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d nMSM ?ye a .. <br /> x M" AZ It $A4 4, en 61fs 8'EPk - "meet No < w�xt• <br /> NIFOR u �fl $ $ 8 r"9 bl snot reeu re�by Fedarel law <br /> WASTE MANIFEST C 9 A. State Mendest DocumenP Number <br /> 3. Geperator'a Name and Mating Address t - 8 <br /> ' Pacific+ Gas & Electric' Co. Attnc. R. C. Anderson B. state Generator's.ID <br /> 11 ,0° Stt, Fresno, CA 93760 <br /> _ 4. Gen rotors Phone _ C. Slate Transp0rlaPs ID <br /> 6, US EPA ID um er <br /> 6. Tram poner t Company Name O. Transponer's Phone gon.7 _ <br /> n - E State Trenaporter'a ID <br /> g_ <br /> of 7, Iranaponer 2 Company Name - US EPA ID Number F. TranapMar'a Phone <br /> a v\, x. . <br /> _ fUS EPA Num r. <br /> G.State Fardle ID: <br /> 9, Designated Fa iry Name and 3Ha Addrads <br /> Chemical Waste Management/Kettleman Hills Facility N FacilAY•s Phone - <br /> 0 35251 Old Skyline Road _ <br /> < Kettleman� Cit � 'CA+ 93239 az.Cone nera 3 rural 4 <br /> _ GaemdY Hliv waat�e N <br /> ¢O Name.Hvard CIA",and D Numbed No. Type <br /> LL 11.US GOT (Including Proper StdPpklg State, yam`°=' <br /> a. California regulated waste only - contamfinated EPA/qhx <br /> - soil <br /> .k44I <br /> �1 ` # ' y� � � i'�>��r f � �.f � °`r, 11F �fy+ #• �i�i Yl MJF AypH1eE ` <br /> rn)3�•.v5 l �b� trts?F / ? e ( r J^ i�•�� ttyy _W r d < 7 syr^�a 1}t a'r a i:`� 43 -k• 4 r, orV- yyr;.�- {,� 'y, a•c •% x ,A/fJlher ; <br /> `35T„tie <br /> () M 'tip f•i�`} .YnJ. �.�, Y _ <br /> 03 <br /> �,+ a6,Spaolel fta°°°°gt0°61°d AddNbNl'tld0lm°tb° XMI _ <br /> 10'aidiaiit�' a{sy O l�rrr <br /> R <br /> x ccn <br /> nyzo s�e <br /> 16 <br /> e according IO applicable NtMlsUoastylP4'i+ <br /> -GENERATOR'S cERTIFICATION: I hereby dedere that the rto,•rienla of this consignment ora tugy,and emoted described above plpropeTntayisagn°°re c y <br /> and am classified,pecked.rnerked and labeled and are 1n ell roapods in proper condition far transP°n M highway ' . - S . <br /> S national gavemmea regulations < - . , Y. <br /> N - - currency evaiebb to me which s.tloYNaae lite <br /> ¢ N 1 em l large pueinHy generator•1 certfty that I have a Progrem in plea to reduce the volume and toale*of twits generated'to the degree 1 hava-0slermktad <br /> O to be economic ally practicable and that 1 have selected the yrecticabb method al i uatmeM.staratN dr e"defrosted r, ?L.a.,. <br /> > <br /> generation and sehct the best waste mene0 ant mepresent andthod that IIne threat 10 human health and the"VilwWrelvd:OaRavaikI to me if I am a smallquantity <br /> d that I c°n afford.�w"rade a good Ieith effort to mkiYpiae ntY'yr°sts <br /> Signature ManM'..Day Y~ - <br /> Printed ad Name <br /> W T 17. Transporter t Acknowledgemern'Of.Reaeipt o/Me anab. Month' 'Day Year <br /> R: Signal re <br /> << p Prim /Typed Name <br /> N <br /> O S •:. <br /> F gelpof Materials, raor ` <br /> ay Year <br /> h SI <br /> T T <br /> RECD <br /> E <br /> . 19. Discrepancy Indication Space COPIED <br /> MAILED <br /> C <br /> I , <br /> I 20. Facility Owner or operator Ceniffcation of receipt of hazardous materials covered by this manileat except as noted in Item 19. Month Dey Year i <br /> T Signature - O <br /> y Printed/T ed Name <br /> ONs eozz p(1/ee) Do Not Write Below This Line <br /> EPA 6700-22 <br /> (Rev.g-SB)Previous editions are obsolete. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAIS <br />