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7142 <br />i I I lill111111111illllllll II Iill ill l I i <br />002570518SKS <br />i. Gw aralor IC Atmca <br />UNIFORM HAZARDOUSL AL00@2ey, ., 5 <br />2. Fa of <br />==`�` <br />e. Manifest Incki Number <br />0 0 2 5�l 0 5 18 S K S <br />WASTE MANIFEST <br />N <br />WF- <br />_ <br />�Ij <br />ZLIJ <br />Generator's PMrr: 209-943-3218 <br />O <br />�= <br />O� <br />T- Trtnssorer 2 Company Name US. EPA ID Nwnter <br />z <br />LIUW <br />hyT <br />W 2 <br />�. <br />FaQTays Phcrie: <br />9a <br />95. U.S. DOT Descroft, IkiWdi;g Proper Sreppi g Name. Harerd Cass. ID Namber <br />10. Contatrad, <br />11. Totei <br />t 2. Unc <br />1's. Virile Cones <br />No. <br />Type <br />HM <br />and PacdN Group (d anti) <br />Owntiy <br />wt'd>l. <br />7142 <br />i I I lill111111111illllllll II Iill ill l I i <br />002570518SKS <br />X17 •77`:iJ�b�(1.1�rrPS io4��n�61Cj1. - YP . _ , ..._.. _ __ <br />V CJ1laIgNlG�lrIL111 ry vt�rrvry �i�rr t.i ..r_vv••ir..a <br />i. Gw aralor IC Atmca <br />UNIFORM HAZARDOUSL AL00@2ey, ., 5 <br />2. Fa of <br />==`�` <br />e. Manifest Incki Number <br />0 0 2 5�l 0 5 18 S K S <br />WASTE MANIFEST <br />iCYy3+ r t/S ra1 GenerWs S,!e4ems(d dfen! than —brig adcess) <br />3633 DUCK CREEK DR <br />STOCKTON CA 9521 -7353 <br />Generator's PMrr: 209-943-3218 <br />eSYSTEMS, INC. US EPA 10te~ TXR00005097-0 <br />T- Trtnssorer 2 Company Name US. EPA ID Nwnter <br />8. Des:gnafed Facky Name and Site Address US • ECOLOGY NEVADA 1 a }D wmcer <br />11 MILES S OF BE TTY HWY 95 <br />BEATTY , NV 89003 <br />4o NVT330010@@0 <br />800-239-39 43 <br />FaQTays Phcrie: <br />9a <br />95. U.S. DOT Descroft, IkiWdi;g Proper Sreppi g Name. Harerd Cass. ID Namber <br />10. Contatrad, <br />11. Totei <br />t 2. Unc <br />1's. Virile Cones <br />No. <br />Type <br />HM <br />and PacdN Group (d anti) <br />Owntiy <br />wt'd>l. <br />1NON RCRA HAZARDOUS WASTE LIQUIDS <br />DM <br />P <br />223 <br />o <br />(USED OIL AND WATER) <br />1 <br />06 <br />-- <br />a <br />19 <br />z <br />2. NON RCP,A HP,ZARDOUS WASTE LIQUIDS <br />Dri <br />ALI <br />(ADSORBENT AND OIL) <br />1�1 <br />Lt 00 <br />3. <br />L-- <br />I <br />i <br />4. <br />ta.Soeoafkxding saroAedao�h matin SY SHIP#203-- 50. 3156 12 9501786 CSG: <br />24 HR EMERGENCY #1—fl00-468-1760 (SAFETY KLEEN — CONTRACT #94138) <br />SK AUTHORIZED TO RETAIN LICENSED SUBSEA ENT CARRIERS AS NECESSARY <br />21 @70140601-4194 <br />15. GENERATOR'SfOFFEROR'S CERTMATlON: I hereby declare Net e1e cvuens of t s consil—t arc k Ay and axwately disodbed atom by a+e proper Wpging name, and are classified. pa-Aaged• <br />onat goveenfal regulations. If export sniipmem and i am the Pmmary <br />maked and labeled-1plawd=d. and a in arespects in prow condition for transport to applicable and rzummn <br />Exp.w, I cedi(y that the romans of rats amform to the terms of Pt anacl ad EPAAckaa%*dgimem d Consent <br />I Certify Ibat a* wage milimaadon statement 5dentiAed'd, 40 CFR 26277(a) (if I am a 14ge quantity genentuc) or (b) (dl am a smaA quantify generator) is We. <br />Day Y <br />Gacen..Of., PrintedyiyAh'.'r a SIVA we Moron en <br />'1-7111 <br />IV. International Shipments� ImporttoU.S. J Excat from U.S. Port ofeaayfedf. <br />= <br />Transporter aglalune(for expels only Cate leaving U.S-- <br />W <br />17.TmapaterACaw"ment of Receipt of Alaterats <br />K <br />Signalw= T 1 PdmedrT Name Month Day Year <br />CL <br />GTrandipoW <br />cc <br />2 PrmrWTyped Name S:Snanure 05nth Day Year <br />.M <br />18. Daaeoarcy <br />)I <br />18a Discrepancy Indication Space J Ouantil•y ❑ Type LJ Residce ❑ Pedal Raxwn FuA ReMmon <br />Mantles; Refereuc Number: <br />18b. Alternate Facility (or Generator) U.S. EPA ID Number <br />to <br />Facws Phone: <br />W <br />18G S;vraWre ofAi(emele F2ceiry (Or Cenerala') <br />llpnlh •ley Yeer <br />Z <br />CD <br />19. Hanido,,, — este Report yaalnagement Metroa Codas (i.e.• codes lo, hazardous.aisle tr nurrent, disposal, and recycling systems) . . <br />4- <br />20.a�esignaYad Faotity 0- n r v Operator: Certification of receipt of hazardqus malenes red by tee mar+,fast a as noPd in Rem 18a .. <br />t <br />P.. "'a— <br />a.� gigna }lonun Oay Year <br />,7 i - ---- -- -- -- --- ...1�_. <br />X17 •77`:iJ�b�(1.1�rrPS io4��n�61Cj1. - YP . _ , ..._.. _ __ <br />V CJ1laIgNlG�lrIL111 ry vt�rrvry �i�rr t.i ..r_vv••ir..a <br />