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<br /> AWml OMB Na.205G-00391Evinm 9-30-991 See Instructions on back OfP' 6.
<br /> Department d Tonic Sub,a«e,Corttrof
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<br /> UNIFORM HAZARDOUS I" Gene,ato/,US EPA R)No. Alnnife,t D...—I No. 2. Page 1 Iola motion in he sh dd a eos
<br /> WASTE MANIFEST CAT 018101012 8 4 4 2 8 2 1 2 0 a1 1 ;,not nmlid by Fd.d low.
<br /> 7. Generotor'r Name and Mailing Adders
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<br /> PACIFIC MJ _y5 81
<br /> PO BOR 5095, RO@I #3EDoo
<br /> e $ANION CA 945836 )$11— ebb
<br /> tri1'' FQqVMITr0MT10N & 6. US EPA ID Numb. ,U
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<br /> Fa"0=0Ke Dr. CAD063547996 --�� .
<br /> 7. Tra va~2 Camparry Name S. US EPA ID N.b. Er
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<br /> 9. D.tlptoled Facility Nome and See Addy.,. 10. US EPA ID Number
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<br /> is Ehvir-W> tal Technologies
<br /> 2081 Hay Road
<br /> D East Palo Alto, CA 94303 IC4AID10101 9141512 6 5 7
<br /> II- US DOT ndad" Pr 5hi 12. containers 13. Tool IA. Unit
<br /> ePtiae li i,g aper PPin9 Name,1laaord Chu,and II?Numbrl No. T T7,rngty WINd ' Number.,
<br /> a. 1183 iLW1L1 LIQUIDS, 1.0.1.(4810LIR, DIM), 3 M993 NII j per Skile
<br /> G HQ (D011) 11"(121) u T T i G EPA1011.,
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<br /> 15 Spam)Handl- g lntructlon, nd Additional Info, iiam
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<br /> CI PNS8 ULL )800) 947-1101
<br /> a SITS ,lE➢y7KftS� = 7J00 K� K 1 I v e
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<br /> 16. GENERATOR'S O RT89CATION: 1 hereby declare that the conMt, f this w are fully ord«carately,lex,ibed above by proper,hipping rwme and are dosO,{ d.Packed,
<br /> Q nrrkd,od Mbald,and an in ap ra,p«t.in prgrr Mian(w oansp6d way«cwdhg a a b
<br /> m4 inl.nat;anel c d national gov.nment,N.t tions.
<br /> II I am a large q..nfiq Renxatw,1 certify that 1 I.o ;n place M rede0e Ilts vol a and loniay d wo,r gemma"a the degree 1 have detennmed to be econo,nically
<br /> a pracficob4 and thin I hwe ub,fnd the PPracticable mellwd beamve.,an,gtt qr dsposul cwrandy ava;loble ro me wb;ch minimizes the pre,mt a,d FuNre threal a human henix
<br /> h and the Amironment;OR,;f I am a,moll quantiy generate.,I I..made 4 go9d'Tgr76 effwl a minimize my wean*g%mmmfian and slat the best.vo,r management method 1hm i,
<br /> available In me and dam I con afford. -
<br /> Prinrd ypd Name OS M.Ih Day Yew
<br /> w T 17. Tran 1 Acknowliedgement of Recd Of Maler"' .
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<br /> E d r d kumrdou,materld,covered dtn mmiFnt em: t a,nded a qem 79.
<br /> 20. F«il' Om - CertificNian _ 5'pirltrre Atwnh Day Year
<br /> T Printed/T me / _ I a t 6
<br /> _ DO NOT WRITE BELOW THIS LINE.
<br /> White. TSDF $ENDS THIS COPY TO DTSC WITHIN 30 DAYS.
<br /> DISC 8022A 11/991 T. P.O_ Box 3000, Sacramento, CA 95812
<br /> ,,EPA 8700-22 -
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