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sass p"m or npa Ferm—,,—e'er 1. Poge I imormouon ;a<u a:.a: <br /> anerafo/s U$EPA ID No. Mandest Documen� <br /> UNIFORM HAZARDOUS not regwred by Federal law. <br /> WASTE MA CI AC I OI q0 I SI 30 1 21 88 9 1 O 14 I 0 °f 1 <br /> p;•Stat.Montfort Dacum.rP Number . . <br /> 7. Gmarrnor's Name and Mailinq Addreus ,'. L 0 �- <br /> COMMERCIAL TRANSFER INC. fl S'pe Gnwra or's ID y�� —' <br /> 1651 LOUIS <br /> AVE. , LATHROP, CA 95330 I I <br /> 4, Gencratcr's Phone (209 983-0233 a r->•+'�5— <br /> :b 0. US EPA ID Numoar <br /> G Sime Tramporetli ID �rU >Cl <br /> S. Trompono, 7 Campony Nama <br /> C AD 9 82 4 17 2 55 D. Trampamr's Pham <br /> NOR CAL OIL I I I 1 I [9A9)A�7-6n92 <br /> B. US EPA 10 Number E. Slab TranspolHls ID. ... <br /> 7. T:ampanm 2 Campony Name <br /> V I1 I I F. Tson pamr'+Phalle <br /> Q 9. Ovvgnmad Faaliy Name and Site Add'." 10. US EPA 10 Number G m r }•}SIrJ / �^ <br /> oREFINERIES SERVICE i, L (U- <br /> 0 13331 NORTH HWY. 33 4 Ph <br /> PATTERSON CA 95363 'G ADI d 831 11 661 7 2811 __. — <br /> U I 12. Comamen 1 I7. Total 13. Unit <br /> 11. US DOT D.scription(iaeluding Proper Shipping Name,Hasa Ad Clow and 1D Number) I No Tv a Ouanery Wt/Val I. Waste Number <br /> Sfaro <br /> Z <br /> HAZARDOUS WASTE LIQUID N.O.Se 223 Q 1 T <br /> p T EPA/Cher <br /> G ORM-E NA-9185 �I f I I I�Irt-�7� r'' <br /> 1State <br /> . <br /> m E 6Er qi h°r__. <br /> vA Stara n <br /> G <br /> a�1 0 EP /Other _ <br /> z d. Is <br /> EPA <br /> /Other <br /> V <br /> w <br /> II 11111 <br /> rny Harndi'ing Codes far Wastes Lmd Above <br /> OI 4d,Lt».vel Lbsa onans f IAai r els L"nrod Ah e <br /> lANlf BOTTOM WASTE <br /> a R1N3ATE ,,.- mw a„ <.+.•,-t--rrx 'vim''" _ _ <br /> e.r*4 'st- <br /> O ( Sprcia Handbnq Intlrvcdm+and Add twnal In(onnalmn <br /> t APROPRIATE PROTECTIVE CLOTHING <br /> Zi "7f+'ERGENCY CONTACT: (209)667-6692" <br /> ?I I SaE E.R.G. 31 <br /> I---- <br /> u 10. "I'NELATOR'S CERTIFICATION: I her declare that the cenbnn of the<omignmant ars fully and accurately dmcribad above by proper'+hipping name and are classified. <br /> "u pocked,marked,and labeled,and are bs aR mp.cb in proper condition for transport by highway according b applicable federal,vine and imermRnnoi laws• <br /> L) <br /> f II I inn a Inrge quamiy genurabr, I unify tF.at I have a cablep1-11-- h place a mduet the storage, <br /> 0, and Ie.kiry of wash generated m the degree 1 have Water' <br /> —d b be <br /> 4 <cdnomimly practicable and that I haw wlecfed the practicable method of treatment,storage,or dispo of currently rt to o h me-rich .genet M. prewnl a d fetor. <br /> o'I threat to human heohh arta the environment,OR, if I am o unall quanny garrote,. I hme mode a good faith effort to minimi:. my wa+b generation and vele.Ro bast <br /> s _ <br /> �' � wash mono emenf meMnd IM1m is awilabb to rrw and shin I can oiford. year <br /> Monde Day <br /> Printed/Name/ I Nra re <br /> Z I 17. Tra sooner I Acknowled .mane of Receiot of Materials Month Von <br /> WA Prinbd/TyP.d Name S'grant I I ''- <br /> (D is <br /> TmEP — <br /> u7 o I8. Trantaorter 2 Acknowled nmen1 of Receipt of Mat.6.1% Monlh Doy Year <br /> I Prinbd/Typ.d Name Sig bre <br /> Qe <br /> W 19. Discrepancy Indication Space <br /> N <br /> Q F <br /> u .. <br /> Z D - --- <br /> 1 <br /> L — Year <br /> 1 20. Fecili Owner or Coerafor Cernfication al re<ei fel haserdau+materials cowed b Mi+manifen ezce I'"noted in Ilam 1g. Aosah Day <br /> T Prfnbd/Typal Name - Signature <br /> Y t4,� �"II IQ 1✓ <br /> DO NOT WRITE BELOW THIS UNE. <br /> Wblr: =SOF <br /> Tn: PC. :oz'7CCD�,:.asvlmrn, CA` <br /> DISC 0022A (71921 <br /> ERA VC0722 <br />