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E-Copy sent by GEM on 3/19/2013(AMGL) �'J <br /> Please int ortypo.(Formdeafened foruse on elfe Impitch)lypmtditer' Fam raved.OM/B No.2050-003DUNIFORM HAZARDOUS 1.GenaratalDN4mtta 2.Pagel of 3.En,arguwyRespansaPharro Lmanuesl Track, Number <br /> WASTE MANIFEST 0 0 9 0 8 4 2 9 JJ K <br /> SGenaraWrs NameaM lAaung Address p. �� ° o i •. <br /> Gene s r s Of eranTlhan atalhg address) <br /> Pr&P— MANIPESTS STOCKTON SERVICE CENTER <br /> PO BOX 7640 4040 VIEST LAME <br /> GYnera&RNmiTeRTsNCI5COs CA, 99120 <br /> 6,TPonapodert Conspany Nzme �� U.S.EPAIDRumbe, <br /> P 1 �St IrL Ugtrial sere v-a CAR 0 0 0 1 7 5 2 7 <br /> (� 7.TiaasPoderl ny Hamn <br /> PA 10 <br /> NIarher <br /> C,, S.De;, noted Faytily Namsand deAddrass U.S.EPA ID Number <br /> CM4 of Rancho Cordova, LW <br /> 11855 white Rock Road C A D 9 8 0 6 8 4 1 8 3 <br /> Rancho Cordova, CA, 95742 <br /> C FatR1YY Plsono: % e <br /> nnpA <br /> as. 913-U-8-001' P'0WSVppxg Nam,Hazard Claw,ID Huiber, 10.6nthd 6 it.TOW 12.Unit <br /> HM and PacvfQ Grow(deny)) No. Type blarney Vit No. 11%vaste Codas <br /> 1. <br /> o UN1263, WAb= PAINT WdS.ATED MATERIAL, 3, P,I ID001 D0_35_ <br /> �C 0 0 1 D M ( P ' FOO, I12,13 <br /> z 2. s <br /> NON RC`.kA a"ARDOU-9 WASTE, SOLID (F= FILTER„ $5r: <br /> OIL FILTERS) 0 0 3 D M P --- -- - - <br /> �, i <br /> 0' NON RCRA HAZARDOUS WASTnj SOLID (OILZ DEBRIS) 35^. <br /> L) O D <br /> 4' NON—RCRA HAZARDOUS WASTE SOLID (EMPTY DRU146) ED <br /> 0 01 OM �Ell <br /> mdbn sW nd sgn2UNo�m0 3S. <br /> 14.SgyiFe l��t'Yv��le�9 <br /> Line Line 3: Prufile:49Prof 20610Fr �s-S z0 ` '�°`""' s`l`- `�• JUN 1 1 201 <br /> K 5— ap. <br /> ' Line 4: PLaflle:.492063; f LC SS" ^ LAU'—+ <br /> 15. GEIIERATOR'&OFFERORS CERRfICATIONt Ihe,ebydedare0sallha cmtenlsoLgiswn.JgmuM ate NGyand accts)elydasulbed above by the paper shlpp'ng name,ard j <br /> EVorteelmrbfy that rawtmtndithis respeA;In poperrothe ter oft hepadaaadmgbappfcaNe hhrradonsortT latonalgovammen'al regWa'ions.lfarpod aNpnenl an�N�dIR©GENT <br /> FipodeM IcerMy was Dao aontenk of this cansg0mentwnfomsb me fermsofma attached EPAAuIuo»fedgmenl d Consent. HEALTH DEPARTM <br /> t WM1�ty U,al Ihssraile,nBdrrJzelion aNlomenl l'1erd1�In 40 CFR 282.27(a)(d I am a Nrga quanGry generates)or(b)(lll ameamaiq�a,t0y genamta)to W e, NT <br /> GemratoyaiOderpea Pdnsdrrypad Name S: Month Day Year <br /> 113, <br /> -� 6.nternaGonal Sh'pmenls <br /> ❑Impod to U.S. ❑Fxpatthen U.S. PartoleMryleaiY_ _ <br /> Tl.mWersignalue(WexpMs only): . Date leasing U.S.; <br /> 17.TlmspoderAdawaladIpmAdRecW of Mala.&s <br /> Tites1FMtedRyped Nam9 s: ,e Month Day Year <br /> Rrmepoder2PMleNlyp SQnalwe 1 Month Day Year I <br /> I18.D'screpwq rr11 <br /> 183,D'screpahsy Indrabon Space E)oosnBty ❑TSP. ❑Resale uPeru Releeuen EJ Fut R.*u n <br /> Banlfesl Relerence Number. <br /> L 1eb.Adorn);FaA.Ry("Genew1w) US.EPAID Number <br /> U <br /> Sas. Famys Phone: <br /> Fa 18c.80alumcfMonnate FadVty(at Generate,) Month Dr/ Year <br /> X <br /> N10.Hazadous Wxsle Raped Management Method Cdes(I.e.,codes lahazardous wasle eealment dspoul,and recycing sysicrosl <br /> 1 q'i2 111 q <br /> 20.Designated Facily0anuor Opwatar:CediheaGonofrawipt of hazardous maladah cmved by lfm marc(estemeplaYratedln Rom lea' a{.IHI <br /> PMled'pps ane( S'gnotu Month Day ear <br /> Al 1 � / � IL3I15l3 <br /> EPAFoati5700-2Z(Rev.3-05) Prevmusedifiunsentobsolete. DESIGNATED F TO DESTINATION STATE(Ip REOUIRED) <br />