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08/15/2007 16:53 NEW WEST PETROLEUM 4 12094683433 NO.698 0003 <br /> Plame prinl arty e,(FornTl designed for uae on elite(12 ltcn peNriter.) Fc Approve OMB No.2050.0039 <br /> uNIFORM HAZARDOUS 1.Oenorator ID Number 2.page 1 of 3.Emargsrcy Keepon.v Phoma o,Maetltaer Trerc InQ mbar f <br /> WASTE MANIFEST i r!.:'6Y3 i r'rti:.I Ytt: _._t c.. .. ;� <br /> 4,Crenersbrs Name And Molfing Address Generalore SIa Addtefc�f different then meVing addro�s) J�JK <br /> I <br /> Generator'-Pfwne: \-t•'r'-'! )"r�g <br /> S.Trsntponer 1 Carnpgny Name <br /> U.S.EPa fD Number <br /> L''_.r41r 11 17�.Q <br /> 7.Tmn3wfer 7 Campo ny Name U.S.EPA ID Heroes — <br /> 6,D @4 A ed Fadllgt Nurtq acrd Se AddruR M~ <br /> rlir"�7sr: rl'a:; fA ,.,c.ttt,]Fh� rW(: U.S.EPA 10nuff9 r <br /> %7 rsir;:.(0-U" <br /> FROM s Plloee: '' <br /> 9e. 9h.U,S,DOT Doser(pdtm(indudbtg PmperShppinq Nemo Hstatd CluN ID NumDet t0-,Conlabrare 1I.Total 12.ung !3.! ,bre Codes <br /> HtA 2nd Pacldnp Group yarty)) Pb. Type Quantity WtNo!_ <br /> � 1, f,tr,a� �-,i �,,� 1::�:di�i3iA.t9 y,: �i't'� ."J'f!•i ';il• ,r:•� ., fiI';i(%1 <br /> 4 ` I <br /> z 2- <br /> uu <br /> t3 <br /> 9. <br /> 4. <br /> I <br /> Id.Spect.l Hand)Ing Instrucrlono en Additkafal Iniorma(ion <br /> Hr,e,ly `fir dt7 lw'i'ifn Tf-:ib1�:i '•hilt f r?dt" �a,,f„r,q.fy i'af'�? <br /> 15. sENERATOR'91DFFERDR'S CERTIFICATION; I hemby declaro thal'('IS aonlehte of INS comIgnmeM are fully and accurelely deerrlmd ahova by(ho proper*pping name,: Ido deastfi� I_pa ftged, <br /> markod and Iabeledfplararded_;arid are N all reepects In paper cwldluon for ban-apw accofding m appkable in*stlm,,l wd uJonal governmental r gulahons,If venom ehlpn end I em a Forrvy <br /> Eltporter,I ceNN(het the meterrs al this mribl9tIment conform Io Bre yarn®of the etar:had EPAA0nowt9dgmont of Convent, <br /> (certify lbol the wnsle minlmlza9on stetsmeht idenillled In 40 CFR 267 7(a)(r I em a largo quanllly genoralor)or(b)(if I om a emaA qurmin peneraW Is Info. <br /> I•eneratoref014mrk PlinredfTyaed Name Day Yeer <br /> SB Intemattonal S _ ^ .. ' j l <br /> ElImpoh to U,S, ❑Export from U.S. Port of entryteidt: <br /> Lr Treneporter algnalure(lot erporla only); W6 leaving U.S.: <br /> W 17.?rvlvpamfrAcknowledgmentefRece;otofMoterhls <br /> Tnmsporte+IPrintetYTypedNems 4grra<urt k4anth Day Yaar <br /> o I II <br /> Tren!portar 2 FMLsoiTyped Name —- r$18rtg�yrp Meath Day Your' <br /> 10,Diacrepency <br /> 18a DliCrepentyfhdlcaOanSpece ❑ QuonBfy ❑11foe EIRoeidueQPz*jRefeoon QFi, Rdecutm <br /> Mwf ltl Refereree Number _ <br /> Itlb.Alomeie FarjN(or Generator) - U.S.EPA Iq wrobo, <br /> cs <br /> w Fac"'e Phone: <br /> 15c.9lgnature ofAllemate RwRly(or Wneralor) <br /> a 4onth ltry rear <br /> x <br /> 0 19.Heimdoue vvf*le Report Manaoemaht r kdrpd Codes(Le,codse ror harurh%6 waste eeatrwl,dvW-vd,and recyd Pyelems) <br /> t. z. 3. 4. <br /> Z0,Deelgngled F.0flly D nor or Oporaiv,Ceenflon or w*t of humrouv rn". A)►covemd by the mw&i,(a)(cgx as narad in Item Ian <br /> PnMed(Typed Name 94nalure ardh I l;,Y year <br /> 'A Form 8700-22(Rov-3.05) Prev(ous edlbuns are obsolete. GENEFtAT01 >IN1TF it.COPY 1 <br /> v <br />