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t, <br /> state of Colifomia—Enciramertlal Protection Agency See Instructions on back of page 6. oepar m a, f T k Substrces Coastal <br /> Foran FoApproved OMB No.2050.(1039(Exp res 97696) Suramenro,Colifoauo <br /> Plea»prim or type. To.m designed for use onofee,(12Pitch)fyp^wr8er. <br /> ffUNIFRMHAZARDOUS ). Ge tercel US EPA ID No. Manifest Document 1 :1 2. Page 1 Informal m Ire shaded areas <br /> 1 is not squired by Federal law. <br /> MANIFEST S" z 11 " 7 I '- - <br /> er, e and M--I Addren A. Stara ManileM Document Number <br /> s ' � y;Yt� v �s/. 9533/ 576B Stat Go rotor's 10me {Z,�$ mpany Name 6. US EPA ID Number C. State Tramporte/s ID l✓� 7 <br /> ? EVE : EE'N' E+ VIROi;'JEINTAL SnVICES D. Tiampartan Phate. 510/r395- '1910.0 <br /> CAD990695761 ( )� <br /> Q7. Transporter 2.Company Name 8, US EPA ID Number E. Stale Trompprti s ID <br /> V F. Transporters.Phos <br /> f.0 Q <br /> 9. Dei g used Facility Name and Site Address 10. US EPA ID Number G. State,Faciliµ/s ID 0 gU. IS 7 4 1 8 <br /> 18 <br /> r H Faal ry's Phoro (51 17j 795-4400 <br /> (Y) a ;rrallt,�.�E/�� 1i 161A P 19 & 10 18 18 17 4 1 8 ;- <br /> V 12 C Mainers- 13..Total 14..Una <br /> Z 11. US DOT Description(including:Proper Shipping Name,Hazard Clan,and ID Number) No.. T ssa OW1/Vol I. Wast Number" <br /> _ ,L0 —M Stat Lz <br /> 3 a Oj {,t//� r r, EPA/Oflxa \IU�Jr <br /> G IMIJ RCCA HAZARDOUS WASTE,LIQUID 01011 T IT <br /> m <br /> E Stp1e <br /> m N b. p <br /> < E EPA/OI <br /> R <br /> 3 <br /> H A. State <br /> m T - - <br /> O EPA/Other — <br /> z R <br /> Stafo. - <br /> Z d. <br /> w <br /> J EPA/ahs. <br /> in <br /> N <br /> 0 l.-Additional Descriptions for Materials Listed Above K. Handling Coda for Warts Listed Above <br /> b. <br /> m - c d. . <br /> Q <br /> Z <br /> 0 - 15. 5 of Handling I trvcnaos and Additional inlormatan .. <br /> P- 1 <br /> Z CALL <br /> t .8010 <br /> r 0 .LU.i '{JIL�i� f t�1�u VIL^JT <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare shot Mt comforts of this co ignmem are fully and acmtly radescribed obow,by proper shipping come and am clas.iilcd, <br /> Q pocked,morked,and labeled,and are in all respect,in proper condnon for transport by highway according M applicable international and national gavemmam regulations. <br /> If I am a large q entity gemencea" t terrify Mot 1 here o program in place to reduce the.volume and toxic" of waste generated to the degree I ham determ ned to bet <br /> yeconomically practicable and that I ham selected the Practicabk method of treatment,staoge,or disposal currcmly ave labtom which minimizes the present and future, <br /> hreat <br /> N tto.human beahh and the enrfronmenC rse <br /> OR, if I am a small quantity geratar, I have made a good faith effort tominimize my waste generatwn and sI the best <br /> washa a einm md most is a bble+o me d th +I con afford. <br /> O Printed/Typed Name S'"no Mash Day year <br /> Z t 17, Trans otter 1 Ack owledgement of R elpt of.eat tars '�i _ ___ __--- <br /> Momh Day Year <br /> N kted/ ped Name Signa o ZOTram Iter 2 Acknowlad amen.of Recht of Mmed°Is <br /> M°Mh . .Day Year <br /> w td/Typed Name Si ofyre <br /> O <br /> N19. Diurepan<y Indication Space <br /> Q _ a <br /> V A <br /> Z <br /> _ 1 <br /> I 20. F y Ow r or Opera+or Ceref non of.erupt I li d s mat cored b M I n e c t old n It m 19 lib velli. D, Year <br /> T .imed/TypedNom t K 1•GP. 5a ^' [` <br /> - DO NOT WRITE BELOW THIS UNE. <br /> Blue GENERATOR SENDS THIS COPY TO DTSC N THIN 30 DAYS <br /> DTSC 8022A (9/94) ) To PO Box 400, Sacramento CA 95812.,,y0uO <br /> EPA 8706--22 t 4: Nd�iMSS'* 5 ly S e <br /> { <br /> _, .... .x swda$ AW: <br /> 03/16/1998 "ORIGINAL MANII—ST COPY" <br />