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FROM (MON>,JUL- 9 2012 16:33/ST. 76:32/t4-.7519694101 P 4 <br /> s <br /> NONHAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.WaaU Tracking Number <br /> WASTE MANIFEST CAL000218409 1 800-424-g3p0 NH150520-N <br /> 5.Generators Name and Mailing Address Generator's Silo Address(If different than mailing address) <br /> STOCKTON SAILING CLUB INC <br /> 4980 BUCKLEY COVE WAY <br /> STOCKTON,CA 95219 <br /> Generators Phone: 209.951-566 <br /> 6.Transporter 1 Company Name U.S.EPA ID Number <br /> ENVIRONMENTAL LOGISTICS,INC CAR000217513 <br /> 7.Transporter 22 Company NamdeS��r U.S.EPA ID Number <br /> 8 FTG I tft Re VW45EftES,INC. U.S.EPA ID Number <br /> 180 WEST MONTE AVENUE f At1QA7ldddRl <br /> FtiALItJ,CA 92316 USA V ✓Vv� v <br /> Faci' 's Phone: 800-698.4377 <br /> 9.Waste Shipping Name and Description 10.Contalners 11.Total 12.Unit <br /> No. Type Quantity Wt1Vol. <br /> tr 1• NON HAZARDOUS WASTE SOLID(OIL FILTERS) DM <br /> W <br /> UA +'} 2. <br /> ! <br /> 3. <br /> 4. <br /> d <br /> w�e <br /> 13. Special Handling Instr ictions.and Additional Information <br /> 9131)OIL FILTERS# �(S S WEAR APPROPRIATE PPE INKY#150520-N <br /> EMERGENCY RESPONSE CHEMTREC 1-800-424-9300 CCN668232 <br /> 14.GENERATOR'S CERTIRCATION:I certify the materials described above on tlrs manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste. <br /> G ralors/Offerors Printed/Typed Name nature Month Day Year <br /> S cv f-f' Q-t` Je--� <br /> 15.International Shipments <br /> ❑Import to U.S. ❑Export from U.S. Port of entry/ext <br /> Transporter Signature for exports only): Date leavin U.S.: <br /> w 16.Transporter Acknowledgment of Rece' of Materials <br /> Traryl'Do ner 1 Printed/T Name Signature r Month Day Year <br /> a <br /> ZZ Transporter 2Pon yp Name Si Month Day Year <br /> 17 Discrepancy � ! <br /> 7a.Discrepancy Indication Space ❑Quantity FfLgk'RE(;YCL1NG SER7f7w+'•prt�n TOT CIU C'II Poojoction ❑Full Rejection <br /> 1 I HAS <br /> lti�iUHTdFGIY(S)FOR <br /> r 17b.Allemale Facility(or Generator) KAD <br /> U.S.EPA ID Number <br /> AND WILL ACCENT THIS WASTE AS SHAPED <br /> LL Facillty''s Phone: ' <br /> a 17c.Signature of Aiternate Facility(or Generator) Month Day Year <br /> 2 <br /> y l4;�r�r_,rr•�� m. rte•- �. .a.s��.•.� .. akN 'fin..l.n w+ r•*°tt. s..,,w ,. <br /> n A,f}L39 Y *T" } 9 -e�.M.. p.b 0.5T✓.l�y y''� ' <br /> la.Designated Fadilty Owner or Oplallor Certification of receipt of materials covered by the manifest except as rioted in Item 17a <br /> PnntedrTyped Name /NqSignature Month Day <br /> y Year l-eo <br /> — 0 <br /> 169-BLC-05 11977(Rev. ) DESIGNATED FACILITY TO GENERATOR <br />