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a Ip it <br /> � dp-r-0039,Fri 1x40 <br /> fb. Almost at + KW go 1gt ''lnlbimotion high : res <br /> UNIFp, S y Q°"°nloreAIS EPAADdId ti :., met ' <br /> jt Ko a.off` Is not re0ulred by Fed <br /> A2ARDOUeral law-F"'-' <br /> WASTE MANIFEST A. <br /> A. Stele Manifest Document.Number r <br /> ame <br /> iling Address <br /> ` 9facif_icNGaSnd&aElectric Co. N: Attn. R. C. Anderson 8 <br /> B. State Gearetor'a w ,f <br /> 50 'O1y"St. , Fresno, CA 93760 t Stockton GLC 8 719181 . <br />• 4. Genefator'a Phone(209 ) 263-5215 <br /> 5. Tranaponer3 Company Name 8. US EPA ID Number C. State porter' shoe ID <br /> STAMCO ` <br /> CAD 0 6 3 5 4 7 9 9 6 D' Tr."aP°"er'•Pmmne 800-759-4211 _ <br /> B. US EPA ID Number E. State Trenaponer'a ID <br /> a 7. Transporter 2 COMPS Name - F. Tran mwera Phone - <br /> .v.. a10. 7. 1. "we, <br /> ..' US EPA- Numw, <br /> 9. OealYAsted Fediky,Nvanibla�n�d SMe Addroge # _ - - <br /> Chemi Cal Waste �idanagement H Faciliy'e Phone <br /> Kettleman Hills Facility Kettleman City. CA 93239 <br /><_ 35251 0ld.$Kyline Road- . "A 0. 0 O fi 4 6 1 1 7 x;209-3 Total 1 _ . - <br /> Z _ 12. Containers 13. Total turn <br /> t <br /> 2 - OueMiry-' Und Weare No ' <br /> O - 1/.US DOTDAsmiPlbn Mdudirq Proper 3hiPPleg Neme,HAurd Bass.and D Number). - ..:No.' Type .t - VA/Voll ? <br /> h <br /> LL - $tete Z. aMfW <br /> = c : California Regulated Waste Only - Contaminated soil T' 0 p 0 Y <br /> = E - state <br /> N w%w rt ai + <br /> 64 R. EPA10thef <br /> 9 <br /> - <br /> cy, <br /> .�. yfLh ,/3r{..�.'/' I F I '4}�{ W M L �` V n(S`n4\G.I^V 1R1,r"*Y^.ft ^t•..�- � S �> 4 L ap` <br /> _ - +Nwuafenaind'+�1dy� <br /> LISOM <br /> w r c• 1 f <br /> � 'dufinq`' Yoadin a spkl� � ren <br /> ✓ � ':.t .e fe;liq Y �cl'- F �fjs+,, -Ti`w ' Y`�.r« 2 rte" -< aT. 1y..n fent <br /> � : (. <br /> GENERATOR'S CERTIFiCAT10N. -1 hereto dedere roar ltre contents al this wnei r rose"port EY hiUdescribed <br /> Y According to aPP"cable in_temat..ir and. <br /> _r - end am classified.packed.marked And labeled and are in alt renpecla le Proper _ .:;' <br /> ' , national govemma d regulations. ..., ., .. --r +...-" ro, . , - 3e generated to, angina" ? haw <br /> .. <br /> -lt 1'am�a Large 0wntlry generator,l certify it I ave a program in place tareduce the volmoe and toxicity of disposalcurrentlyAvailable too m rf ich mink hho <br /> O .to be eoondmicasy'practicable end that I have selected the predicable method of treatment:Alotng«�u�.reads a good idth effort to minimae my waste <br /> present And future threat to human health and the environment:OR.if 1 em a email queriOlY Sana <br /> > tlen eM select the boat waate management method that is available to ms and ihat I man alba. <br /> 9emtspMonth ;Day Year <br /> Lu Printed/Typed Name .' Sion re / 6 <br /> W L 1UcZA A. MUt,PO <br /> W T 17. Transporter 1 Acknowledgement of Receipt of Materiel° <br /> R nature Month Day Year <br /> A Pdnled/Typed Name A. <br /> N <br /> LLO S <br /> P Ack <br /> 1e. irAapo to 2 nowledgement of Recdpt of Materials .. <br /> w 0 - gonature, FF,,t`# '� -' LC ,�, : .Il�inrh - OeY" Year ; <br /> < `T P lntedlT*Ved Name r *. ^t" _ I'l L V r. <br /> 19. Discrepancy Indication Specs - <br /> F MAILED <br /> A <br /> C <br /> e t ea noted in Item /9. <br /> I 20. Facility Owner or Operator Certifi<etion of receipt of hazertlous materials covered by this ma P o a <br /> T Signatu <br /> y Printed Name }� `. <br /> DHS 8022 A(1/tib) Do Not Write Below This Line <br /> EPA 8700-22 <br /> (Rev,9-03)88)Previous editions are obsolete. Yellow: T$DF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />