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.02NON-HAZARDOUS 1.Gereretor ID Number 2 Page 1 of 3.Emergency Resgarse Plan 1.1YUY Tracking Number <br /> WASTE MANIFEST DT <br /> 1 I-80D 62M1A136 1117-00470-SIN P 15276 <br /> 5.Gemiatos Name and Maikng Address CXeneralbta Site AdNess(d Waters than massing address) <br /> AS.H-TRANSPOR1 ATION l IS 2150 FONTANA AVE STOCXTON CA-45204 <br /> P.O.6071 3" <br /> MCFARLAND CA 93260 <br /> Ganem does Plane: <br /> 6.Tramponer 1 Company Name U.S.EPA ID Number <br /> PATTUOT ENVCRONMENTAI SERVICES CAMS3866194 <br /> 7.Transposer 2 Company Name U.S.EPA ID Nwwmt <br /> &Destrated FacAty Name and Silo Address U.S.EPA ID Number <br /> WASTE MANAGEMENT-Al TAMONT I ANDFILI 6 RFSOIAICF RECOVERY FAMITY C AD9813827�-: <br /> 10840 ALTAMONT PASS RO <br /> LIVERMORE CA 91551 <br /> Foil' aPMne i <br /> 10.Containers it.Tont 12 Ural <br /> 9.Waste Shipping Name and Descdpaon <br /> No. Type Owrroty WUVOL <br /> ¢ HON HAZARLX7IS WASTE SOL1D(508.EXCAVATED FROM DIESB SF7LL <br /> CLEN4 UP) �. CM <br /> W <br /> W 2, <br /> O <br /> 3. <br /> 4. <br /> 13,Special Hantlhg ImkucWis and AddawW INonnaa0n <br /> USE PROPER PPE PR0F1LEff 633408C:A 70BM 11-1700470 <br /> 14.GENERATOR'SIOFFEROR'S CERTIFICATION:I hereby declare arae the Contents of ads ogmlprmef are tdN and accurately described above by the proper sNpping mama.and an dass'AW.packaged, <br /> marked and Iabelediplawrded and are in all respects In proper owddim for Innzpod=rding to applicable inlemaaonal and nalionN gouemmental regulwiwns. <br /> GeneratoesVerois Pnnnedffyped Name Signature Aloft Day Year <br /> g 15.Wematicxul Shganems <br /> ❑import to U.S. Effort M1oln U.S. PM of enlrylexa: <br /> Transporter Sgraturafore Date leaving OS: <br /> ¢ 16.Tramponer AckmMeagwnt of Receipt of Materials <br /> ETranswwd l PnfdecvTyped Nae \ aWre Mond Day Year <br /> Transponer 2 PrimeNTyped Name Sgnalun almnm Day Year <br /> k- <br /> IT Discraparcy <br /> era.Dwepwky Indkatm Space ❑ v ❑Type ❑Residue ❑PIAN RWd. ❑Fu1 Rely ton <br /> Mandest Relvercc Number <br /> > 17b.Aaemate Fadlity(or Generator) U.S.EPA ID Number <br /> CJ <br /> U <br /> LL Facikrys Plan. <br /> 17C.Signabae of Apeman Pettily(or Generator) Moron Day Year <br /> 6 <br /> i <br /> 6 <br /> V! <br /> W <br /> D <br /> 16.De"r aled Facility Ovmer w Operator:CeMfx;atm of re"of materials Covered by Ne mwNed aXCW as noted m aom 17a <br /> 1 ANrth D}y Ye <br /> PnnterUTyped Name / Signature / <br /> r ) r '. i G1 <br /> 169-BLC-05 11977(Rev.9/09) GENERATOR'S/SHIPPER'S INITIAL 45PY <br />