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Aug 28 06 11:20a Julie Huber • w 268-3880 p.11 <br /> lmb of CaBlomia—emGedmeNal ProN=non Agercy "SeeInstructions on back of page 6. D.P.Ins.,oFTopti.Sa6stan,es Consul <br /> Form ' -- MB No7•g05D-003P(EapinsSomanb,l Cal Ica.a <br /> Pieew prinl or lypw Farm.dmiffrbd far un«elite 112-pitchl ypew'Ji'l '. <br /> UNIFCIRM HAZARDOUS Generma'a US EPA ID No. M <br /> anifest DocumentNo. 2. Pogo iInformation.. s shaded ones <br /> 1 is nal reculred by Fed eros low. <br /> WASTE MANIFEST CAL 0 0 0 8 2 7 8 7I3cnaalarName and Maaitg Addr.,, AMERICAN YAI.LEY 1NASA Smle Man!Islas Docwnml Numbera�^ ^ ^ 30 <br /> P.O BOX 340L"Ji ,lJi fSJt6 Ht7U T32--"4t5 tlEL+dlCA gOb'15B. Slab Gaverafor'a ID <br /> n 4. Generatol Ph."I I <br /> t, EP I u ho- C Stas,Transpadar'a IDN 5.Dasls�atlM CmponkNanra•v ww QTv /^N .� DYW t,AM r\IVD. Transporter',Phan. <br /> O <br /> O <br /> H. US EPA ID <br /> al 7. Tronsporler 2CanpnName Number <br /> ny E. Sbte D«.sporlor's ID I�egr9.Qd <br /> J _ {F. Trampo ll Phone <br /> 00 V 4Erf.EGbtb2ltgd=tlF6'®ib aT'4A14�r1Q61feCe R 10. US EPA ID Number G. slat.r�aili�a le 0 ,.1 y U 1 <br /> (nZ 6.100 CLAUS ROAD H. F«il! ' h <br /> �o RIVERBANK,CA 95367 C 1 8 f �3�3181 <br /> 12, Conlnines 13. Tocol 14. Unil <br /> V 11. US DOT Deacripfion lineluding proper Shippinfi Name,Ma mrd Clo"'and ID hrum6.6, No Ty Owngty Wt/Vol I. WesleN r <br /> Store <br /> �= a' (USED OIL) 00 1 1. 7 ✓v EPA/O hw <br /> Sort. <br /> m E —tee.. ->�. EPA/Olhslr <br /> a R <br /> � p surto <br /> o T <br /> m C/ EPA/Other <br /> R <br /> c s ab <br /> w d. . <br /> H <br /> Z EPA/Odor <br /> w <br /> . ._ _ <br /> J. AddidonolDsri iqp 1.�r�idykaslodJ _ ..y K Handling Ca'i Wada used <br /> A6ow <br /> O - �O .VEL&WliltK 's .o. VV7l _6. <br /> - <br /> w $ d, <br /> Q <br /> Z 15, Special Handing lnshuctians and Add:llonal lnlormaNars q, <br /> GLOVES <br /> z EMERGENCY PHONE 209.66716857 <br /> W_ <br /> H <br /> 16. GENERATOR'S CERTIRCATION: 16,Aydeclonthostha cmbnb aFthia car�sIm"anI ore fully and«arose described abaw bypnper...FG nomeand an clasaiRd,packed, <br /> Umarked,and labeled,end are in all respech in proper cmrdilian for lnmport by hlg6woy according to applicable IWern li«al and natio,, 6ov°mmens regulations. <br /> If; m a large gwnlity Ipnemlor. cerliiy that 1 have a pr�ram'in place to reduce IM nimne and tuicity'ol weals generated to the define I hw°cive mired b 6e c..''mllry� <br /> as- pr.erlmble and drat I hove selected the practicable method a `remmenp storage,or disposal currently available to me which miainixes the presort and loran threat ro human health <br /> vo ad the e. cmmans;OR,if I our o smell quamiy garaerebr,I how on <br /> a good Ic'g6,Hart to minimize my—Vas gmmafm and select the best waste management marked shat is <br /> ne awiW61.ro me ed that I can afford. - <br /> O l` <br /> } <br /> PH,, dN � SfgnowrY Dvy Yearr <br /> w T17. Tron aUeri Aeknaw mentoF Reeei aEAbbrlal <br /> Ur Month D Yaar <br /> w ; Ptinr/YW)Norte 57gndluro ^`_ j <br /> W a t Tram rter2Acknawl anent ori Recei Id Mabdas <br /> O I Printed/Typed Name signeN.e Mm.h Day Year <br /> W E <br /> yyyQ R t <br /> V 19. Dimepo«y ldieasan Span ,. <br /> Z E <br /> A <br /> C <br /> L <br /> l 20. Facili Owrui -rater Car6F<ollan of r.cai t of hanordous mo'erle6 eavered b thb manilas aYnct m lsord in Item l9. <br /> Year <br /> Y10�+ hmnlh Day <br /> DO NOT WRITE BELOW THIS LINE. <br /> Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 3C DAYS. <br /> lG3nerotnrs who subm I ^a.cs dam ••aero for noasport o-Irol-slew, <br /> DTSC 9022A(1199) produce complete•- copy of t^is copy one send a DISC wimin 30 days.) <br /> EPA 9700-22 . - <br />