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store of CaG1a.Mo--EnHronmeMd Pmternon ARenry
<br /> i 'Form#pprosed OM8 No.2051Y 139(Eapnm 9JD94) Sae f,1fPraeleons on back of a 6. Depatrment of Toa Subttormi Germ-I
<br /> Phase Force or typeroom deslaeed For me on eliro f121&h)hp,—rv,. Savremenlo.Colilornio .'
<br /> UNIFORM HAZARDOUS is
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<br /> WASTE MANIFEST
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<br /> 3 Generator's Name o d M re
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<br /> EVERGREEN ENVIRONMENTAL SERVICES C A (D f_9 i810 6 19 5 7 6 1 D rr«apona� Phoma O 9725D
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<br /> Q 9. Designated Futility Nome and She Addren 10. US EPA ID Number G. Stab Fac J&,'s ID
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<br /> 000 EVERGREEN OIL INC. C A D 9 1810181817 141 I$L "
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<br /> ,6880 Smith Avenus, Newark, CA 94560 A 8 (510) 7 I-M l z
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<br /> 15- Special Handling Insr urnoos ane Add, cl Informoran
<br /> ;7 24 HOUR EMERGENCY RESPONSE.# (510) 7954400
<br /> z� EAR PCLPER "LOVES EMERGENCY CONTACT— KIRK HAYWARD
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<br /> 16 GENERATORS CERTIFICATION. I he—b,de-do,e par rhcorrect, f rh 'm'.'cmen,r me fully and a t ly di,cr,bad obove by proper shipping name and on.doss.fied,
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<br /> If I a a large qua b1yV 1geneeeoq I cemfy Boor I have a program n ploce to reduce the volume and A.id-,Y on waste g,nd,c ed m the degree I have dererm ned to be
<br /> economically ponctizable and Mm I have selinded Me poosticable northod of t Wmen�,0orogeor disposal currently o t bl to me which minimizes the present and-lum,e
<br /> Ncheatm h man health and th.enwro t OR If I a 11 qu my ge armor, I h ode a g d I M ffort t my t g arae and select th best
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<br /> Z * 1 17. Tzom r I''Acknoiviedgement of Receipt of MWerioksh€{(.w:ay.
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<br /> 03/16/1998 "ORIGINAL MANIFEST COPY"
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