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. Generatoi,US EPA ID No. - Menifee Docun e. 2. Pepe 1 kdatmaleh h M laded crew <br /> UNIFORM HAZARDOUS / 1'eatraquitadby Feded 6w. <br /> WASTE MANIFEST313121 C I 3 lot <br /> 3. Gerwrotals Nary and Mailing Add. 'A:.SIerIMaNfPel{ • <br /> MONIER ROOF TILE <br /> 9508 S. HARLAN RD. FRENCH CAMP, <br /> CA 95221 <br /> a. C twat',.Phos ( _ tie"11 i:� f4KU Ft. <br /> 5. Trampornr I Company Name 6. US EPA ID Number, ;C:-Stalls toshgmrter(`IDf { . qr. <br /> ALLIED PETROLEUM C .A L 00 0 1 1 2 3 1 4 0=T '—' i19y�bT6=8b00 <br /> rest, Cpmpa y Name 8. US EPA ID Number G Te�palelril �1 "_i`7 - <br /> /Jl t k, t!42ts+-7 �LLc/V �Jv <br /> Ie cTm �ln. CdL OfJ 111 31 ti 's C <br /> F il' and Site Address 10. US EPA ID Number I tenp Ta <br /> W 13331 N HWY 33 N EaaB(fyafte r e S <br /> PATTERSON, CA 95363 C A 0 0 8 3 1 8 8 7 2 8 <br /> 12. Containers ll 13. Ta14. Unit •moi-, y?'t- <br /> ? I I. US DOT Description(including Proper Shipping Name,Hazard Clan,and ID Humbert) �. T W Wt/Val 'k 4 Wade Number <br /> Lfi 3 G I 7 G EPA/Other <br /> o E ya„ <br /> co N Is. <br /> N E - EPA/,Other <br /> aa R <br /> A Stals... - <br /> co T C. <br /> O EPA/Odw <br /> ve R I I L_ L_1_L- ;RtI. <br /> II �I 4 <br /> II Q <br /> J. Addnlenal Description far Mandate Usted Above K. Handling Cadet for Wates Uned Aban <br /> a <br /> 470', O/ b. <br /> W <br /> d. <br /> Z <br /> L) IS. Special Handling Instruction.and Additional Information <br /> t- USE APPROPRIATE PROTECTIVE GEAR <br /> ,( Z DESIGNATED FACILITY EMERGRITY CONTACT 800-874-4444 <br /> ,IGENERATOR EMERGENCY CONTACT fpL2C;,r7 7.3 <br /> c I4 , <br /> J 16. GENERATOR'S CERTIFICATION: I hereby declare that the coK of this consignment are fully and accurately described above by proper shipping name and an clas+ified. <br /> Men <br /> Q pocked,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and mtiaeal govam rent ragulatians. <br /> U <br /> J <br /> If I am a large 9uamity generator, I certify that I have a program in ploce to reduce the wlunw and toxicity of wmn generated to the degree I hon determined to be <br /> y economically practicable and that I have,elected the practicable method of treatment nonage,or disposal currently anilable to me which minimizes tna present and Furure <br /> N threat to human health and the environment, OR, if I am a small quantity parer I han madasteen <br /> e a good faith effort to minimize my wgeration and soled the best <br /> C waste management method that is available n me and that I can afford. fr, <br /> OSi naNn / Mw(eh Day Year <br /> ii r Prir,ndlName �1_ `/'J•9 rJ g.. •ejlV tl�r7�l,; (� ✓ ')�—� OJ �! <br /> U / <br /> Z T 17. Trans rter I Ackeawlad M of Rec.i t of Monriah <br /> W R Mach pay, Year <br /> A Pcrtnd/TY me Sigronn / j — I l <br /> t W A , <br /> it w O 18. Trans er 2 Ackro-lad e t of Receipt of Materials <br /> Month Day Year <br /> by T Pdnnd/Tyma Signature <br /> O R jIA P• <br /> W 19. Discrepancy Indication Space C <br /> N <br /> I U F <br /> I + A <br /> Z C <br /> 1 <br /> A <br /> I 20. Facia' Owner or rotor Certification of rete{ t of ho.adw,materials red This manifes/t ax t as m from 1 . Masllh D% Yea <br /> jY Pfhaedfiyped Nama , Signature�G.(. •• / L , .' 7 / •, �/ <br /> DO NOT WRITE EIELOW THIS UNE. <br /> I � t <br /> DTSC 8022A (9/94) Green: TRANSPORTER 3ETa <br /> EPA 8700-22 <br />