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r P hPe•. farrlr d erro{lienAgency
<br /> tem °nt or oM8 N0'T050- 0�9 OXON 9'30.94)' See Instructions an back of page 6,
<br /> 1 E'Ife rtnr ar . ftrtwd for use on eRra(1? r 11?f#,rr,70r, DrPanment of ionto Substances Can
<br /> 1• Generators U5 EPA ED W. "' 30cromento.California
<br /> {f� f It ''lINIFQRM�.HAXAR€I)QI�S Manifaltboo •, No; 7. Page i infororo};o„infha.hadcdarep+
<br /> ;i • '` ��,WASTE?MANIFFSt € lnlAi 11 61 Is not reQuned by Fedval kw.
<br /> f"+I,,r t 3 oowafoel Name and Moitmg Addrmof
<br /> t wi l l i amRlr i ch' R ,� ;;'It t t' ,
<br /> CorinLnRveiiui, Lodi , CA 95?. 2,4
<br /> A. S G� �'� •` ; k ,GeneratorPhone (20 91 334-2354 1• '
<br /> 1f : s • S.,TronFporte► I'QMpanyNome
<br /> 6
<br /> rj , US EPA ID Number
<br /> f 39Zx F�� ccj :`ISO C Q (.y"; T a i l i 2 r �.• ►
<br /> 7, Trantportar p try fume C n O 9 O 4 1 7 2 5 5
<br /> S. US EPA IP Number r !
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<br /> ( 9, )et! aced Factl' Name and Sits Address r
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<br /> .. ' ZEFINERICSfISFRVICC
<br /> 13 g11W 33• Al 11161617 ,; ;, /�t`f,�•f t�,.til;»` t ^;
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<br /> 100 11. vs POY description(fncfudind Prop#►Shipping Name,Hazard Cla/t,and Ib Number) 12. Containers 13, Total IA. Unit l�1i"7 frt�i t v t»Si�:Sa
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<br /> APPk)PRIATEIPROTECTIVE CLOTHING
<br /> • t "Elnargency,Contact, (209) 667»669211
<br /> 'k` _" SEE;E;R.G: ,PAGE 31 '
<br /> 14. GMERATOR'S CERTIF1CATION1 1 hereby declare that the contents of the consignment aro fvlly and occurately described o6vo v by proper shipping name and an clasr:Pr.d,
<br /> ' I tri packed,[[marked,and laboled,and are in all respects In proper condition for troniport by highway according to applicoble federal,state and International laws.
<br /> �.'' , II I am a lora#quan►►r'genenMor,I cartflr fhof I hold a program in place to reduce the volume and toxicity,of warn generated to the degree I have det#rmfrrod to be
<br /> I�j'► :d elonomitaffy practicable and that I have Wocred the practicable method of frecrimeni,itwo",or disposol currently ave"",able to ms which minimizet the prebnl and future
<br /> threat to hYman health and the environment,OR,if I am a small quantity generaler, I hove made a good faith effort to minimix#my waste q#nerati0n and select the best
<br /> i ►- waste manqrmnt method that It avallatlit to me and that I con afford.
<br /> Prtnfed/Typed Noma Martin Thorpe agent for Signature r � � Month Day Yeo+r„
<br /> i Z 17 e I A nowle merit of Recalptoll Moterfolt ' (�
<br /> tF1 : moi jL. PrinHd/Typed Namp/ ..q•.!' ` SlgnoNre j Month Tear
<br /> Fi O I e, Tra Acknowlad e-moni of Recolnt of Material L�
<br /> rk i it -Printd/Typed Name ; Signature
<br /> �tt1�' W itMonth O0y Yeo,
<br /> '19. Plkivpvncy Indicafiwr Spoca
<br /> 44
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<br /> DO NOT WRITE BELL THIS LINE. ;
<br /> ti DT8C 8022A(7/92)
<br /> "At ti,EPA 8700-r22 k• �I--fi�t'' T 1r`�' GrCc'nt HAULER RETAINh
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