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omia—Enrlronmemal Protection Agency <br /> ,ved OMB No.2050-0039(Expires 9-30-94) ! See Instructions on backvi page 6. <br /> e or type. Form designed for we on efite(I2yikhJ lypewrirer. Department of Toxk Subam ccs Comral <br /> Saoommto,Califomla <br /> UNIFORM HAZARDOUS Genera or's US EPA ID No. Manifest Document No. 2. Page 1 nfo motion in he laded areas <br /> WASTE MANIFEST nor regabed by Fed<ral law. <br /> 3.,Generatoi s Name and Mailing Adores - of <br /> 8 <br /> %sC1 <br /> E1 H.. KL 4 <br /> UPN) 4. Generator's Phone <br /> W <br /> yMg 5. Transporter 1 Com Pony Name 6. US EPA ID Number <br /> I 7 <br /> 7. art Traas d I <br /> Q p 2 Compa9y Name 8. US EPA ID Number <br /> V <br /> ())Z 99..•'��`signoted Facility Name and Site Address 10. US EPA ID Number <br /> r-1� Z 3 30 r+alai cT 1�.�„ <br /> 11. i N <br /> US DOT Description(including Proper Shippame, Hazard Class,and ID Number) 12, Cont rs 13. Total <br /> Z 14. Unit <br /> = a.. No. T Ouanity Wt/Vol, I <br /> 3 �5G u N e <br /> . - I <br /> 4 e b '�'/ lye.. 5�ja�y� e / / q 3 <br /> R j <br /> o T <br /> 0 <br /> s <br /> R <br /> Z <br /> Z d. <br /> V <br /> w <br /> Z <br /> ..0 <br /> a <br /> N <br /> K <br /> Q <br /> Z <br /> O dli 15. 'al Nonnstrucfiom and Additional Information <br /> z � d yz <br /> j 16. GENERATQR'S CERTIFICATION: I hereby declare that the conhmn,of this consignment are fully and accurately describeda <br /> U bove by proper shipping name and are classified, <br /> Q packed,marked,and labeled,and are in all respech in proper condition for transport by highway according to applicable international and notional government regulations.. <br /> If I can a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be <br /> ecorromiazlly practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and fuwre <br /> d threat to human health and the environment;OR, if I am a small quantity p <br /> q ty general r, fiave made a good faiNr (fort to minimize my waste generation and select the best <br /> waste mono email method Biot is available to me and that I can afford. <br /> O Pri ed/ ped <br /> Mouth Day ✓ Year <br /> Z 4 17 Tr ns er 1 Ac howled emem o/Rttei t Mabrials <br /> w A Primed/7yped Name <br /> s Sig..Nre Month - <br /> w e Day Year <br /> Wi 18. Trout her 2 Ackmwled email of Rttei t of Materials <br /> i Prinhed/Typed Name <br /> w E SigrmNre <br /> E Mouth Day Year <br /> w 19. Discrepancy Indication Space <br /> N <br /> Q IF <br /> U A <br /> Z C <br /> 1 <br /> E 20. Focil' Owner or O rotor Certification of rttei f of hrdous oten.fs rovered b this manifest except as ted in item 19 <br /> T\ Prinbd/Tyazam <br /> ped Name <br /> Y SignaMe Mouth Day - Year <br /> DO NOT WRITE BELOW THI81LINE. <br /> DTSC 8022A (9/93) / <br /> ECA 8706-22 s Green: TRANSPORTER RETAINS <br />