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Sole d C0liforni0--Eminmm-hs1 Probcfion Agency //O v ,v •" <br /> arm Approved OMB No.2050-0039(Expires 9-30-991 See InStrUCtions on 19ock Of�e 6. eN d Toxi<Subs <br /> 'hose print w type. Fwm designed fav use m elite(12-p;xhj ty�Pler. Deporhn bees <br /> see — <br /> 1. Gsnerabls U$EPA ID No. Sooamenb,Colibrnto <br /> UNIFORM HAZARDOUS Manifest Do moment No. 2 Page 1 Idwmalion m the shaded arms <br /> WASTE MANIFEST O O ,I is tet regeired by Federd 6- <br /> 3. Gs^er°br's/NtamejseA Mailing Address D °F <br /> see 7�Gi, v 'Q•� A num M{wr+rasr DocwAent Namb«. — <br /> �o• Jr <br /> ' Pham l 9�l0 Qq 9Y5�Q3 o a o', D --2 <br /> 1771071� 3EO kAW/2/9dVI <br /> LL! .L LLQ <br /> 5. TranspwM 1 Company Nome 6. US EPA ID Number <br /> 404hW1 ID[Reser ---- <br /> sD ^_ <br /> GA// U/ ON JAL ,1'were y <br /> 6b <br /> 7. Transporter,2 Company Name S. 115 EPA ID Number 's W Resorved l <br /> T <br /> J y __ <br /> lar.Phan <br /> Y. Desigrwled Fmi6ty Name and Sim Address 10. US EPA ID Number <br /> F. �E y's <br /> ,tivTa� <br /> 2PF/ <br /> 6R�T- AlLO 6L7D 44 YY Q 9 <br /> Description(including per taping 1 12. Can in 13. Total t4,Unit <br /> 11. US DOT Oestri dudi Pro Ste' Name,Hazard Class,orad ID Number v <br /> Na T Omnlity Wt/V-1 <br /> F ti1h757� jt/�f11'j1 L_sj--7II&V/19�N,O.5 <br /> Na/ z7/p <br /> m E <br /> R EPA/00. <br /> A — <br /> o T C. she <br /> m O <br /> R yE9A/13dmr <br /> W <br /> U <br /> m ` S <br /> see <br /> '� shy#s 's ,��M1 ✓s4 'Ts � �f.3. d <br /> I5. Sp«id,Handl g mstroclims a d Additiondl f ren ren JO � 77 <br /> Wfi9,e- fh�AP0�2/HI A'� tt//�N �NZWN4 S s(� 5 <br /> VesZyfle �?� Com`r uEG' �- '6,�9 yOS��RD <br /> 16. GENEIIATOR'S CERTIFICATION: 1 hereby declare thus Bre cmmnts F this consignment are fully and«curamly described above by prop«shipping name and are classified,packed, <br /> Q marked,and labeled,and are in all respects in proper condition For konsport by highway accordingb applicable international and national government regulations- <br /> If 1 am o large q«nB genenotor,I certify that I have a pr r in piece m reduce the.rot me and to.icly d wash generated m the degree 1 have determined m be«o cenical1Y <br /> l <br /> =the <br /> and Bmt I have Wmied that pr«tico6le method d kmtment,storage,or disposal curready avaikble so me which minimizes the present and future threat b human haaNh <br /> arch the mvisonesenh OR,Il l am o smell quo"generator,1 have made a good faith effort b minimize my warm generation and select the best waste management method Bmt is <br /> Y available io me and Bat 1 cum a(fa,& <br /> 1 <br /> Printed/Typed Nome C)n, OC HAt F of Signature Month Day Veor <br /> ti 019 D LN G/Lo <br /> u 1 <br /> R 17namporler Askno mmt of Receipt of Materials <br /> Y R P' /Typed �' ter Mmtli Day Ymr�1 <br /> P <br /> � ! IB_ Tr 2Ackno tot R«ei tdMalerials <br /> 1 Print /Typed Name Signcre Month D°I' Ya« <br /> u E <br /> R <br /> 19. Discrepancy indkolbn Space <br /> tee F <br /> A <br /> C <br /> I <br /> L <br /> y I 20. FacililyOwner« error Certification d receipt of hazardoos materiels covered this manilast except as noted in Item 19. <br /> T Printed/Typed Nam •w Signori Month Day Year <br /> T -2 10 <br /> DO NOT WRITE BELOW THIS LINE. <br /> TSC 8022A 11tV14 Whit. TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> PA 8700-22 To: P.O_ Ba. 3000, Sacramento, CA 95812 s,g <br />