Laserfiche WebLink
P10B Pdnl0;type.(Farm deQried for use on aide(i2 piidl ' r.) Form Approved.OMB No.20500039 <br /> UNIFORM HAZAR00Us 2.Page f of 3. _RePhony 4. 7racld N <br /> wasrEr�ANIFEsr cAL.oDoa55717 i 44g�23.8 Q 2 0 <br /> 5. <br /> SAL SVC RECYCLING Ain Wil►tam Mendanca s ) <br /> FLE <br /> 3200 S.El Dorado St <br /> Stoaton,CA 9M <br /> Generate a Phone: 209-241-99M <br /> � ! YNme U.S.EPAID Number <br /> .Union PaoifiC Litres CO <br /> NED0017g2gi 0 <br /> 7. ra 2 Nene U.S.EPAID Number <br /> N Ad�CDC Environmental U.S.EPA ID NuWWW �f mber <br /> 1111 West Highway 123 UTC093012204 <br /> FadBtyrs Pieaaea; 4451 East Carbon,UT 84520 USA. <br /> 0s. 9b.U.S.00T O-CF10on Proper Sh#kV Nave,Hatted lam,10 Nw&er, 10,CadaheM <br /> HM axi Pad&qGWP No. Type Quantlty(Vmj)) W4 N4Noi.12.Unit 13.Moe Codes <br /> 1. <br /> ',..... NON'RCREt: OUS WASTE,SOLID(Non-DOT regulated) 001 HG $i 1 <br /> Se <br /> 4. <br /> 14.Spada!Ha-&N and tlfonal I tion <br /> U14PA RSAL SERVICE RECYCLING PROJECT RAILCAR NO. <br /> Non-RCRA Shredder Residue <br /> ECOC ProMW4041 16 8405 <br /> 15. GENERATOR'&OFFEROfrS CERTIRCA7,ON:1 hereby dedem teat Geo confer*of ffn ouwgnmentere fury and ao=Wy demtod`ebebm;;#*Proper shipping name,and ata d.Wed,padtagad, <br /> madsod and d/Ptacazdod,and are h aM rasp�ts In}xopar aoredNon t x acaxdup b app0cabto and rre MW <br /> govanmentat raAulsBora.tt export atdpment and 1 an the Pdmary <br /> I I Wft yr �MmOrd MmMW In 40 CFR 282.27(a)Of i am a largo qwntky Bono ft)or(b)(N�i sem a sm <br /> !s tnts, <br /> leie <br /> . � l ar <br /> f <br /> r— ❑knpxt to U.S. ❑Export fi U,S. Pat or erthy/exiE <br /> Trmes �r Date lwft U.S <br /> 17.TffqorWrAckmowWrwAofAso*of <br /> TmnWW I YPed Nam <br /> za�y e- <br /> TmnWrW2 yPedrmm t } n3 `� -19. <br /> Yym- <br /> f8. ��--f1 <br /> ,da, dxr Sia ❑QuantiiY ❑Type ❑Refire t_!Perlis; ❑FW ReJed. <br /> p4jocam <br /> 18ir.Allernsts Foy(a Piantast Rce Numbwa: <br /> U.S.EPA ID NwiNr <br /> Fedwo Phone: <br /> 12 1de of ar ty orGenerakx) Rlxeth Day Year <br /> Q <br /> Z <br /> —y 10.Hazerdom Wase ROM M 6t4ihai COd8s was <br /> 0.e.,codas brhazardous te treatm%d4mal,and reeyding systema) <br /> in 1• 2 3, 4 <br /> 20.Dadgnafad fbcBky Ovxfar or of moW of rRmumm MaWW careered by tieo mmjW exoW as nnjad In Item 18a <br /> P Norma (�y <br /> EPA Form 8700-22(Rev.3-q Previous oowis are obsolete, DESIGNATED FACIISW TO DESTINATION STATE(IP REQUI ) <br />