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Sw..of C.hlorm'Enwr.nm. of Prownia:Ap.n <br /> Fc Appw,.d OMB N..2050-W79(E.pur 9-30.94) �.�� See Instructions on back of '�e 6. Deparrmee.1 To..S.1a"...C.nnm <br /> % a pr.n or type. Form de.iprW!er.se on 11fN(12,uwh!'Y e^ • Sonem<nro.Colilam <br /> UNIFORM HAZARDOUS Genera,o,t US EPA ID No. Manion Document No. I 2. Paye I nfarmm an in Me,haded a,.. <br /> WASTE MANIFEST Q .3 8,I h rot•.quired by F.d«al k.•. <br /> of <br /> 7. Gawaai f Name oed Moihi Addr«. . (. <br /> PgCIrl GBELL <br /> ^ ad oo CAmiao RRm��, Rm -.7Faso�sA,�ieR/Ilo.v�cAq/J�.�8ter: <br /> h4. Cemrwor'.Phan. ly/8 1 g- 3 <br /> m <br /> S. Trampen« 1 Cempom/No. 6. US EPA ID Number <br /> CICA 91 G <br /> 7- Trm.pomr 2 Company Nom. 8. US EPA ID Number <br /> la�1'�'' <br /> 1 `I 9. 0ayyr:ra.d on4'�.N aed Sia Addrese 10. US EPA 10 Numb« <br /> { tS1CKS0[1rI1C. <br /> I 255 Parr Blvd. <br /> RicfETnnd,CA. 94801 C A� D� 0 0 9 4 5 0 3 9 2 <br /> 1 <br /> 12. C.moimn <br /> I <br /> 11. US DOT Dwnptgn(irrtl.dk g Proper shipping N.. .Ha..rd Cl..,and ID Num13. T.ol Id, Umb«l �, i <br /> (Nwd*v Wt/vol <br /> `NCIJ-RCRA Hazardous waste Solid <br /> 3 Waste Fhhlpty Storage Tank. Z p p <br /> C Eej <br /> N b. <br /> E <br /> R <br /> A <br /> �T <br /> a �. <br /> � R <br /> LL <br /> I d <br /> �I <br /> C <br /> 6 <br /> F <br /> a <br /> Z <br /> Sp«i.l Handlhg Innrucnan.and Additional Inlo,matian <br /> Keep away from sourcesof ignition. Al vS wear ha cleats when workinor around <br /> z U.G.S.T. 's 24 Hr. ContactNaTTIe.�iT� f1S J-k PhoneyrY/�� I <br /> LL <br /> Ei 76 ,(o C,9 E2 A/- ! 3 &uRBodiS 1. o cA oV. 611 F C X 94aIOZ5' c Ad S -7 <br /> Id GENERATOR'S CERTIFICATION: I far.by deb,.Mw Me<onronn.f da,m 9—an 1wly and xc.raMy d..cnbed above by P•oper ddppng mete and anlo <br /> csafi.d, <br /> pocked,marked,and labeled,and are m all r«pe m props co of n I.trompon by highway occardfny b.ppkable lede,d."cRe oed intonational laws. <br /> 4 <br /> II I am a Idrgs quo" 9en°rotor, I certify Mw I have. prop,.. i. plou m reduce the ,dome wd to tidh.of w.a w;awd to the degre. I haw d.lemiiad m be <br /> «omm¢ally prom<obl.and Mw I haw I.nod the prookobl.m 9d of heann.nf,oorage,or di.pe.d<.rremly avdlobl.b m.whiN minimire.Me presem od f..,, <br /> yt Mrew to human health and he enn r«m OR, if 1 am a .md q.wmty yara•abr, I haw mode a goad la dfon no midmip my wa.t.9eraranon aed select d..beat <br /> m -else mono mw.method M.h.wilabl.to me and Mw I mn afford. <br /> Pried/TypedNom. Sign.are _ ew <br /> u c M 1 (oq.� <br /> Z t 17. iron her I A<kmwled men,of Race, t of M..,ah <br /> 5:9An 7 <br /> raN Moreh Opp <br /> m a <br /> LL e <br /> `9`��I a 18. Tram r 2 Acknowled .mem of R«.i t of M.enoh <br /> 1 Printed/Typed N. � <br /> W . S19n°n'•° Momh Day Year <br /> C <br /> LL 19. Ofureponcy ledlca n Sp e <br /> I P <br /> U A <br /> 2 C <br /> 20. Foci' Owner or O •.or C..Ikanan el.« i r el haca,dou.mwen.h..creed b Mh m adnr.ue . ma 'm u•m 9 <br /> Prmftd/Typed Nana SigmN•e Momh Day Yew <br /> �- DO NOT WRITE BELOW THIS UNE. <br /> Blue: GENERATOR $ENDS THIS COPY TO DISC WITHIN 70 DAYS. <br /> = 8770 <br /> C C 00— 172 7/921 To: P.O. Boa 400. S.,,un,wo, CA 93812-0a0O <br />