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11/20/86 09:22 $`209 467 1026 N B R INC. [�j003:00fl
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<br /> OM3 No,2050-0039(Expires 9-349, See Instructions on back ie, a 6,
<br /> Please print yr type. fEMRMpned far use ort elire(t'-pitch)type—re, - g Deportment of Teak Svbnana
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<br /> 1. Generator's US EPA ID Ne. Manifest Dacvmem Na, 2. Page i Information in the shaded avec
<br /> UNIFORM HAZARDOUS
<br /> WASTE MANIFESTn not required by Foderal law
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<br /> t3{ S. Transporter l Company Name 0, US EPA ID Number '� `1 �I
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<br /> BDC SERVICES, INC. )74 IDSA 11 14 15 15 5 L-:- 0
<br /> 7. Transporter 2 Company Name 8. U$EPA 10 Number
<br /> Q 9. Designated Focilay Nome and S,ie Address 10, US EPA ID Number erdWys 115" r
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<br /> FORI,IARG INC., {9'4 �f'
<br /> CD O 9"399 5OUT)i ►FUST IPJ F'I)
<br /> Cn MANTECA, CA 95336 A .D 9
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<br /> 1 13. Total 14. Vnit •1''„�.r^`:r�,-,'
<br /> 1. V5 DOT Descript,an(including Proper Shipping Name.Mozord Class,and ID Nu mho.) —I .;,- `s)„
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<br /> Z 15. Special ssandling Instr-4ions and Additional Information
<br /> � 24 HRS. EMERGENCY 1'800--535--505.:5
<br /> a &DC SERVICES, INC. 766 SLIUTH AYON PZUSPi. CA 91702
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<br /> EPA REGION IX
<br /> ASBESTOS REMOVAL REQUIREMENT 40 CFR 61 (BAGGED, SEALED AND L aSELED)
<br /> i 16. GENERATOR'S CERTIFICATION! I hereby thiclare that the contents of ens tom nntenT are fu and occueotei dexnbva above bproper
<br /> 0 nY y Y shlpping name and are classified
<br /> dpocked,morkod,and labeled,and arc in all—pecN In proper condrtion for transport by highway according t0 applaab It International and national govern,ssent regulations.
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<br /> If 1 am o large quantity generator. I certify thol I ho-e a program in place to reduce the volume and toxicity of weal?generated to the drgrrr 1 hove doterm,ned to I
<br /> economically practicable,and Hrol I have selected the prooicablo method of treatment,storage,or disposal currently ora,lable to me which minimize:the present and futu
<br /> Q. threat to I.umon h—Fit,and the envir9nment:OR. if I am a:moll quantity gerterotor, I hove mode a good(a�lh for ,o mimmiir my waste generation and solea the bt
<br /> VI) waste mo ement method that is available to me and that I can rd• _
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<br /> R18. Transporter 2 Aeknewkd anent a}Receipt of Materials
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<br /> Month Day
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<br /> flk;f;b,Owner or aerator Cerfdtco1 of 10(ifiVit of hazardous cN04-t0" This viswifi5fif etc db riot It!n. 19.
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<br /> � � I/+;Oped/`Name qrw / �' nth Day
<br /> ` DO NOT WRITE BELOW THIS LINE.
<br /> Yellow T$DF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS.
<br /> OTSC 8022A (9/93) (Generators -rho submit hvzordou. wash for Ironspon out-9f-state,
<br /> EPA 8700-22 produce complCTCd cop, Of this copy and send to DTSC within 30 doy
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