Laserfiche WebLink
� ' 3915gim99.30if <br /> 99aman. <br /> Sea Instructions on back of page f D.parlm .tTaglasubn .eConnd <br /> y,,, d-ianad far-,e An 40. 129 huhl J 3aagm.nm,Calliemia <br /> I, "We.US EPA ID Na- Monitan DaeumaM N 2. Pagr 1 InlonlKthin In the-hadd omni <br /> UNIFORM HAZARDOUS I i.not Pquird by F06toi I". <br /> WASTE MANIFEST 6 316121 .f <br /> . aa,r.W,Name and MDIl1e0 Adam,. <br /> ;:l c dell <br /> P,O.Boa 5025;Room 3E= son Ramon GA1a4583 <br /> aaaarad.Phan.1925-488-2119 syntl Oeels <br /> 5. Tnnep-M 1 CamP."y Nome 6, US fPA ID Namlmr <br /> ecology Control Rlduslnlae 73 <br /> m I 7, Tmnwakr 2 Company Nam a, Us ESA ID Namber <br /> 9. nrlgnal.d Nalilly Nam-and Sily Addm- 10. u5 EPA ID Number <br /> ;—:Ig Crosbv and Overmn <br /> 1(330 West 16th suet <br /> LWW FlaaM I CA 90810 ICA1111112 409 Oil <br /> )� 11. US DOT D.Hal n Ilnduding Plapor qm.,Shipping HHazardanumbed Cl.,*, d ID N 12. Conminan 13. Total 14. Unit <br /> ' Ne. Ouond WI/Val <br /> Ndh-RCRA hazardous waste liquid <br /> t c (water,pertroleum oil) jeK6 p -310-1 a G <br /> NI N b. <br /> E <br /> R <br /> A e. <br /> R T <br /> O <br /> R <br /> !w d' <br /> Z <br /> M <br /> � 14, SP.ciol Hapollno lmonnflan.qnd A hl genal lnfagaalfon <br /> FI Wear proper protective equipment while handling- Weights or volumes aye approximate. 24 Hou <br /> emergency telephone number(800)321.6479 (ECI Dispatcher).Jrn 524%5251 <br /> sRa add:1413 scurban street 9toekton CA.,P,kW3. <br /> 16. GENERATOR'S CERTIHCATION: I ker.bydedan that the Boman of this a=nw'gnmar am Fully and xaral.y d-er$d above by proper chip Irro lmrm and em elowl(Id,pack.d, <br /> marked,and labeled,and ere In dl m.osru,in Prop-F d'tlion For Imn.po by hiehwy aeeordinp 1.gppliwbla lnnmwiatal Ord natiatwPea•^ mrml r"U1411an.. <br /> �ry IF I qm a Iw quantl gen-.ror,I"dilly that I hew a protam In plata I.,gduca th.volume and lazlclty of Wage gaaemrvd m IM dcgr..1 have dm.lmined 1.be e%om: 911 <br /> ,a„•l ptael W66 god Ihgr 1 haw iolend Ih.procfimb6 r Whad ai Im mam,.Mage,or disposal cwnally gwlkbl.to ma whi h minlrnlau Ila,pmmol and FutureIhr.al to human lzhi <br /> -� qd tlu-viramnem;Op,iF I am a.moll quantity 9"-rolar,I how made a god ladh J60 minimim my v,a.t.Den-alio,std eelecl the bast-atle manooamenl inwhad that 11 <br /> awilabl,no ma and than I Bap of(md, <br /> Priald/Typ.d Name s(gnaNn Manlh Dar- Sir/i r <br /> z E9JD (, ent al R i © O O <br /> 1 17. Tran 1 Ackrwr-1.d el ah meawfoll tl_,,,e• <br /> - I PrinldRlypd Name Sim U <br /> af� 9 1g. Tru, 2Ackt-vrd .ver at Reneip4 of Material, <br /> U 1 PriNd/Tj*Nome Slgnervn lu"lh Day rear <br /> w I <br /> i 19. Diwrs"%7Iudialian5p4" <br /> �I A <br /> IC <br /> 1 <br /> L <br /> I 70. Fae .r O .rotor Cen10mHan 9 t 9 wt mabrlal,cwa A;,monlb. rested in Ilam 19. <br /> 1 T 1p°dI` Sigralu Manlli dr <br /> r �'�-- Z <br /> DO NOT WR[TE BELOW THIS LINE. <br /> DTSC 9022A 0/991 •Whit.: TSOF SENDS THIS COPT TO DT5C WITHIN 30 DAYS. <br /> 6 5700-22 To: P,O, Bea 3000, 5ocramenlo, CA 95912 <br /> 02/22/01 TRU 10:49 [TX/RX NO 62511 Z003 <br />