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arm Approtad OMB No,2p50.00391E.pira, aii,991 See I4E11"UCtiOns on back OFO e 6. <br /> Pl.asa print or type. form designed(or w.on elite 11 T.pikh)w triter. P 9 D.parlmenl of Toxic 5a6stercot Cosh, <br /> Sacrament,Californio <br /> UNIFORM HAZARDOUS a^orator's US EPA ID No. Manileg Detainer 2- Foga I Infomafion in the shaded oras <br /> WASTE MANIFEST h not regF,red by Federal law <br /> 3. Generarcr's Name and Mailing Address <br /> rONNELL MOTOR <br /> "211 N. WILSON WAY, S'TOCKTON, CA S`i205 <br /> pli l <br /> In A. Gemr.l.e, Phone (209 1466-24 1 1 <br /> S. Transporter(I Company Noma S. US EPA ID Number <br /> NOF'. GAL OIL 1. ATS If l'.' 4 17 ? 55 <br /> 4l 7, Transporter 2 Company Nam. 8. US EPA ID Number s ' <br /> �' Inti:.' <br /> 9 Designated Facility Name and Siy Address 10. US EPA ID Number 1 <br /> �Z Yr^-IY$.I UE OIL IIy INC . <br /> q <br /> 21{.1 ENC_ INAL STPEiET <br /> 00 SANTA C-PI)?. CA S5660 7 5 9 3 Z �� <br /> Q 11 US DOT Description liacludi Proper 12, Containers 13. Total E. Uml <br /> 0 Vng M Shipping Name,Hazard Clots,and ID Number) <br /> 0Z a. No. T e Quantity Wt/Vol I r <br /> l?? NON-'PC'P.A HAZAPDOUS WASTES LIOUIL� <br /> 3 G `WATEP.i f.1 tel T T <br /> n E <br /> o N <br /> m E <br /> C4 A ;k 71 <br /> o T <br /> m O k <br /> R <br /> w d, - <br /> v �y , <br /> N 5 PAF' <br /> Z ! AddltiondT2 aa.F fw AMt.iob klsMdMw6 ti Y �n wastes Usled 14 1 ; <br /> 0FC,INSE4T ' 9'C <br /> s+ 1 z�4h +A!y �,sf a.l j7rbl <br /> Z �.... ). �)/�dr#"��i♦gpay�� I$It" +dF 1 41•� d Br I ; k'� <br /> p 16, Special Ha dhng Imtrvcli ns and Addition hrmobon <br /> C ;PPPOP'PIATE PROTECI'IVE CLOTHING <br /> Z "EMER(iENC:Y CONTACT: 1'209),ni41-51.15,, <br /> w <br /> ' EE E.P. Q. 171 <br /> 16 GENERATOR'S CERTIFICATION: I hereby decl.so that the content,of this consignment or.fully andaccoraulrr,described a6ore by Proper shipping name cad ora classified,packed, <br /> U .1k.4,and labeled,and are in all raspach in proper condition for Ironspad by highway according b applisadde international and notion.)government ngulatiors, <br /> J <br /> If 1 am o krge quon4y generator'I certify that I here e pro <br /> gmm in plata to redo..the roluma and to.iciy of wopa generated to she depra.I have determined m 6e acanomicolly <br /> un sumakabla and that I ha a selected Iha prac)i.obla method of rr.otmant,storage,or disposal cursorily oroila6le to me which minimizes the pr.wM and hlure threat to humor health <br /> and the arwironm.nti OR, if I am a.moll quantity generator,I hara mode o good faith effort to minimize my waste generation and select the best waste management method that is <br /> O ovo7lable to our and that I coo afford <br /> y Printed/Typed Noma Signalun Month Da Year <br /> Z 1 "7 ' !j 7L,' ryy <br /> r7 y <br /> (� 1 17. Transporter I AcknwleciRmentof Rscal tzfMorodals <br /> 5�ir A Printed/Typed Name Signator Month 'Day Year <br /> a� P LEN S. PI,IETT Ix <br /> W p IE, L otter 2 Acknowled mens o1 Ra.ai t of Materials ' <br /> 0 Printed/Typed Noma Signature,zsMonth Day Year <br /> w [ <br /> Q ` <br /> V F 19, Discrepancy lnd.cohon Spot. - <br /> 7& A <br /> C <br /> l 20. faSili Odwn r or O rotor Cedifisation of racai 1 of hazordoul materials coneSignmure d <br /> T Printed/Typed b this manilbl except as noted in its <br /> 19. <br /> / ^ _ <br /> Y �� Month Pay Yaor <br /> DO NOT WRITE BELOW THIS LINE. <br /> D75C 9022A 16/Y/1 <br /> ' IRA A36a—SI -...... .n...,..r.:.r..,,. .,r.,....... <br /> L I,A .�\Y Leir <br />