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S*c"of car Prolectom Agmry <br /> Fara,App,or.d OMs m. 20SD-A039(Expires 9-3"4) See instructions on back of page 6 Deponme,n of Torus Subuavcn con <br /> Please print or typo Amm designed for we on efge(l2p,rdi)"nVywor SacrameeNo Cahfom,a <br /> UNIFORM HAZARDOUS <br /> Generators US EPA ID No Movirleo Documanf No 2 Paye 1 information m the shaded areas <br /> a not requved by Federal lav+ <br /> WASTE MANIFEST CAC 4 a 4 1 5 311 8 11 01 01 01 015 of 1 <br /> 3 Generator's Name and Hoang Address <br /> il8lfi seas 1 +� 00WAM <br /> I= A` 9%=.y�� <br /> �0t t, �s LA <br /> CSD i 4 cieni lar,Phare (,-M 94&-LM <br /> g 5 Transporter 1 Company Name 6 US EPA ID Number <br /> UAMM SeGONSMe ICgfl0 ? b55737 <br /> Q7 Transporter 2 Company Name 6 US EPA ID Number <br /> U <br /> Q 9 pes�Fadl�,! <br /> and 5slr Address 10 US EPA ID Number <br /> Z <br /> 0 13M !' 33, Pitttlrre=, CA 95363 <br /> CAD083166i7z8 <br /> lJ 12 C ntatne" 13 Total 14 Unit <br /> Z <br /> ?I LIS DOT Descrwhan(n,cludmy Proper Shipping Nam-,Kasard(Oran <br /> is d ID Number) No T 4W/Vol <br />• = n <br />'y3 G 93*-RM HAT UMW WAM LIQEtTD 8 a 11 'T S ( c e G <br /> 1C4 E <br /> cc N 6 <br /> ao <br /> R <br /> A <br /> O c <br /> R i I <br /> w <br /> U <br /> Uj <br /> LU <br /> Q 15 Sgectai Handing lnshvchons and Addtw <br /> hanal Informan <br /> a M STANDM SAFM PRECA=0 MW PBDTBCZM G a. <br /> Z ;:I" CM= 8-1= <br /> w <br /> �+ 16 GENEltATOR'S cERvFiCA now I hereby declare-rat the conte I! of the cons,gnmem am fully and ocevrat-iy doscnbad above by proper shipping ndme and aro classrirod <br /> q Packed,marked and labeled and are in all respects in proper condnton for transport by highway according to oppl,cabie federal state and,Mernottonai laws <br /> U <br /> 1f S om a large quantity generator t certify that I have a program ,n place to reduce the vofu,oe ail toxicity of waste gone algid to the degree I have determined to be <br /> r eca,wmrcally practicable and that I have selected the Practicable method of Kean w.I storage ar deposal currently available to me whwh mmenaes the present and future <br /> a threat to human heahb and the emnronment OR if I am a small quanMy generator I haw made a good froth effort to minimae my waste gen-tenon and select the best <br /> vast- method that,s available to ire and that i can afford r' <br /> ,'ear <br /> 0 Name <br /> -13 <br /> lu <br /> Z T 17 T r i A of of Materials f �s j <br /> 0 N p �IrlilLf "L L' LO <br /> V �l 4Y .� <br /> LU s / <br /> 0 18 T 2 ikeknowledoement of R of Materials <br /> >L <br /> T Prrntd/Typed +• �fVfe <br /> CMorrh Day Year <br /> Ce <br /> , 19 Ducrspottcy lnd,catwn Space <br /> Q F <br /> U A <br /> t <br /> Ll' <br /> 20 FooLdy Owner or Operator Cernfscanan of r of hazardousmaronois coated by,this manifest axes t as noted In Mem 14 <br /> T f nnt-d/Typod Name $sgnahrre <br /> 1•Aot+fh pay Year <br /> 7 <br /> DO NOT WRITE BELOW THIS LINE <br /> DTSC 8022A (12/91y <br /> EPA 87OD-22 YaElow GENERATOR RETAINS <br /> r .rte. -�._.����-r`.,..._��w......+`--•w - -�.�����._....�—.��_��...���.�.....������r�.�_...�.._-� - �^--""' <br />