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• <br /> e <br /> JAN-10-94 MON 13 ; 18 ' RC/REFINERIES SRVC <br /> sim.of GolB.nJc---lnNmnnm•dal PrvbUl.nA 2098928574 P• 02 <br /> 9cncy <br /> Form 4ppro.ed Omb No.]OSO-lg39(Expirer 9�OYaj SUa Instruchons on buck Uf pc8d 0, <br /> al.ou pnm or ryp.. farm de,gn.d for eN on din.(11Pin<A)yp.wniu, Dapanmrnl al ioalci 5emtahpm Corlra <br /> Surcmmlo,CaLlomlo <br /> UNIFORM HAZARDOUS I' Genera or'1 US EPA 10 Na, Manilesr Do<umem No. 2, Paye 1 Info,moliao In The thaded 9,801 <br /> WASTE MANIFEST V Il rmI,.puiNd by hdaal kJ,, <br /> V i al <br /> S. Generolor',Nom.and Moiling <br /> (D C s 45 h```� a .ti Ti '19Flt <br /> e. y.. <br /> h 1. Oan•ralor',Phone / ' Stotl Gewero{ ,. i `h T)i�, s1 A <br /> T M:. <br /> S. Tromponu I Company onw 6. UE EPA IO Nambu CvSW10 TronpolFe/!ID�'i;;� a:; � <br /> PRC PATTERSON,INC CAT 74 <br /> 0 $ 0 0 1 1 01519 <br /> •D` t°'P"*�' _ <br /> -7.77;.12 Company Nom, E. US EPA 10 Nambu " "'�' <br /> •�• J - E Sb6 Tramportele <br /> c 1] Q - ri T1�OdAer'e Phone <br /> 1 2- 9. Dtpa.I.,pp Fuih Noma and SIN III 10. US EPA 10 Nambu <br /> U� PRC MATT RSON INC . 3�h fac(lby'e to b { e F •r''•3 v, `<. • ',_ <br /> G7 13331 N. IM 13 Q A D 0 8 L3 1 6 <br /> PATTERSON,CA 95363-9998 C A D 0 8 3 1 6 6 7 2 8 K F.cdffve " } <br /> 8l >j%4 k4.44�y 'ae tl ,;. <br /> :r <br /> ' � Z <br /> 11. US DOT Oe,criptbn(Including Propar Shipping Name,Hazard Clan,and ID Nvrmbul IT. Co Ire" 10. Tocol• 11. Unb :"' � -• <br /> No. T �' (a 1 <br /> Ouonl WI Vol L'.�4odi: rr� r't <br /> o. <br /> 4 NON RCRA HAZARDOUS WASTE LIQUID 0 0 1 2 T 4 <br /> CPA/ <br /> d T C. <br /> EPA pplIMn�' 'f'y� <br /> 0 <br /> R <br /> d•w I r <br /> ZO 1' d,I,id,af fks< 1,mclforMok,RolsiLesN' t 6oFe '..xi _ .x ••Ijmxrl%�g,Cvlgs.foi lVmlea load A6o.» C F c -{:• <br /> 13. Sdui Handling Imtruction,and Additional Inlo,malbn <br /> r TZ HR. EMERGENCY CONTACT- PRC 0.1-(800)-874-4444 <br /> z 24 HR. EMERGENCY RESPONSE: CHEM TEL INC. O1-(800)-255-3924 <br /> w <br /> APPROPRIATE <br /> PROTECTIVE CLOTHING b <br /> RESPIRATOR. <br /> 16. GENERATOR'S CERTIFICATION, 1 h.,.by d.ckr•rbo,the Omena of IM 1-491 an I.Ity and ucaral•ly dntrlbed ober by proper,blppLb name and are d.I <br /> Packed,marked,end labeled,and are In a8 u,pade N prpel tondill"fen kcrosperr by hlghway according to opplkable federal,,Imo amd Inbrnalional lova. <br /> J If I am a krge quanlby gerorotoq 1 eerllfy Mol I bore a prepram In pfoee to Ndue the volume and laakky o1 wa,b generated to The degree I haw delvmlMd b M <br /> secanamimlly prackable and Thal I Awe .IM•d the M.1k.bb ina"of I,ealmem,aerage,or dl,pord mu.nl o,1*g n to ed o The degree <br /> IhNm to 6.,e,hoahh and the<nd.omvenl, OR, If 1 am a ,mail gaantiy generotap 1 hon made o o" fohh effort la minfm6e m iI,kno Ilve pN,enl and 1VN18 <br /> N 9 y wale gmemllan and ,ol.d the bap <br /> ' In <br /> wa,N management med+od rhol b arailabb to me and Ilial 1 can afford. <br /> • PdnUd/T ped Nam, N <br /> T 210 <br /> � (/,/ <br /> l/ I Memh D. o <br /> Z . 1 Lam vier 1 Ahn0w6,1emenl 01 R, el t of Mclub <br /> N Pr618d/Ty d No w SIg,NNrs <br /> a <br /> � a <br /> oU. Tion oror < 1 d nwnt i ar <br /> � ...... ype ame <br /> O a: <br /> R V,www w...•A as Y •.. <br /> Na 19. Dlw.pamy Indlaallan Space <br /> U F <br /> �l F <br /> Z � <br /> - 1 , <br /> L <br /> I 20. F.61 nn er valor ereliwll.n of rwi r.I h ,.rd ..Wig l r k Phil monll.a..C491 91 nal in It.. 19. <br /> Y Prinked/Typed Nome SlgnoNn ! Monlh <br /> 9, C 15 Day Y•ar <br /> O G 4 <br /> DO NOT WRITE'BELOW THIS LINE, <br /> DTSC 80224 17/92) 'i While: TSDF SENDS THIS COPY TO DTSC WITHIN JO DAYS, <br /> LFA 4700-72 To, P.O. So. 3000, Saaamenlo, CA 96812 <br />