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Feb. 24. 2015 11 : 05AM GFMGE W LOWRY, INC No. 7242 P. 3 <br /> s i <br /> l <br /> PI0ate Print or type.(Forth deli nad for use an elite 12- tch FomnAppmved.OMB No,2D$G-0D39 <br /> typevniter.) <br /> UNIFORM HAZARDOUS T�GenereWflDNumber 2.Paget of 3.Emergency Response Phone a.Manifest Tracking Number <br /> WASTE MANIFEST CA pQ 7, �, 013435269 JJ K 1 <br /> Ganeralofs Nemeond Malongma—mm ggg'''��� ,>p Gene209- 1RHIdress ifdieerentman malting address I. <br /> PACIFIC SOLTON R . IRRIGATION C N ' 1_'.�_ ( 9 1 <br /> 83J2 S.JACKII9N R0. FRE � <br /> STOCKTON.cA 152ts <br /> 0enereloes Phone: F <br /> B.TreE <br /> pany Name �91U.S.EPA ID Number I� <br /> LoMTq,Inc.7.Trapany Name CNtQW047019 <br /> U.S.EPA IO Number , <br /> HEA'?='�coeoT+eentT j; <br /> 8.Da' I�Ea'Iay Nam�an�g��p�dress - LLS.EPAID Number <br /> 6AKERSFFIELO TRgIdSFER INC. <br /> 1620 E. BRUNDAGE Ln CALO= <br /> BAKERSFIELD.CA 93307 <br /> I; <br /> Fedli(ya Phone; 651w32243258 ;! <br /> 1' <br /> go. 9b.U.S.00TOesalpBan(mdudirg ProperSNpping Name,HezaN Gess,a)Number. 10.Fsnlainas j <br /> and Padd Gra Ran Quantity 12Unit <br /> HM n9 P( Y)) NO. TyAe Quendry W[Nol. 13.Wase Cotles �I <br /> i' <br /> IX <br /> X 1� NDN RCRA HAZARDOUS WASTE SOLID (metal gnRamg ) Din{ 3C) p Ir <br /> is <br /> w 2. f <br /> � l <br /> I: <br /> 1) <br /> 9. �I <br /> (i <br /> i1 <br /> 4. f <br /> ( <br /> fi <br /> Special Handling lngWcrbns and Additional Information <br /> n •fit n <br /> USElOVES _ le IN4OICE8 2,S037 <br /> 15, GENERATOR'SIOFFEROR'S CERTIFICATION!I herebydedare Bfallhownlents offluaconSlgnmenlam fuCyandeautaleirdeswibod above byline proper shipping name,end aredeaadjed,packaged, <br /> marked and labeled)placarded,and are h so respects in propwWndblon for banapod armrding to applicable international and national governmental relidstiong.neMpOn 3Npmenfand l am me Primary <br /> EKparter,I wNfi'that the contents of this consignment conform to Na terms Of me attached EPAAcknovaedgment of Consent <br /> ICMY that Ne vreste minimization Statement identified In 40 CFR2d2,27(a)lu I am a large euanii generem0 or(b)(If1 am a smajjiquanbtygenerabor)Is true. j <br /> GenerehsdelOgerO/S PantedfF ed Name Signature Monty Day 7ar ! <br /> 1 <br /> r �– <br /> IB.NlemabonalShipmenln <br /> z IImponto U.S. ❑Exporlrom U.S. PatofenbryleYb <br /> Transporter signature(for expode oely): Deteleaving U.S.: <br /> ,w 17.Tr2asperialAdmowledgmem of Rept of Materials <br /> ,may Trenaparr¢r,9gatoyped N a signs Month Day year I� <br /> ILA <br /> raS� Oanvporlerl2/+PdA'n! yped Name Signature Month Day Year <br /> F <br /> 18.Dlewepancy I <br /> h <br /> 111a.Discrepancy Indcalion Space h <br /> ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑WII RejeOpon <br /> 19h.Allemate Fadl, r Man4aSl RSlerepce number: <br /> ry(or Genem,Or) U.S.EPA ID Number <br /> J <br /> V <br /> LL faditya Phone: <br /> IBc Signature ofAlernate Fecdrty(or Genaralar Monty Day Yea <br /> Q j <br /> CD <br /> .HazsMousCD <br /> Waste Report Management Method!Ceriseis.,modes fMhazardoos waste Ueabnenl,disposal. ' <br /> ( posal.end reading systems) <br /> l .. <br /> 2. 3. 4. <br /> \72Des110yn;ted Fadity Wmefor Operator.Certification at receipt of haradous matedal3 covered by the manifest except as noted in Ilam lea <br /> Name Signature Month Day Year <br /> :PA Form 8700-22(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />