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s, <br />e 6. <br />r�r rib t See Instructions on back of page <br />f„es 9 30 951) <br />ror use on eliteft;PlfCfl' t 'iters,.. 2. Page 1 <br />./- 1 , rotor's US EPA ID No. Manifest Document Na <br />vIIFORM WHAZARDOUS - i, I ^ 0 of <br />` ASTE MANIFESj 0 1011 12 loll <br />3. GeneroTor's Name and Mailing Adcl%is <br />B FEBUILDERS- <br />O 2325 ;� CHARTER WAY, STOCKTON' CA R5206 <br />N 4. Generators Pone 209 <br />f ('>, <br />Lo b. US EPA ID Number <br />N 5. Transporter T Company Name -- <br />O <br />O <br />0 <br />CU <br />00 �r.n J <br />MQ <br />© Z <br />K <br />O <br />oU <br />00K <br />3 G <br />N <br />C E <br />v R <br />o T <br />i ? <br />1R <br />10. US EPA ID Number <br />9. Designated Facility Name and Site Address <br />PACIFIC RESOURCE 1REC0VE3Y <br />3150 E - PICO BLVD., LOS ANGF.�ES, CA <;@023Q368' <br />11. US DOT Description (including Proper Shipping Nome, �zord Class, and ID Number) <br />a. AIOil--RCRA HAZARDOUS WACTE LIQUID <br />ALCOHOL) NAERG96#171 <br />(RtTI'YLE CELLUSCLVE , <br />b. <br />No. <br />I <br />A. State Manifest Document Ni <br />B. State Generator's ID <br />111111 <br />C. State Transporters ID <br />FF.T <br />nsporter's Phone <br />te Transporter <br />'s ID <br />nsporter's Phone <br />ate Facility's ID <br />H. FaciTit)'s PI <br />uepartmff�R, .,, 11 <br />Sacramento, California <br />Information in the shodecl areas 'j <br />is not required by Federal law. <br />980S)GUS <br />�- `14.-Unil <br />:rs 13. Total <br />rypeWaste NumberState.EPA/OtherStateEPA/OtherStateEPA/OtherStateEPA/OtherK. Noodling Codes for Wastes ListeAbove <br />b <br />a <br />J. Additional Descriptions for Materials Listed Above 6 <br />i la, At- -0,-e) :5 ,-� d. <br />C. <br />N <br />LU <br />J <br />O 15. Special Handling Instructions and Additional Information /D <br />a HANDLERS BE GO HOUR OSHA/SARA TRAINED <br />Z -AND USE NIOSH APPROVED PPE. -- <br />w a_ L <br />., _ '!J yy <br />t— I'icobc international and nations government regulations. <br />g <br />J proper condition for transport by highway according to app <br />1 b. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consi nment are fully and accurate) described above by proper shipping name and are classified, packed,omicall <br />J I <br />Q marked, and labeled, and are in all respects in p p <br />V face to reduce the volume and toxicity of waste generated to the degree I have determined to be econ <br />J n and select the best waste management method that is <br />J If I am a large quantity generator, I certify that I have a progyram in P go faith effort u minimize my waste <br />— <br />practicable and that I have selected the rocticable method �eOVe ?naaet storage or disposal currently available to me which minimizes the present and future threat to Kumon ea 1 <br />d prat p <br />N and the environment-, OR, if I am a small quantity genera Month Day Year <br />available to me and that I can afford. Signature <br />i <br />O Printed/Typed Nome <br />Yew <br />V .�."�l 1 % ' Month Day <br />rr n I- i <br />Z - i -- <br />LU T 17. Trans orter 1 Acknowled emei <br />F Printed/Typed Name i <br />w <br />w <br />u.. 0 Is. art 2 Acknowle eme <br />0 T Printed/Typed Nome <br />w' w E <br />Q N R <br />() i U 19. Discrepancy indication Space <br />Z Z F <br />— A <br />— C <br />I <br />L <br />I 20'Facility Owner or Operator <br />T Printed/Typed Name <br />y I. <br />DTSC 8 DTSC 8022A (4/97) <br />EPA 870 EPA 8700-22 <br />Signature <br />as <br />Signature <br />19. <br />Month Day Yeo <br />Month Day <br />. / I i <br />DO NOT WRITE BELOY/ THIS LINt. <br />Yellow: TGeneSENDs who s bS THIS OmPt TOzaGEN waslOeRforltranlsp30 DAYS. <br />0rrt out -of -stale, <br />produce completed copy of this copy and send to DTSC within 30 day' <br />