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in <br />Form AwGved. OM 8 No, 205"039 <br />EPA Form 8700122 (Rag -3-05) larvelous editW3 ate obsolete. D-ttkGNATI50 FACILITY TO DC-8YINAT IOT414AT5 (Ir nFQtJJRF0) <br />UNIFORM HAZARO . OUS 1 1. Generalcc PD Number 2, PW i of 3. Emergency Response Ph" 4. Manifest Tratking Nu wf <br />00899m271 JJK <br />WASTE MANIFEST 'AC002OZ6434 4 <br />6. Generator's #fame and Mis>lTng rens <br />Att DEN SALO <br />UNION PACIFIC RAILROAD UNION PACIFIC RAILROAD <br />9451 ATKINSON ST # 160 LAT 39,06 LONG 121 AB <br />CA 95747 WHEATLAND CA 96692 <br />61 Transporter Comwfta I a 2 - a 2 5 a UA EPA 10 Nurnba <br />NRC ENVIRONMENTAL VICES INC, C A F�- �h' i", n a 1 j dl <br />7.Tran qfbr2Cw"rvyName UATA10 I <br />Ax� Z�l <br />, U,SEPA IONumber <br />Cherrical Waste Management MF <br />35251 Old Skyline Rd <br />Wn Hills CA 93239 <br />ga <br />9b, U_S. SNWM Nam. Hazard Vm. 10 Number. <br />io.contakiers <br />11.70181 <br />f2.Unit <br />No. <br />TOO <br />HM <br />and Pac"Group (iony)) <br />owlity <br />wwok <br />NA3082, HAZARDOUS WASTE, LIQUID, N,0,8., (OILY WATER, <br />x <br />LEAD), 9, 111, RQ(LEAD) <br />0 0 <br />n54 <br />agagal <br />G- <br />U.1 <br />d. <br />td. special aad'ulgtnsWctionsandAddi�ionattnFxmaWn <br />WEAR PROSPER PERSONAL PR(>TECTIVE E{ UTPNIENT, JOB/PO# 62812 <br />NRCC3 1606 FERRY POINT, ALMEDA, CA 94501 <br />9151) PROVILE4 CA604796, 5X556, ERG# 171 <br />I& (;EHMToirSlOFFEROfVSCEftTIFICAY)ON: I hereby de"s that thawntants of this cons$gnmanl are k* and accurately dsw1W;Lbwo by she proper 611Wr�g name. and are cLaysfW, packaged. <br />ma lead and iabew4gawdtd, and are in al wowsla prowomMort W kinsportaccor4lng to appOcable Wewdomwland aaWnal 9%emrowlaf requtaWs. vevm shipment and I am the Primary <br />Exporter, i certify that the contents otihis owsl1went conkfm tothe tames of the aftadW EPAAckwAieftment WCmwt <br />1 carGfy that Eha waste mbi4ntzaliort statemont kienSTted iA dQ GFft 2$2.27(8) tf i am a karga quantity gaaeraE«# «(til (tl am a srraN quanbiy rJaaaratarj Is We - <br />Month cxj Year <br />f o Gfl <br />- <br />.a <br />€&.4ntem3tianetSiipteants <br />Import I. U.S, Ll EExpert. pan r,vs. of enwe4t <br />Tfamportof $vatuge (for oxpoft 0,*): Date leaving tjA; <br />17.TransporwAoxww3nient0fRoev of Materials <br />Signature Month Day Year <br />Trw"tei I fttedtTy* Nam <br />CL <br />TranVorter2fttedl`TypeoNama Month Day Yea <br />01saepancy, <br />ou.41Y ❑ Type El Parlial RaIMY. F1 Full Rajec at <br />MWW Rekrenca Number. <br />l8b. Alternate Facility (pr(leserakx) U.S. EPA 10 Number <br />LL <br />Few$ p1me! <br />Ift 34palurs ol'Aftmate Facft * Generator) <br />Montt Day yea <br />iI Huard" Westa RW MwatlewaMMalhod Codes @,a., codes for hazzAWs waste Vealmant disposal, and focyav systems) <br />20. DaFacft Omarral vept as rdAd In Urn 188 <br />pdqtwYF(v(4' I <br />NY yeaf <br />a to III <br />EPA Form 8700122 (Rag -3-05) larvelous editW3 ate obsolete. D-ttkGNATI50 FACILITY TO DC-8YINAT IOT414AT5 (Ir nFQtJJRF0) <br />