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of cafifo.nio—{n.i.p.mwyl ncMrwon Age ' <br /> Appremd OMS ,,o,}050-0039(E,pres 9.3,,94 See Instructions on back of page( Depoumee of Toxic Substances Castrol <br /> P.o.type. ,F.deu re,,,la use on,slim(121 i h)rypawnmr. Saurea,Calif. <br /> 1. Genterato'4K EPA ID No. Manifest Document No. Pegs I Idamglion in tb shocked areas <br /> UNIFORM HAZARDOUS a not required by Fadercl Iaw. <br /> WASTE MANIFEST -- JAJD 9 8 1 4 5 N 0 3 - - a 8 3 or 1 <br /> J. General: me s Noand Mailing Adams. V SHELL OIL COMPANY <br /> HAZARDOUS WASTE DEPT. <br /> P. O. BOX 4848 <br /> 4. Generator's Phar. PNIIHEIM, CA 9282' <br /> S. Tronsponar 1 Com rry Nome 6. U A ID Number 'C Sfatm.Tramporttt(g1 <br /> zG. ; C �7�iy2n c.1� jC.1 fns$ < <br /> �� <br /> 7. Tronapoder 2 ComPnny Name 8. US EPA ID Number F:SSxsaTidhslgrla sV -.woman <br /> :F:,'Tiorapond.�Mm� -0^y1, "•.. .:ray: <br /> 9, Desigmned Facility Nome and Sib Address 10. US EPA ID NumberG: Stab.fvaGtyi(ID <br /> tM�f <br /> noir n ri•L <br /> ROMIC E.N .R N _ 7 <br /> 2081 SAY ROAD C A D 0 0 9 4 5 4 S 7 H:;Faabtys.Pnar filar ��"' �' ",I <br /> 11. US DOT Description(including Praiser Shipping Name,Hazard Class,and ID Number) 12. Comair. 19. Total 14. lhd <br /> t...— .r.r.S_L ....Us.+ v N .U.... . C:. No. 7 W Wf/Vol msNumb�2 l <br /> iJN 1993 I <br /> C7/ <br /> It. y - <br /> ek_ <br /> d. <br /> IS'Addltiertd De>s>�¢pmrsixMatarsdarlMadAbo.e� x. K: ` <br /> FN E 3 fR$F.F:, tSF�„Lv�y�i u <br /> 15. Special Handling Instructions and Additional Information AC I L I TY: , <br /> AURID CONTACT WITH EYES/SKIN SERVICE STATION <br /> 24 HOUR EMERGENCY PHONE NUMBER iS00) 424-9302 %1315 :Y� TERL OO ROAD <br /> FLAMMABLE PLACARD REF UN1993 PROFILE It 013425 STOCKTON. CA. 95205 � <br /> 16. GENERATOR'S CERTIFICAnON: I hereby declare Mat the caraerm of the comrignment am fully and accurately described above by proper shipping name and am classified, <br /> packed,marked,and labeled,and am in all respects in proper condition for transport by highway according to applicable federal,stem and international kms. <br /> II I am a large quantity generator. I certify that I harm a program in place to reduce the volume and toskity of waste perorated to the degree I base,debrmi ed to be 1 <br /> economically practicable and that I hosts selected the practicable method of treotmeal storage,oe disposal curremly amiloble no me which minimises the present and fmmsm <br /> threat to human heath and the emnme rem;OR,if I am a arall qu rvhty generous,, I haw made u good faith effort b minimum my venae gartnon and selM the ban <br /> waste ma amen,method that is awiloble to me and that I can afford. <br /> Primed/Typed Noma <br /> Sig ' 'J;S BEHI'iLF U1= Month Day vest 1 <br /> SHELL OIL CO. 01 16 1 7 <br /> 17. T,cnaporier 1 Acknowledgement of Recany,of Materials <br /> P^ . .ped Name 5i9 m Month Day Year <br /> z►7 p'v / 1a1017 stz <br /> 18. Tmmpo4r 2 Acknawled amen,of Receipt of Matanak <br /> Primed/Typed Name Siganere Month Day Year <br /> I <br /> 19. Discrepancy Indication Space <br /> 1 <br /> 20. F.ditv Owner or Ope,ob,CemB<otian of mm t of haeardous materials commd btt this mamba esce t as rood in Item 19. <br /> Pnnted/Typed Ngme Slgnatom Abnth Day Year . <br /> 21?4-,5242604-7-vLA-= 7r. DO NOT WRITE BELOW THIS ONE. <br /> Blue: GENERATOR SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> 2A p2/9q To: P.O. Eos 400, Sacramento, CA 95812-0400 <br /> —22 <br />