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<br /> FagTTFs 'nI. OMR,((a.'2D56-0039]Expire,9-3"91 , - See Instructions on back of D
<br /> Plea tr�}tnL rlypb:y"Folm lTd/u'limd for we ammiM�l�pllcb)0" asor, P 5—�'• Department al Toxic Substance,Cenral
<br /> Sacramento,California
<br /> ' "UNIFORM HAZARDOUS I. GenemMrs US EPA ID No. Manifest Document No. 2. Page 1 Infunrest ion in the shaded area, S
<br /> WASTE MANIFEST a ' 9 8 5 1 Is not requlred by Federal law.
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<br /> 3$Tpgp0Jh �rEMS Site Address A. Sale M¢n'f.,l Dowment NSeds., 2^ P
<br /> PLOCREFORD 30 12101 E. BRANDT RD.
<br /> o CA 95237 LOC[EBORD
<br /> R. bloc G^nervlar's ID
<br /> n A. Generalar'i phone( 20?-727 04 X 36 CA 95237
<br /> N 5. TMnsp.da,1 Company N e _ 6. US EPA ID Number '
<br /> In °� C. Stole Tmmporer's IDlRaserved.) 0539
<br /> W North State Environmental
<br /> C0 9 D. Trgnspartm's Phan¢ — -
<br /> m 7. Turns orior2 Com on Nome
<br /> P Company 8, US EPA ID Number E. Stole Tmmporter's ID Reserved.]
<br /> •(� Rust and Sona Trucking -.-'CA L 0 0 0 2 0 3 4 4 4
<br /> DQ F. Trampoder's Phone
<br /> „f V 9. Deaignoled Facl lih Noma and Silo Address ID. US EPA ID Number G. SIa1a F6ciIItyS ID
<br /> )a ChtemiCal Waste Management, Inc.
<br /> rjett Old Skyline Road
<br /> 70 - ICettleman Ca-tY (:AB93239 C 0 0 6 H FadVtyl P
<br /> -,� *O)222-2964
<br /> YQ 11. US.DOT Desert tl n indudi Pro rShi m Nama,Hosord Class,and lO Numbed 12. Cenlalnar! i3. Total Id. Unit
<br /> JU P a I' rp P° Shipping No. T Ouanlily 14 I. Waste Number
<br /> :r: °' W077 HAZARDOUS WASTE,SOLID,N.O.S. , stale172
<br /> (ARSENIC,LEAD) ,' 9, PGIII, RQ(D004) 7 DF 1400 P
<br /> 3 G EPA/Olh.r
<br /> E
<br /> 004
<br /> o N b• - NON RMA HAZARDOUS WASTE SOLID sidle D
<br /> -m E (PAINT SOLIDS,OVMMPRAY) 3. BA 3700 35z
<br /> -4 R P EPA/Olh.,
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<br /> NON RCRA,'% OUS WASTE SOLIDSI In 223
<br /> m O (OIL, ABSORBENT) )-- 3 DF 750 P
<br /> It s :;EPA/Olh.,
<br /> m
<br /> Z d. NON RCRA HAZARDOUS WASTE SOLID �Sm1e223
<br /> w (OIL, ABSORBENT) r'7y
<br /> U DIA (J � P EPA/011ier
<br /> w
<br /> L.Addllionol Descripliam(or M lenoli Listed Abavc - /.
<br /> Z seiner. cad iK Handling Codes for W.M.s Li,lad Above
<br /> 0 a: EHfi755' ADD EPA CODES D007, D008 I� 171 a. 7 b.
<br /> b: ES8744 , 1 . NAM ����
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<br /> Q c:.EH8743 c. ? d. �I ti
<br /> Z 7 .•Spedel o dune mnmdmna'end AddRianni Inlannmlan J `J
<br /> STEVE WAREING 209-727-5504 `X36
<br /> W Trane 1 address: 815 DUBUQDE AVE. "S°, BO. BAN FRANCISCO, CA 94080b:
<br /> 5:1
<br /> FS Trona 2 address: 15353 Old Ey 80, E1 Cajtm, Ce 92021 '
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<br /> Q 16. GENERATOR'S CERTIFICATION: I hereby d"lare that the wnienhof this comr.m.f..Fully andoccuraloly described above by proper ship Ing name and are classified,paced,
<br /> U marked,and tobaled,and am in all respeds in proper condition for transport Isy highway according to Oppllcable international and.notmooPgovernment regulations.
<br /> If I am a I¢rga quamilY g.nmela,,I cediy that 1 have a pr ram In place la reduce the volume and toxicity of wasla generated to the dogma I have delermined mTbo economically
<br /> o_ predicable and that I have svlecled the practicable method of treatment,s,orogo,or dispel I currently wailoble to me which minimizes the pms°nl and future thmol to hulggn heollh
<br /> rn and iho enviranmanl;OR,tF I am o small anti
<br /> y, quantity ty gonemlor,I hove made a good faith^(tort to minimize my wmta generation and se6d the bell wmlo mon-gament me6od'Ihgl is
<br /> O availvble to ma and that I can afford. j
<br /> Ninmd/Jyped�d me Signomre 1
<br /> J.v . lfJ,9k� ��✓� f rrd Day fj.ar
<br /> (0 T 17. Transporter I Acknowled emvnl of Racist 1 of Molelab
<br /> Printed(iypa� 5 noN
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<br /> Me
<br /> /, i /y�`?77 •Gfr,'Gr -� i'' �1 °` :L
<br /> 0 0 1 S. Trans er 2 Acknowled ement of Race( s of so.srials
<br /> PHall arY T ad Na o `
<br /> O SigZ°N Manlh Day Year
<br /> p 1 ••••••ir,fCC' CST.-
<br /> 19. Oisvaponry Indlcollon Spae
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<br /> I 20. Owner or orator C'erlifleotfon of meat I e huardaes msHarioh ewemd In,161.m^^ifooamp,as no,.In Imre 19.
<br /> T Pd'tl°d/TY •P. Signamro
<br /> DO NOT WRITE BELOW THIS LINE.
<br /> Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS,
<br /> DTSC BD22A p/991 - - (Gonemton who submit hazardous '
<br /> For transport out-ol•slale,
<br /> EPA RAW-22 produce completed copy of this copy and serd to DTSC within 30 days.)
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