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<br /> F"App,Owd 0"No.2050-00.19 ltapon 9.30.94) boeramemo,CaAlada
<br /> Please prim w type. Form dnpned for use an eta f 17 Pirch' -•Writer. --'I
<br /> aneramfs US EPA ID No. Manifest Decumen! 7. Page I Afar in the shad.d orate
<br /> UNIFORM HAZARDOUS .� a not roquwd by hederal law.
<br /> WASTE MANIFEST C IAC 10 10 10 17 14 17 15 19 181 1 a I n I n 1 1 of
<br /> 3. Generators Name and Moiling Address A Eeata Alardf,at Document N9nbw ���
<br /> F, A. A. AIRWAYS FACILITIES / SIERRA NEVADA SECTOR
<br /> N27510275 Old Placerville Rd.816, Sacramento, CA. 95827 1L$telaGawraa/eID ;, ,
<br /> 4. O.e.ratar:Phone 416 1 5 -3406
<br /> 5. T,auponer 1 Company Name 6. US EPA ID Namb,r Sbtl1 T'0"'P°1o0 'x8346
<br /> IH & H Ship Service Comoany 4
<br /> A h1 PIQ 1D l0 N9mb4 er I7 17 11 11 IR la
<br /> e. US EA fco ,,*Tra sIP
<br /> � 7. Tmmporter 2 COmpony Nome
<br /> U I Par T`*mpo?ttmrq" QJ.
<br /> C 9. De graed Facility Nam and Sin Address 10. US EPA ID Number i6eyoIde.r iaPaylpe ln' 43.pf+ t K;
<br /> =zH & H SHIP SERV'CE COMPANY dC ice t) 4 `,e l�+
<br /> �^O 220 China Basin Street „ ll0atw$-
<br /> �CVa San Francisca; CA, 941070 4 7 17 1 1 6 8 u''�4
<br /> �V 12. Coreoima 13. Twol 1A Umt
<br /> tiZ 11. US DOT DeunpriOn(irsduding Proper Shipping Nome, Hasatd Cass,and ID Number) Na y pugmev_ H r✓w 1 k.::.+ad.ehi.h y
<br /> — = FtSIDUE DIESEL TANK
<br /> 3y G NON-RCRA HAZARDOUS HASTE SOLID 0 0 1 T P 1 0101DI P
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<br /> r ,.dea'1be KwY^ E& tYt y� �1,7�tam
<br /> L �¢ 14 .-1ke )ik 1 yr 171 l>< f P e qY
<br /> _ 0 15. Sp»aal Handling Inyructiaas and Additional Infarmmion
<br /> a JOB 814270 JOB SITE: F,A.A./STOCKTON AIRPORT
<br /> Z 24 Hr. Emergency Contact: H & H 8(415) 543-4835 ASR-5, Airport Way
<br /> = APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR Stockton, California
<br /> -r 16. tSENERATOINS CCRTIFICIITION: I Mnhy declare mar the mro.nn Of the consignmea oro IuOy,and accurately described gbow by proper dripping name wd an c,assdled,
<br /> Q pocked,marked,and labeled,and.,;n all r9epees in proper dandbiwt for transport by highwpy occeraing a app0eohle federal,stare and imematoml la-,.
<br /> y II I am a arae quadty gerw,wor, I certify shat I have a program let place ho radese the "Wane and toxicity of waste generated to the drone I how, dmssrmorel to be
<br /> d economically practicable and that 1 have w1omed the practicable trwhod of treatment, 1loroge, at disposal curremy available to me whish nlnwlisn the ProSom a,a tuwa
<br /> d treat to human heahh and the endronmwd,OR. if I am a smell gvaredy genernar, 1 have meds 9 good faith effort to minimill my Wale gmworion and solea lice ben
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<br /> a weete mane emmt method thn is oeellehb to mw and that I can allerd.
<br /> 0 Printed/Typed Name Signoryr, /^ Month Dot Year
<br /> U 0 14 il ' 5 1 9 4
<br /> Z r 17. Trona orser I Ac ewledoemenr 04 Receipt of Materiels
<br /> W e afore MO-M Day Ywr
<br /> al S Pnnted/Typ��IE H. REESE �.� i 1 0 4 1 5 9 4
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<br /> '� `� 0 18. irony Wer Z Acknowled omens of Rewi t of Mareribh -
<br /> W i Printed/Typ.d Name Sig avno Meth on, Your
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<br /> N 19, Discreponcy Indlcation Space
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<br /> acd' OWner or O r Ycanon f r ei f of hmordovs m dant scarred b Ilii m 'f t e.te t os noted in Item 19 _.
<br /> T Primed/Typal Nom, 3lgnaturo Month Ooy Your
<br /> r 1 t..VliQ-17ES � ' ice: G� �'IiL �' ..✓1 �I�f ', � '�' Cid
<br /> DO NOT WRITE BELOW THIS LINE.
<br /> while, �3DP ;ZNCi ails 'JpT "O .)Tac ,P i:nIN .0 .:-,...
<br /> DTIC 0022A (12/91) '9: a.O. ?ow ?CCG, iecramenly, :-? �i9•^
<br /> EPo 6700-22
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