Laserfiche WebLink
rlw3e pdM or qpm(Form des' ed(or:Ise on s j12•pddt) mbr.} —_ Form Approved OMB Nd.20�0•LM <br /> UNIFORMHA2ARDOUS 1 GareratcrP)4amber <br /> 2 Papa 11 d 3.Emergtuxl'Resporsa Phone 1San:e317ra_hfng ttimber <br /> A, cflANIFEST CARDW142183 1 948-BEi9-3T0$ 0001.7056 7 Ff E <br /> 9.Gen s irsrte am MaingAddtesa Gznen s Sm. <br /> USA <br /> tid raM than mai gni a0drass) � -- <br /> USA PEtroieum Corporation USA 3888 <br /> 905 Rarr-j'to Conejo Blvd. 2448'N Kett!eman 1_3119 <br /> Newbu�Park,CA 91320 +4 # t7 5200 L odi.CA 06242 <br /> —­— <br /> --- <br /> i.t arspc s t cU.mipany N-rra US EPA�tiunfhet <br /> SELSHIRE E!vVIRONIVIEVAL S;–:PVICES, i•dC. <br /> 7.Trarsxlg 2 Carp" aha `��,`��^�`.-� U 33 Qt A ID Wetter <br /> 3Des3nsed;adh''� aodSlaAdriass UaEPA Nwtmer <br /> LIS Ecology,Nevada Operations N,fT�3f0�Q <br /> Highway 95, 12 miles S of 2eatty <br /> Xd!�`! 89003 --- -----__ ___ 776 6_F~,2203` I — _ --- <br /> rx _ - —J.Cmtaners -- d.a1 ti CaI <br /> ab.U.3.DOT Desaplan(MudcgProper SMRPYSName fiazardCgss DNurDer, _ 13 N:aseCcde <br /> 9a. ardPaddMOroup9arry» -{I--.v anti!Y ',51?:d. <br /> 1 Solids, Containing Flammable Liquid,n a s,4A.UN3175, o <br /> o x <br /> it fSD I <br /> I —-- -- <br /> u Woal Handtrq rmWokns m4 A+dc-Fro 7mvien V&AP ALL APPIROPRIATE BEST:1368£ tA86 <br /> ERG#E 133 PROTECTIVE CLOTNI?tlr3 ! �oFrOe <br /> =,Ql.tiAl <br /> t <br /> — -J If - .....-e rap <br /> SS G NEERATOR't�OFFEROR'S CE. IFICATON:I humN sedate that tte Cunha*11 his oorsigrmerd are Myand aeartalely described above by ItN proper ship(dn9 nor!and sa ulassir'ed F <br /> mwkd and tabete#`p'acarded,and are In V1 TesPwz:n pruw cort4lCat tar Ira,taport aocsding b applicable i netatlonal sad nasonal govemtentat m9owtons Y expo t stion eM and I am Ce i Amory <br /> Exwter,I CN*that Uv oonterds d tis ecnsgrmeM conform to Pas terms of to W%dted EPAAdrro�sted#rerd d CerseK <br /> I certify Plat Pre aaste mmrri�aPanaknxrt Identttkd n 4G CFR 26277(3)(d I as a large araofdy 9oner�tar)ur(b)•71 a a smell only Ganaratn'1 te Ir'JC.i_----�,_ <br /> „xorCtcvhr er s ty harm <br /> �grta gra L13Y car <br /> Larry ivl_ootnalrt�of BESI on behalf of generatro-fir <br /> 18 Inb robonal SFrptaMa _.— L 6,p to U 3 J Sw frcm U S Pert f orA,�le dL__ — <br /> Tn sr lure ex ertaa <br /> CC 17.TmrquWAdcankdyne f of t d r.asz a5 --4& fay mar <br /> rarepdter iPr roe Nana '--� re y <br /> a 1i{ <br /> o <br /> nt. Da <br /> oy as <br /> 1' TransKdW 2 Name <br /> 133 -�--�� <br /> tea Dsaepaacy tn9Cadon Space 71 <br /> ❑Cltarddy .`.—...� ❑ryoe — — Resdua ❑Perm Repel. �FIJI Rejadnn <br /> U$EPA f0 Neter <br /> ^dandles Rateratra NUmber .—.._ <br /> 1@b AA"Ie,Faits(or Generator) t <br /> < sPTate CaY Ear <br /> .3lgratreol Faday(wGenaralot) <br /> Z <br /> N131,azardotstvaskRefonMarocznmtLk7oodGod9s(ia.,wdeskrrersNC;ts•aasteoeacn•antduNow.a;Arec4rg5ys'arns) <br /> ty 1 7 3. 4 <br /> 2M.Das99nar ed F"I Owner a Cpe a or Ca 5'caton cl rete pt of hazarduua ma Blots covered by tea mmf=axk ct as."d r Darn I" <br /> IRS'sG'x,pld N ne l.�E7E <br /> EB FoM 8700-22(Rev. 5)Prevluus C-13 3 ere oxGieb ,SIGNAT=h FAC L!TY TO DESTIWJ ION STATE(IF REQUIRED) <br />