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Mar 21B 02 10: 57a Preferred Customer 209-668-3880 p. 2 <br /> 51"a OF Caldarno--Env ramme-ital Protodipn Agoniy <br /> t Fa^^Approved Na 20 0-0039 If�rtpiras„R 00 9Pf See instruction¢on back of page 6. Ds artmsn#of Teak So61tonces Can <br /> P Pfease print Or�rCns prpd,1or we ar eJ!!e rig-pbAl fype%nNr P Seercn•eb Cohle+nse <br /> UNIFORM HAZARDOUS 1 G�•m}nr s US EPA ID t4o,� Manifest Document No 2 Paas 1 Information Ir the thacad areas <br /> I WASTE MAI4IFEST ! {�,' aF# is jai nqurrsd 6y Federal la- <br /> r 3 Gsnerotor's Norn•and Mai6rtR Adaresr <br /> er +T y� �r <br /> rt�Ir L�,^P '.�"�►V In� }hti,state MamhstQonmlenl Nurrr6er 1 <br /> 658809 <br />' +n �� B state C3snsrnbr s Ip <br /> CysvieroMrs phonsill ilCN i. 1..f� J <br /> 5 Traneport*r 1 Company Name 6 US EPA ID Number G Stale Tr•nsprxter'a ID($ 3 <br /> AM <br /> ERIr,atl V#LLFY WASTE OIL C A L 0 0 0 8 2 7 8 18 . 600432 4946 <br /> 7raneporreYs Phone <br /> Ca 7 Tran rter 2 ComN <br /> Company oma 8 US CPA ID Number 4 Sia Y p j <br /> M sons erNr'r 10 <br /> s cr)= <br /> O F, Tranipwi•r'!Phalle <br /> '9` eslynhfs aelit a A4 - t 10 US EPA ID Nnmher <br /> F Lot <br /> 0 RiVERSAK, CA 85367 A Lj 0 0 1 9 , 0 1 43 <br /> JQ <br /> 1 US DOT Dncriptian(Including Proper Shipping Name,Hatard Claw and 10 Numbs I 2 Cantg`n•rs 13 Total 1/ Unit <br /> No T • Quante W'/Vgl I Waste?dumber <br /> Z a NONA0VA RAZARDOUS WASTE'LIQUIslats <br /> (01L)"'IVATER} , 0 � 1 T T {� <br /> G I EPA/Dther <br /> E 6 <br /> Skls i <br /> m E <br /> ' N R erA/Oth.r <br /> �t A <br />' O c ..s ^ stat. <br /> 49 <br /> t � I IcPA101har <br /> -- <br /> -� r tit Stoic <br /> t l <br /> � r 1 EPR/Other <br /> l 1 Aaddi•nal Desert-9)Ly <br /> 6r �a6 Uq@#,�e r K Handitgg des for Wart•►Listed Abase <br /> Yw ' t � b <br /> csr ,., •i ,' .. r <br /> 4 Q v .. x+.t eWT.y A bMVM1'A'''���� '`�lYrr„1�`�'S'„1+✓ �Nw YrfNY,qw L.n1..M w„y—v `1. r d <br /> ' <br /> 15 3peelal Handiiry Instructions and Additional inFormahon <br /> a <br /> GLOVES <br /> X11 i�ATZ>f-1 ST <br /> zEMERGENCY PHONE 209-061,43W �����1'-� �F CL <br /> I � � <br /> } <br /> 14 GENERATORS CERTIRU11aN I Ii&*Clore that the cements 91 this eonsienment artfully end ercurotey doe4rr6ed obeys 6r proper slappnm <br /> g laa and an classdied packed <br /> marked,and laasied and ars In all mWscu fn proper e <br /> ondluan Icor tramspwl by highway otoordlnp b applicable International and notiaral Rw•rnment npulettam <br /> ' If 1 am a large quoin Generctpr,I C"lly that I have o mil in gonerated to IA*degree I hP.•deser:r,ned b be reanem,wlly <br /> I 'y grog plata ra ndun the volume and Toxic y1y of west. <br /> pmtlkabir and Ilio!l ave ufeelsd the pracllarlrls method of rreatmwt{,awepe,ar 46p ml eutnntly arolWla Io ms whfeh minimizes the p.mill and fusurs thread to human hsalrlt <br /> and the eaoirormorli,OR,If 1 ori a small quanrnty goneralor I MY*mad•a goad Faith•IFerl ke m3n4niza my+wde generation and alert!ha bens W004 mango n•ni m*ehad rhes,r <br /> O available to me and that I can affard t r <br /> r it»&/Typed Fla • f/� 7L7 h(rj t Halon f ' r! {5 t } <br /> e rl I -6 ”�'C,tCs e- 1 E `FIAT f ;, r�� I ti �V� -'�l 1 ' 1 I n h Day 0 ear <br /> to T 17 Transport r I Acknowleclognmenisf of Recel I of Materials t <br /> t <br /> or <br /> � Printed a Sipnailtt Alonrh 0a year <br /> F <br /> I O 0 16 n► rlv 2 Aekna..ls smont gf Renal r of Matenzs <br /> T Pnvied/Typed Name Stgnatan Month Cay Year <br /> �- <br /> Q i 3 <br /> EJ 19 Ciruponry Indicahen Space ` <br /> I Z IF l.+ <br /> —# A <br /> C <br /> I 20 Facility Owner or Mproror Cerbfncafion gLitempt of hoxardous ma In,s tri er 111,M011141111.1111411.11,1141 In Item 14 <br /> r Frinusd/Tya • SsgnaNr► Month Dar Y.cr <br /> Y N fit) 4 �? <br /> DO Nail WRIT,BELOW THIS LINE, r <br /> t f DTSC 8072A 11/991 <br /> EFA 9706-22 .. _ Gegen TRANSPOR-ER RETAINa <br />