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May-21-01 08 24a From-DA CUST +3105378388 T-898 P.02/03 F-951
<br /> Stare of Califarni, /�•*ronmemal PrQrerhon Agency
<br /> Form,Appra.ed C 1 Na.2oso-o03Q(E.P—s 9-30-99) See Instructions on back of page 6. Dapertmen,of To.ic S.booncas Cowr
<br /> Please print or ryv-j. Form designed For vso on elite(I2•phch)rypewiter. Sacramento,Californ,a
<br /> I. G.n.rorers US EPA ID No, Man:fesr Doe....,No. 2. Peg. 1 In farmorion in the shaded.,.as
<br /> UNIFORM HAZARDOUS is not required by Federal to—.
<br /> WASTE MANIFEST I b of
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<br /> fV S. Tram orter I Company Name 6. US SPA ID Number C..Slphe�rgehpp��4(► �• i,�',,.�;,
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<br /> m 7, Trons otter 2 Company Name 8. US EPA M Number E.'tSR>rei _ •$rte.='"'= "�ti"' ,y�17".
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<br /> V 10, US EPA ID Number �+ !,. , 7L.
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<br /> � 12. Conrainen 19. total 1 i. Unit
<br /> M V 11. US DOT Description(including Proper Shipping Nome,Hazard Clow and ID NumbersNo, Typo— Ouon
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<br /> E THIS W%STE.S REAM HAS BEEN QUALIFIED EPA/Other
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<br /> R CALIFO"RidIA.�,IiS FACILITY HAS THE NECESSARY I ,.�.,f•.
<br /> d. PERMITS TO RECEIVE YOUR WASTE STREAM AS �°�
<br /> Z Q11�1 AIEQ OUR'EPA NUMBER IS CAT080013352. ErA�an..
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<br /> Z 'J. Add,lonul 0w.di ipdons for Meterlors Lisrr d AbcN: '» ! =::i, /th,r? yg;!'.•..;'rl�:• 4 L k.: ,.,.,(.Od'- rotes -
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<br /> Z IS. Special Handling Instructions and Additional Information PRS• S ^�[�� J� 4 V L4-\L Ce' I ItlwxLw1
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<br /> l a. GENF1lATOit'S CERTIFICATION: I hereby d lar;that the contents of this consipnmeni a'. y and accurately described abo"by proper shipping name and are classified,packed,
<br /> Vmarked,and labeled,and are in all respects in proper condition for trampon ay highway according ro applicable:niernationol and notional government reguiations.
<br /> If I am a large quantity generaw,I certify char I have a proggram in place to reduce the volume and toafcity of,caste generated to the door..I hove determined to be economically
<br /> i practicable and that 1 hoe selected the practicable method of Irwrmenr,storage,or disposal currently a.aileble to me which minimize,the prosent and future threat to human health
<br /> and the environment;OR,if 1 am 0 small Quantity generator,I ha+�made a good faith effort to minimize my caste generation and select the hast voste rnanapement method char�s
<br /> ovoiloble to me and that I can afford.
<br /> G Monti Dgy Yer
<br /> �. Printed/ ped Name Signatur
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<br /> T 1 7. Trons rter 1 Ackno—lad omen,of Receipt of Moreriab
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<br /> w p 19. Transporter 2 Ackno—lad emenr of Receipt of Materiels
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<br /> V 19. Discrepancy Indication Space
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<br /> 20, Foci li O-nor or O orator C.rnReerlen of receipt of hozord—.m ,enols counted snit mangiest e><ce t as noted in Item 1 9.
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<br /> DO NOT WRITE BELOW T 5 LINE.
<br /> wh;re: T,-DF :ENDS THIS C;PY rO 0TSC WITHIN 10 Da'''
<br /> DTSC 8022A(4/971 'o: P.O. 3og 3000. Sac,,3mento. GA 95312
<br /> EPA 3700-22
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