za•��dd z i bzzgb sz:zz zaa� zz ,-•�,,
<br /> 4 St I wi Colilorpio-En�L +rn•Iul oralnc b••4put cy
<br /> warn-Aooro-•d ON8 No.2050-0039(L r rr.9.30 991 See Instructions on bock O{• O e 6.
<br /> P1.01.prior r rope. foum d.ui0n.d far sr nr.fin.(,7.p.!e6l Iypcwritur. P 9 7eponmem cr T,slc Subt,,;-,;••_
<br /> UNIFORM HAZARDOUS 1 Gene vwr't US[PAID No. = lulnnlfell Document No. i 2. Pope 1 r(a•mal;o•I.In.:hadod a•aa,
<br /> WASTE MANIFEST C A D 0 7 4 6 -f .-y S i t 1 ago,•ad or`cc.rol I_..
<br /> I I I I I I
<br /> J. Gcn4romr•s Noma and Moil-ay Addresv, A. Slow MOniQnr+poeymof*A(yenpar -�
<br /> IE LIKMMRATED g g: j.. �?;
<br /> 1029 S. ACRANUM SiREbT t G) � ;
<br /> h LODI, CA 9'5240-4749 e. SRs1.Garseracart lD
<br /> n Grnaty tort phone i 5[13 833-3SOU Coated: JESSE FLETCRM r' - .• I
<br /> N 1•oraportw 1 Campaay Nome 6, US EPA ID N-6,, C_ .tOaRaisµ r'rQY ,)
<br /> o MONK Evvimnw&TE E. C� ,A ,D ,0,0 9 4 5 2 !i Q. Troar6orlgr3 PbPAb _
<br /> 7 TransDat.r 7 Cowpony Nam. 8. US EPA ID N-b, E:Slott l5•Dnrpo�to!'e.ID' ri d•I
<br /> ��S fF_.Tra,rycrye�e-Phowl.,.
<br /> v a. Desivw.d n+amn and S:Ir Addruu 10. US EPA ID Nunbor 9. FOaio.Fap.
<br /> coz � BOMIC EIVIEUKKUTAL TECH n. roe y.Pltor,a. . T:
<br /> Lf)p I 2081 BAY ROAD C A D 0 0 9 S 5 2 t6�Q132`+1=163b
<br /> J EAST P 303
<br /> �S 11. LIS OOT Dtunptior(includ•np PNpor 56-pmng Nome.elazald Clnss•end ID Ny.nb•. 12 :enrolnen 13. Total ld, Unit '.•('
<br /> No Tvoe Ouamil Wi/Vol 1• Woawl•tvieiwr•'
<br /> C 7Z a, WASM PALIT AMATO &TRITIL 3 UN I -Tr-----
<br /> 3 GsPAJt�u,er
<br /> E Irfla`e 20a EMI 127j—
<br /> o Nl b HASTE &GVM 3 11111090 II sbm'
<br /> Co E
<br /> 3
<br /> R Prfif E-=.,
<br /> f _ PPALCrinsc
<br /> T t FLAMMABLE LIQUIDS E.O.S. 3 UR1493 III sty.•'
<br /> ® 0 (R=DUE: LAST FiTAIEF>},ACETOEB) I 512 j
<br /> R �) EPa mn Frflt E 3017A7 We 17A
<br /> �)
<br /> a
<br /> d
<br /> Slate :_I
<br /> lJ EPA/Gd j' �
<br /> W
<br /> rn J:P,d>iiriortol DeraiylansfnT K�alrrlalpllyr A(swu'
<br /> nz K• Hmu+llno Codce Far Woslus Listed Abcro
<br /> c, d.
<br /> I S. Sp•tc•al Hurdling Inas ane and AddllionaI tnlo•mation '24••HR.
<br /> USE t: 15031333-3500
<br /> r_
<br /> Q
<br /> z
<br /> W
<br /> z i
<br /> y
<br /> 16 GENERATOR'S CEA TIFICATION: I kereby doelore thm rho eomcrrs of this oertlgnmrnl oro 6.11y o.d occurotely dc,cr(bod nbova by prop.,t6ipp,ng name and ore elaa�iGed,packwd,
<br /> v4 morL.rd,and label d.o.d oro in all.anpney{n proper<o+Jition for rron.na•r):y high-+ay ueeordinr�to upplleonlo intornalionol and nmlona(pit+orwmont.,apulnrios.
<br /> If 1 mu u longe cluonUtyy gonornror•I unify that 16ovu s pro ram o1 place 1.•e-itca the-olu,-c and to-icny of-00-ger.rvt.J a eno dogroc 16o-c dcten.irod Io bo etonomicnil
<br /> Pnacricabio end jI a,t)+O-a>elected 16o praclicablo method o�t ca lmue.1loraq. r•lupoud currently o-ailobl!ro no whah minimaou 16e p,.-eel and fururo Ihno,10 human 6evlr�
<br /> pnd the..uilomm�nt;OR,41 am a+mall auanllly 9 .....I...I Iro-o made u atwd(o ih 940•1 to miniml_e my-oil#ponaralian and select the 6wst as4 rno.o among mN6od Ihol is
<br /> Oa-allabla'one and that I can aliotd
<br /> -�
<br /> }. Prin�ted aod NomeLj
<br /> nater° Do• o%
<br /> . _ 7
<br /> z
<br /> W T 17 T.o.a onrr 1 ArLna-•Iwd wm.nl of 4r.-t I of Mciwialt
<br /> K
<br /> w Pnirrcd �•� Slgnolui. o Dn or
<br /> W f I
<br /> ut 0 1 G. Trots otter 2 AC6nC-6•d emc.,at Rect, t of MalanwA
<br /> 0 11
<br /> Printed/Typed Noma SipnoLno Month ..n-
<br /> K
<br /> t4,d 19. Disrr-penny 1n6eatlon Spocc --
<br /> A
<br /> C
<br /> L
<br /> I 20 Facility Ovner a.09w010'Carlilico6on of rccci I al hazardous n014•1e1t,cateran 6 Iri.o,e•tilotl tact ,as nomd in item 19
<br /> T Pr",cnd/T d Nome Signe(we Month Daye� Y.0'
<br /> Reference alar: E 000029217 DO NOT WRITE BELOW THIS LINE.
<br /> W164-i TSDF SENDS TMIS.COPY TO DT5C wrrPIN -A:: -��-
<br /> DISC g022A 11/99) To: PO 8e» 3009. Sorromenlo, CA 95dl11
<br /> EPA 8700-22
<br />
|