|
SENT BY: 7- 5-95 :10:40AM ; RAMOS ENVIRONMENTAL 510 372 5220;# 2/ 2
<br /> Sryb.f C41r.Me--EnlrarwrN PlamAan Agency .
<br /> firer AM..ed O.cs Ne.8030.0039(&Pie,-36 ) See Instructions an be* a 6.
<br /> Heaw prow ar MW' Farre deriprrd lar w M e3w(,2a•.l My.v mn. F�9 Deperewn o !alis Subesnd. Cam
<br /> $apa111rnq,(.aklpNa
<br /> UNIFORM HAZARDOUS 1. C e o,or s US EPA ID No. O marifew Docu nw No. 2. Page 1 Information o M tl dd areas
<br /> WASTE MANIFEST Q 7 © 8 / 7 7 Z of h.1 ry aimd M F.derd I...
<br /> 3. Denrrme/s Noma and Mailing Addreu A. Slew Ab.geo Docuwl.r'Nrmhe,
<br /> 4111, 0 95377292
<br /> ' 2.-GoC CA,,wN0 F Z' ^ A ;?6/5 9. Sssw G.w«'.ID
<br /> S. Tronepodar 1 Campany Nume 6. US EPA 10 NUWAW Y. SMwo.TyampaseeA ID
<br /> _W10S MWMMW_TN7_rk7Lr SvPVIC,S ICIAID101414101013151515 D. rrawpaner.IMe. (916) 371-5747 '
<br /> < 7. Trvmiwrftr 2 Company Noma E. US EPA ID Numfsr E Staff Ldwpoe,yY,ID
<br /> F. raffspor,efs:Pfwr,e
<br /> 9. Dedgnroftd FeeilYF Now and Sift Address 10. US EPA 10 Number G:Saw b
<br /> Fn_"SOS ENv1MOtzSE .0 SSRVICES
<br /> N 1515 SOUTH PPIER TMAD, KRST S,ACPk.1F_-TT0, CA 95691 x IrI�Lk Phone,
<br /> � S ___ C � ^ 0144003556 9T6 '371=5747 "•
<br /> Z 11. US DOT Dewripdon Ikwludng Proper Shipping Now,Hatord Cha,and ID Number) 12. Camainen 13. Teal Id UnitNo. T OwnY icon el I'. Wase Number
<br /> a. �/( ATFL NDR— s,— 2-2�-3�1 :.
<br /> a E ••� ! ( EPA/
<br /> N b. Sam,
<br /> o
<br /> A _
<br /> G
<br /> d• Star .
<br /> V
<br /> CirA[dlw
<br /> hof ,pweHplhid(er..Mewd? liswd/r6e.e. iSf l -5. "onso" for Waeras Used Abew
<br /> _
<br /> F
<br /> O 17. Speck!HertMMq kanumms and Addidonal Information 'OD
<br /> ' Z _a.ANDLF,RS ?E 40 rir! ? OSrrC'„SA,^.h TPJ\rT. J
<br /> s AiW USB iSZCvY v?rzcvr'^ Pp--,
<br /> EKERGENCY • 916 371-5747 �Tp
<br /> 16. CADMATOR'S C WTIFV_ATPON: 1 M.s d.sor.rho.me eon.erds.f min mini em.nt are fel and occurvw des.:bed ab
<br /> a a 9 y y by proper shipping nameand areclonifid,
<br /> V paled,ma.kd,and kres
<br /> beled,and are In as pzts in proper condldw far frompam according highway rding m applkable inmr em,,,I and,penal ga.eremenr r.gulmiwn.
<br /> If I am a large quandty guwramr. I comfy stat I he.e a program In place m rdoce he .W.me and to.lciry of r.eoa genre!-ro the dear. I hew dewr..ieed to he
<br /> Nawr.emlcally prxricvbI*and mat I have wkcrod he prwh able medwd of tmmrnenrr, oorage,at dlsposol curwry a.a,kble ra me-rick minimize,me p,4.1 and fmrs
<br /> mrear to human hmhh and the en•wonnem,OR.7 1 am a small gwmMy geat
<br /> e. or, I have d made a gofabh offer,to mi.imJae my warm g.. d de,ra ion aWme, .b
<br /> 0 .awe m mere w*d that in a.aikbk ft me ad mat I ern afford.
<br /> Prkft ed Meme Sy M.+ Day I
<br /> yZtyJ T 17. Tram orwr I Ackavloclgvrnem of 4.cwipt of Aawroh
<br /> '(D /rkrrd/Tipp-New Si n
<br /> Auenlh Day Year
<br /> ad N4JCC ^^
<br /> ,5 s
<br /> .' 0 10. Tr,. anter 1 ACkno,elecigerner,of Receipt of Mol.rob
<br /> T Pr:.wd/TYped Nemo SI n month Day r.or
<br /> E
<br /> A
<br /> yWQj 19. Diwmpanry Indicator,Spm
<br /> U F
<br /> Z C
<br /> I
<br /> L
<br /> 1 20. Fedi' 0..r 9, emific 'on of resN al ha,ardow mc,edoi,co,ond Iryt11,moniko s —m—_r_ i INm 19.
<br /> T Primed/Typd� SgnoN Momh
<br /> r Day Year
<br /> Al 3i 9
<br /> DO NO WRITE BELOW THIS Uyt
<br /> Whim, TSDF SENDS THIS COPY TO DISC WITHIN 3O DAYS.
<br /> 'm3C 8078A (9/94) n.. on A... tnnn c..._____._ P. a..ie
<br />
|