware gMmralian alyd feted dM ben wofp managem«,1 madrod(hal i. <br /> av0ab4 b�mejand drW I con d/b}rd�.� n' <br /> ,JC Mat �� Ymr <br /> 0 <br /> R V- Tran 1 I d R.6ped Moler;ds <br /> ' 4 hinted/Typed Nw Signaare <br /> MonthYear <br /> I <br /> F�oY KF'oDAc+4 0 2 <br /> T ; 18 Trun 2 01 R«ei d Male d. Cz <br /> , .Pn"W/Typed Home SignoHre Month <br /> F D" Yea <br /> a <br /> 19. DiKaePa^cY Mdcarion Spore <br /> TF F <br /> C <br /> 1 <br /> L <br /> NI. F« Ower a C«lihco .d rete; d hourdou.rrmle wh cwerrd Ih;...&0 eec o+need in Nem 19. <br /> T i hinKd/Typed Name � QSignolwe Mond Doy Yew <br /> y �' 3v OZ <br /> DO NOT WRITE BELOW THIS LINE. <br /> C 8022A(1/991 While: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> e. <br /> O0D-22 To P.O. Boe 3000, Savamenlo. CA 95812 <br />