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Sep 03 03 10: 25a Wayne D. Pelletier 510-267-0140 p. 3 <br /> Store of Cahlorn;o—Env;ronmeMvl Protection Ryoncy <br /> Form Approved OM6 No.2050-0039(Expires 91-30.99) See Instructions on back Of page 6. D.P.rrnent of 10—Su bsloneer Ceetr { <br /> PI—e print o:type Form designed for use on obte()2-pikhl lype.6w. Sacraemnto,Ccfilornio <br /> UNIFORM HAZARDOUS <br /> 1. Genoralor's US EPA ID No: thon;fest Do-- No. L, Paye 1 (nfo cation in tFe waded araas <br /> A a A � is Trot required by Federal 1a . <br /> C j <br /> WASTE MANIFEST a! 11 <br /> 3. Gmme,rotor's Name and Moiling ress AddA. Strata Manilrt Dr:cuaranl Number <br /> Union Pacific Railroad t7Jiel ^r;7 M; <br /> 9951 Atkinson St. Ste. 100 <br /> Roseville, CA 95747 IfS. StaticGcncralors3lD <br /> i{ A.Gonoratoo's Phone I916 1-189-5184 <br /> IN S. anaparler 1 Cornf=y Name 6. US EPA 10 Number G Slate Transporro:'a iD Rn rvecl J j <br /> W i D. Tronspaaw's <br /> gf 14OORGAN ENVIRONMENTAL SERVICES Ix ClA 7 0 8 0 0 1 3 4 2 8 1510)267-0239 <br /> 7. Truer rter 2 C Nam., 8. US EPA ID Number E, Stith Trcmcgorteis r1J Re sore I <br /> p° arn<,ony <br /> DK Richmond IC IAIA 8 111101 0 ]. 6 0 fl F. F anapvrlar s Phv+e 0)231-2301 <br /> U n �M Arid— 10. US£PA ID Number G. State i`eciGy's:D <br /> 3650 EAST 26TH ST. I <br /> Z H. f�ciGty s P'wnc <br /> ne VERNON, CA 90023 {{C 11 A 2 0 8 0 0 3 3 6 6 1 (323)2685056- <br /> 12. Carttoinen 13. Total 14 Unit <br /> i <br /> Q 11 US DOT Doscription(including Proper Shipping None.Iia¢ord cla s,and w M Nbcrl hl <br /> V o. Type quoi,tiy wt/vd I. waaee rJ.,eSar _-- <br /> Z OLLid scale <br /> z <br /> 3 G p IM Er/ <br /> o N - b:NCNRCRA HAZARDOUS WASTE SOLIDno E <br /> cp <br /> v R D H P ENai2CRA <br /> c A c –— – stale <br /> gT <br /> O ED.4!O1 ar <br /> R <br /> w d. Stas <br /> � I � I � I EPA/Other <br /> U <br /> ul <br /> .�iWSpnplUoyrTlpYoAt�x dl�PmdRrV 6...Iksndling Codes It.Waste listed Abore <br /> 1 urrf I {h. <br /> 0 b) soil, pil,diesel, d ris—pty containers RRG171 <br /> Lu <br /> Oz `At(�alt �d Atk0t( EIEQUIPMENT <br /> I— <br /> Z ` 29 HOUR CONTACT -TOM MORGAN 510 267 0139 b) ERG1171 <br /> Lu <br /> F _ ` <br /> 16. GEMMIt0F'S CEQThTCAT lereby&AOrre tftot .-tents of thrs consignment are Ivfly Pad accurate dasaib.d.laevo fry propar�Aryp;n9 mama Oita ore cla,.ified,pocked, <br /> Q _ `` mo.ked,oral label - <br /> ed,and are in oR r spellpr <br /> s in oper condition For hangsod by highway to uWk.61e,irdornofionel and nasio­l goaerairw,t regulasiorn. <br /> 1 <br /> I <br /> N I ran a terga q.rantiy gnrwrobr,I certify that I h—.o pr r in glace le redoes the.dome and twiieily of+•ante genomted to the'deprae I ht d future sed to t be erenomim th <br /> d pr«rimblu and Ihal I ho a sekcted the ppnxt;c ble method of treatment,abroye,a disposal carronlly ovosZol�ln b me+hick rawimaea the yy+went or+d future tFvnal to hwam koolth <br /> H and the o Mmisnent;OR.if I am a sreoll<I-14Y genavator.I ha.e roads a 9—id faith slTart sit mrnimice my wash generation and setae tha bol waste management method ihat is <br /> rX wadable le me and that I can oLiord. <br /> OPrint /yped Name Signator / Mon ` D'uyp. I^Ycvr <br /> `� CSO+yY 71st'- G ° l� I� 12 <br /> T 12, Ira rte*1 Aclmoarl "IoMR d Mahrial1 <br /> Aj, Printed S,gaature.� .•.•�.�— _---- AWnth Dyoc <br /> Ycare- <br /> 2 S it <br /> -- <br /> u. aIs-Trans er2AcknowIed eeieN°f Re a/Materials .� <br /> 0 Q Prietrd/Tygod Nome Si sa..;s Mwdh Dy Yeah <br /> toI <br /> (Qj f 1 . U;screoaaey Indicdtan Space U .. - <br /> Z E { (U r <br /> ai <br /> li � <br /> ( 20. Fae;l; 0--or orator Cerlil:cmio of rate;pI of hozordovs merial <br /> ats cn+ ed n <br /> this anht't exccee 1 Nem as rrosad in 19. r I <br /> T Pr;nterl/7ypod Name - Signature Month Day Yrn <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> vn,itr T1{);: SENDS i4,; e .... .. .. i <br /> OTSC 8022A I1 <br /> /991 r nnsc 3000. Sac'-_-r).7J4 <br /> I <br />