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UNIFORM HAZARDOUS nerolor's US EPA IDtNo. Menifeet Document 2. Page I Informmion in Ibe sh.ded areasis not required by F.daral law, <br /> WASTE MANIFEST ( ofGenvrlr'a Name and Mailing Address A, Slalu Mani(nst DoanaeN Numhur <br /> SHELLOILP3�113I3UMUS24087086 <br /> i 127CE>Q�Y2O t#.^.e-)$Taff .'Irn"T'{^y$i�gf13" g. Stale Gon.a e,lDd. General.,', Phone l 1$1874—y'tZ3$ iw'�Et ,jsfiotis'd.CC'eTi$ 177 <br /> 5, 'ransporler I Company Name 6. US EPA ID Number C. Stu-*Tronspor:er's ID f esarved.l <br /> 1Contvw kmkm**s A ,y 7. r D: Transporlar's Phone -510 2 — <br /> 1.1,93 <br /> 7. Trans orhr 2 Coma Name 9. US EPA ID Number f3 7 L fsi I—) <br /> P P n1' E. Slots Trom rler's ID Reserved. <br /> j.S F. Transporter',Phone_- <br /> IJ 9, Desi noted Facilil Name and 5ile Address 10. US EPA ID Number <br /> g y G. Slots Facility's ID <br /> �a <br /> 255FSR BLH. Faclhly's Phone <br /> RiCFiEAo (Y GA '1 i 510 <br /> ' 11. US 001 D.wi lion mcludin Pr Shl n Name,Hazard Cost,end M Number 12. Containers 13. Total 14. Unit <br /> P I g oiler PPi 8 ) <br /> No. Type Ckwnlily 1V1/Vd L,W.siv Number' <br /> Noh—Rf.rt{A hazfardaus wasta, sdid T)3 state <br /> z e ( EMPTY STORAGE TAN / 512 <br /> /p� //`f�? / EPA/Ol , <br /> fV <br /> ao E <br /> J R EPA"01hsm <br /> r A <br /> o T <br /> m 0 <br /> R EPA/Other: <br /> d <br /> Etdle' <br /> G <br /> i1111T <br /> EPA{Other <br /> I. Additional Desncm war For Materials Listed Above <br /> Z W - K. Handling Code,for W.etes.El.lad Above - <br /> V. <br /> (2 .�Sri.Taa�} o, . �- �/ b. <br /> I <br /> 15. Special Handling ln,tructiona and Add'ti...I Wcunn olian <br /> a Wear while harldli log. weights of val"e:tes are att�rr�x Y�sa£e, <br /> z aura. <br /> :".:$i't"'l2'�`£St 320" C'`'Cri CLmLwYw' F.:'.:r a���..:e °YJeVli <br /> SITE ADDRESS:c O 7 /I�/!7a i n S`-I� f_ : s <br /> C16. GENERATOR'S CERTIFICATION: 16.rebydsclare then c.nienh of Ibis consignment are fully and accurate)y described ebovebypropenhippIng noose and are dmaiFied,packed, <br /> marked,end labeled, mrd ora in all respects in proper mndilion I-,Irvmperf by highway oco,ding to applicable intemclional and national government regulotians. <br /> IF I on a large quantity generator, certify thus I hove o pro55mm in place to reduce the volume and loxicil1yy of woofs generated to the degree hove determined b be economieollyy <br /> j practicable and Ilial I hove sakekd the proclicabe madwd oftreatment,storage,or dispo of currently woi(ob.e t.me which minimizes the present and 6dure threat to human ,aelh <br /> and the environmenl;08, it I am a smetl gaanlity generator,I have made a good(villi oFForl to minimize my wast.generation and select the best wm,e managemonl malhod Ili.,is <br /> .voi661.to roe and Ihal ca..fford. <br /> Prinladjiyped Noma Signolure n! /'f Mont Da Year <br /> Z— C /' a ("Y. <br /> w' r <br /> (� .7 17. Transporter I Acknowlvd ament aF 7ecei of Materials <br /> 1 G 24diel/Typed No Signals' Mon Dv Year . <br /> P <br /> 18. Transporter 2.Acknowled emenl of Reui fol Abferials <br /> Prtnbd/Typed Name <br /> to 5ignaNre Month Day Your <br /> h II <br /> <i _ <br /> 19. Discrapanrylrsdicaion Sp.<o <br /> L F <br /> _ A <br /> I eD. Focilil w Cr or O erot.r Cerllicahon of recti t of haze rdous materials covered b this manifest exce I.noted in Ilam 9. <br /> Printed/iypad Nome 5ignorore Month Day Year <br /> Lr Di oLS <br /> o M <br /> 7aY �(°j DO NOT RETE BELOW THfS LINE. <br /> t '112A 1'/99) White: TSDF SENDS THIS COPY 70 DTSC WITHIN 30 DA'Y5. <br /> E" 8700--22 To: P.O. Box 3003, Soc-amenlo, CA 95812 <br /> 8'd V"ZO/60L9L PUOIu401,y - 1 0 3 eZb LL 90 4L 0e4 <br />