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11/29/2010 14: 54 2095776049 BOVETT OFFICE PAGE 08109 <br /> 10/27/2010 14:56 2098242t,--j MANTECA CRUISERS PAGE 91/01 <br /> i <br /> PIam peril or fort de*ned for tea an elite 12- Jto1)typewriter. Form, Approved.OMB Pio,2C <br /> UNIFORM HAZARDOUS 1'Generatnt 10 NumberPage t of s'Emer+;toauy ResponEe Prve 4 <br /> MSTEMANIFEST C&00O3 67S� I <br /> 1 1-50D-424-9301' V� 43 i ji <br /> 5,GVeratorsMama;md ManingAddren GptnftesSite AddreuiNdlV". nthanmaWVpWrnas <br /> 1137 tc <br /> i�karotp Mrs rY!crt#�e a a Ca 4rs3,3 fo <br /> r <br /> -s� -Gvoa 6anerehu' pane: <br /> Ilelwrte, afdpmry ante U5.F-PAIO NUmbar <br /> ye <br /> Evergreen Enylronmental Servioes _ CA0982413262 <br /> 7.Trenaporiar2 CompanyNama U.S.EFAID Number <br /> ,I 8.Dea—F-5 scil ty Name and Re dress I — <br /> U,B,EpAJt)Kumher <br /> EVERGREEN OIL, INC. <br /> 8880 SMITH AVE,, NEWARK CA. 94580 <br /> 510-795-44W CAD98OWT41 S <br /> Fe6Mt Phone: <br /> ga, Ab.U.B.DOT Deaalpnon Qnduding proper 6hIpp'rq Name,Hazard Crede,10 Number, 10.Corrlelnen 11.TOPHI lz Unit 13.MST Oadw <br /> HM and Pecking Orm(ff Earh) Tr , <br /> j a 1NON-RCRA HAZARDOUS WASTE,. LIQUID - <br /> l 001yr w44 JD* 100 <br /> .� I ZC Z.�' I'ZCf�L? �'aw�5 tcJ�•�e, Lb�WI% � �. <br /> ( palY u�ler 002- 1'1A 3-10 G l <br /> Gni E <br /> ( 1 <br /> 14.9pcael Hendl'ng InaWedo-ng and AdOtdtnR m Pons n 5vsl f B111,005 [>�_,.a a 155-r yM <br /> bPROFILE -fl (�7 Involes DIM ' <br /> -I <br /> I .r�7DpT l:R©#171 V1Ii=Aft pFIOTEGTiVE C1.QTHING Sales Order # WC63AZ40,6 <br /> Z j i 6. Gt?lErtAItSR'8r0PFEROR'S CERT1FiCaT10Nr I h9roby declare that Ute contmde of this wnE pnmsrtt aro RAIy and eccuretety doaa�ed wore by its prdller Slllpft nacos,sTO are&&/Fuad,p a, <br /> marked and tat,04dlpletarded,and ary to eR resDtds In proper condition Por tremport=rding v nPikable interm9md and na40nal g<,ve"wW regthbx3e,If export oM ment and I em the Primary <br /> Fxporwrr I QmW chat thevrftb or NPs=%=imam rre*an to the le n9 of"athm*d ZPAAcknowMdgtnent of Coneent. <br /> I cer*that the waale mtrlm®tlon slaloment UenoL-d in 40 CFR 282.27(a)[if I am a large quenflty generalor)or(b)(if)am a anal puanio IorJ Is acre' <br /> i Gerte,tdorarortemrs Pdnw Typ a SfDnefine r Montt, Day <br /> 0Vp q ie4e7- a 4- 1 101271 <br /> —t 16.krlemetbrrel niprtr9rtta <br /> i ❑import tD U.S ❑r:,w from US Purl otermyl4xi <br /> � � 7rgnapoRerafgnaNre Yexportsonly}: Dalellavlr®U.S. <br /> 17.TraneporterAplosovAedgmrentafReoehkofHieteriats <br /> ovorlar 1 PwWnYW Nome [ j,� Month Day <br /> )�� k 7 I <br /> A% a rY a'1 �i '�' � S�t9mtwa I kv 12,. l <br /> 44 as <br /> p i Transport9r 2 ftted(fyped Nene Signature -- — Mont)! �Oay <br /> Is.Di9 mmer <br /> 1E8.Orserapenry Ind talon 3paan � ptlaniny ❑Type ❑2psiduv �L.J P*hf Raf-0- RAI Re)9c% <br /> Msrff Nwrvm, <br /> l8b.AJtamereradlRly(orGeneftj US,EPA IDNumber <br /> i V <br /> I u`t. Fadllty'®Phone: <br /> e S"-"tors of Afterryale FadlAy(dr eener2DM Muret 0#y <br /> t- <br /> r <br /> 19,Hwdouo Wttdtp Raport Marmpesnt Method Codoo(Ir.,costes forheznrdooa WOO treatment,416paoal,end regdng Sys*-) <br /> ( c TA <br /> { 29.Designotad raclN ownerot Opmlon 09411 cation of Moalpt of hwadous mairialscovered by the manifest a%capt at rrobd In Gem 189 <br /> Pam Name Signatua rjay <br /> EPAFom 8MD-22(Rev,3.05) Previous eklitlane are obsolete. DEBIQNATED I•ACwUY To DESTINATION STATE(IF REQUIF <br />