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RPR 24 '95 10:46 FROM ERICKSON 7%//c/U L7/5 f PAGE.004 <br />Sass of Cel:l', Ee.i.a.,+wld MnL.;, A.fltr, <br />ie,m APP d DAA$ No. 2050-0039 (E.pres 93 961 See 11351TVCTIpnS oe1 bock • b. N leas. Sdntaces Ce,ero <br />Mor p.:n e. •yf i,rm d'w^d fog ,.se on ew+. (Ilpeeh) ,.user. /�/ 5oc.miww, CaLfenio <br />DO NOT WRITE BELOW THIS UNE. <br />DTSC 8022A (9/94) ..,. <br />EPA $700-22 <br />1. Gene. , US EPA ID Ne. Asaifat Doc teem No. <br />2. Papa 1 I <br />Itdarbai. i. the shaded *Teas <br />UNIFORM HAZARDOUSa <br />jGArfdiB <br />/ <br />tet ^aPi.ed a Fede ai kw. <br />WASTE MANIFEST <br />DSD124070 41_ !0 3 <br />of <br />3 Gereeaso's Nwne and Atw :q Add.ees <br />A. Stott, PMnileo DoanseM Nunbr <br />',,�� �e� ��^ 2Eo5�952ougo <br />e. Ase ',q <br />R.914O�Aq 7'y5 <br />(Q] <br />4 <br />rAJ, <br />A. Gene.orw's of. 1616 1���fff�f2 82 <br />I <br />3. Tron,pone, 1 Compa.y W� 6. US EPA ID Numbn <br />C. Stoe Ttptopo is ID . 2: 7 4, <br />'� <br />4 \ <br />` , SBrI . C.l (O3 <br />D. Tmmpo' ', n,etb S (o S 3 <br />I <br />7. 1 ... port., 2 Comp Name 8. IIS EPA ID Number <br />E. Stat T.Pn Itr', 1D <br />F. Tronspa,d, Phan <br />9. Devoeaed f.Rih Nome and S" Adder 10. US EPA ID IJumbe, <br />G. Slab Foaiir ID <br />D o 0 91$19 <br />Erickson,Inc. <br />[ <br />H. Fac;%, Mea <br />255 Parr Blvd. <br />RichlDcnd,C4. 94801 0 10 10 19 14 16 16 3 19 12 <br />(510)235-1393 <br />12. Comoinen <br />L& <br />13. Told <br />1A. Unit <br />11. US DOT L!'<,ip,c pmW,dn9 prep!, Shippxq Norrre, Ho.d Gml. ord ID Numb r) <br />Q1,0-myWI/Vol <br />1. woo NutnMr <br />T <br />ouch-RCRA <br />'112 <br />Hazardous Waste Solid <br />E► r <br />E <br />Waste Empty Storage Tank. <br />G 0 I <br />T <br />) G <br />P <br />N <br />b. <br />Sab <br />E <br />EPA/001 <br />R <br />I <br />- <br />S ab <br />C. <br />EPA/fiber <br />d <br />S,vb <br />FPA/Olney <br />1, Addrlioml Deuriprieru for MavAols Lnbd Ab -.e <br />K. Masd6p Codas for Wase, <br />Lined Abele <br />b. <br />oty._Ehi7ty Storage Tank (S)# <br />Tank(s) have been inerted with15 <br />d' <br />lbs.Dry Ice Per 1000 Gallon Capacity. t <br />15. Sp.,W MordFmgIn,tm<ri,.n and Add .ol Inlamaian <br />Keep away from SOurCe5 of ignition. Always wear hardhats when working around <br />ii,G.S.T.'s 24 Hr. Contact Name��CErYTX�tL� fi Phone S/,o,f 73-7 717- �y697zT `/a( <br />5a rE ; tfp5� �JerIro>✓ gD., STocgro�t), CA <br />16. GENERATOCS CERTIFICATION! I hereby deco^ t1.at rhe comem of d,M toswgnn+eni are fully aQ a<uromt, &.ibed *bon by Proper 44inwrq name ad we clarified. <br />pwked, maned, and lohekd, and a^ in oK rnpe in proper condeion la manspp,r b, high..oy oc,w&q ro apOtoble iraersodonel and .totgm go.emmenl ".k0ioa. <br />11 I am o large gaami,T slew+erw, I certify rhe 1 Iw.e o pragrom M place Io reduce rhe .plume and toaicny of .,alt penerabd w rhe degree I hoe det, mW to be <br />eco.omKdly p,.Scabk oad Hoy 1 ho.e u4aed the Ponicabk m,thed of treatment. rtaage, w disposal c Ify o.oilobb a r,e ..i,mm A im2w fire Pearn arrd faro^ <br />fhrern to human heahh and I en.swmc.d: OR, 2 1 am o --11 gvasairy generaor. I haw mod, o good faith effort to minimise ,,,Y ..ab gnerafon and se6e the bort <br />.osa manogemem merhwt tho, n gwilabk a ma and thin I con ffwd. <br />1 <br />yped Name — Sig MOMh Dvy Yaa <br />iNT—le���. R <br />T <br />17. T,a 1 Mc Ao icd l of Reca t of Nmedoh <br />I i <br />Pnined P:d Name <br />'9^°h" <br />#41011, Dv/ Yea <br />9 <br />5 <br />o i <br />P <br />18. Tran oder 2 Anna edaemenl 04 Rttdrn o Matruh <br />1 <br />SgMure <br />A1emh Day Yen <br />T <br />Prirned/Typed Name <br />( <br />19. d,vlpancy Indicaio, Sprtc <br />I F <br />A <br />, C <br />I <br />L <br />1 <br />20, FodP 0.na. or raor Ceseri<orien of receior of ha:ardw,mme,i--a'ls ce+ ed Mw manifest e,e , o, ,wmd in Imm 19. <br />T <br />PTAV Name l !,.� <br />Mot'dr DoF Year <br />��-3 �IA <br />� �1� Y'1� i11 D <br />� �l 2�' 9 S <br />DO NOT WRITE BELOW THIS UNE. <br />DTSC 8022A (9/94) ..,. <br />EPA $700-22 <br />