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''" �y5s.�t {,b'A`�r a•,y%,f �i .�� Nf M��•� �v r ' .t � t au' sem` r5`,...�a��r `y. - `. <br /> � 'See�lnstrudions ael back of page b <br /> rw�n oe cite{r2p11Kfr)b'pe7+nllor ,•� � �'�� <br /> 1 Garnsralors <br /> IS EPA ID No ManiFesT Dotrltnad No 2 Page 1 INom+atlon�n "Faded <br /> U"IOAM HAZARDOUS 1$nw 9' <br /> WASTE MANIFEST CIA L O U O I 7 9 3 2 3 2 b of z <br /> 3 411 A &maPauy Site Location <br /> 000 Crow Canyon Place, Ste 400 <br /> San Ramon, Ca. 94503 Service Station <br /> 4 e FOAe (925) 277-2305 6981 <br /> S Transporter 1 Compo"Name 6 US EPA ID Number <br /> IiULLE� EXCAVATING AND OEM C A 0 19181114 <br /> 1 7 T-nspader 2 Company Name 8 US EPA ID Number <br /> Q <br /> J <br /> Q 9 Desigaaded Fanhty Name and Site Address 10 US EPA ID Number <br /> 0 ECOLOGY CONTROL INDUSTRIES <br /> y 255 PARR BLVD <br /> 12aACHN10bal CA 94801 A In a ID 219 <br /> V 12 Containers 13 Total 14 Und <br /> Z 11 US DOT Description('including Proper Shipping Name Hazard Class and ID Number) Pio Type Ouanhly Wt/Vol <br /> WASTE EMPTY STORAGE TANK <br /> 3 G on-RCRA hazardous waste solid 00 , TIP1 12 jolojo P <br /> o E <br /> 00 N b <br /> E v <br /> R <br /> A <br /> T c <br /> O <br /> R <br /> W <br /> Z d I SII <br /> W <br /> N <br /> Z <br /> 0 <br /> a <br /> An <br /> LU <br /> OL <br /> Q rT <br /> QHadlmg and A d Info <br /> r e pproprl�prote'ctive' othing when handling. SITE LOCATION: <br /> Z 4 Hour Emergency Telephone Aaumher" Stockton. Service station <br /> = Hoerr Emergency Contact: F' q``k �` "�'"{1 ��6981 '/ ERG <br /> r <br /> 16. C;MWATOR•S CERT9r-ATM 1 hereby declare that the contends w <br /> of this capnmant are fully and accurately descr� abate by ababy Proper shcppmg name and aro classcfied, <br /> packed,marked,and labeled,and are in all rorpaees on Proper caaddnan for transport by highway according to applicable e+tema <br /> ahwl and national government roguiphorK <br /> U <br /> J H I am a large quantity generator, I certify that I bare a program in pace to reduce the volume and toxicity of waste generated to the degree I have delermi ne'd to be <br /> economically practicable and that I here selected Hro practicable method of treatment #wage or disposal currently amiable to me which mimmmes the pr 'am future <br /> UP) three to human Mahh and the emnrorenento OR,if I am a small quantity generator have made a good fadh effort to mmunue my waste generation and 1�best <br /> wade method that h available to me and that I can afford .It y�{ <br /> OPik Signature ' '` O A 4 Year <br /> OSCd <br /> Z 17 T 1 Acknowledgement of Receipt of Materials Day jY <br /> il O d Name ~ amoho V <br /> oe N <br /> su s <br /> y�j 0 18 T 2 Ad�� of!Liof Materials <br /> 1L i Printed <br /> Name Sngnnaluro Month Day Year <br /> O <br /> N19 Discrepancy indication Space <br /> F <br /> A <br /> Z Ic <br /> ,l <br /> E or corokation of roan of hazardous maeenals covered this manifest e m noted m kens 19 <br /> 20 Fad) Owner Month Day yea <br /> /Typed Name Sngnsaturo <br /> 1 <br /> DO NOT WRITE BELOW THIS L1NE. <br /> Blue GENERATOR SENDS THIS COPY TO DTSB WITHIN 30 DAYS <br /> DTSC GMA(1/9S) To P O Box 400,Sacramento, CA 958124400 <br /> EPA 8700-22 <br />