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L20. <br /> `ASR•orad 4 B Not,uZ050-0034 fEx iras 9 9 991 T See Instructions an ba-'of age 61;Q• �Jr�1�'f maooFToxic Subslonrr: <br /> Pleasm prriinl ar type, form daefanod&r use an!lire r12•p;fchl rypRwryraf. p i�I Seeramenlo,California <br /> 1. ratoPs U E i !o "' hAonifasi Oacumeat No. 2. Page 1 Informotlah ip the shq�areal <br /> UNIFORM HAZARDOUS !�� o! �� 1 � '��, lr �• 1s net required by Nedgr l low. <br /> ' Il WASTE MANIFESTj of Ii <br /> 3. canaratoed NaMs and Moiling Addres t <br /> s7' cu w RP-7, f v arE f <br /> �PA <br /> V O / G V,,�� j74• (•ieReralO�S (� �V ! f <br /> i <br /> y i N S. Tronmporicr I Company Nae 6, U5 EPA ID Number <br /> a O STRIES <br /> °0 7. Tronsportar 2 Company Nome g. US EPA IP Number 1, <br /> �r J <br /> 9. Designated Facility Noma and Sita Address 10. U$EPA 10 Number <br /> ERICKSON INC. 1 <br /> wo 255 PARR ai_V0 <br /> L RIG...C4 ; <br /> NO. CA 94804 t .' ftnrafnars 13. Total 14.utmt <br /> 11, US DT D <br /> Oescription(including Proper Shipping Name,Hazard Call,and IA Numberi No. Type, Gluantily wr/I/oi <br /> ? WASTE EMPTY STORAGE TANK + � <br /> z <br /> E <br /> O)� N <br /> E I: <br /> R <br /> w A <br /> T <br />)L R <br />+l W <br /> a <br />� t2 I <br /> oC <br /> 4 <br /> 0 15. Speelal Handiing rnitrugriogs and Additional Information <br /> 7 r Wear appropriate protective clothing When bandling SITE LOCATION: <br /> ar <br /> Z 24 Baur SmergencyTelephone Numbel' 1' a�� <br /> 24 Hour Emergency Contact, aQ p 'o a`A j or-C' ERGO 171 <br /> .J. <br /> I& <br /> GENLRATOB'S QRTIFIGATION: I hereby declare that the consents of this eenilgnmenl are fully and accurately described obove 6y peopei shipping name and era classified,packed, <br /> marked,and labeled,acrd are in all raepacrr In proper condilfan For rronsport by highway aeearding to applicable fotermotfagol and nquonol gevernmenl reauloliaas. <br /> _y If E am o forge qutmrl gerterotar,i arllfy thol I have a progro,e±In place to reduce the vo�itlts and waicily of walla gaeorared to Iha degree I have dei rminad to be aaoaamicall <br /> w p{adorable and chat I have»loped the pmaleoblo method of trealmam,stxage,or disposal currently available ro Ina which minlMlsrs the present and Futuro Ihreot ro human heal+ <br /> artd rhe erMramment;00.IF I am a small quantity gerlamiar,I have mgda a good Fpf Ih effort to minilo!M my waste Lenaralian and select Ike best writ,nranageriaal method that <br /> gvail�gble 1a me and Thar I don afford. :. <br /> ��#rrrrrr -V <br /> prinlad/Ir rrre SiInaluro Mogth: fear Y <br /> Z i • I r <br /> u•7+ r 17. Trop! orlar 1 Adoomlediwilimm of Racel I of Molarials <br /> Printed/typed Nome t Slggature idemdh" Day_ Y. <br /> t2M 4L-Z-61 !Zz <br /> Qp 18. Trona rtes 2 sclrnowlyd arrant of Rtcei t o Ierials i <br /> T Prinrad/lyped Noma5ignorura Mulch Par T, <br /> � E <br /> a <br /> 19. Dlscrepollcy tndicatian Spore <br /> 1 C <br /> I <br /> L <br /> l 20. Fo6ljryClwmt2L0g6fflW 6.vIlRaatien OF rMcafat of hazardous materials covered by Ihis manifest exec t as noted ie Uem I P. <br /> 51 noture Menlh r Day Y. <br /> Prinied/Typed None E <br /> DO NOT WRITE BELOW THIS LINE. <br />! I <br /> bZxa f4/4>J White: TSDF SEfvPS THIS COPY TO ATSC WITMlN 34.DAY; <br /> 00 <br /> AT5e a <br /> EPA&7022A �l To! P.O. Sox 3000,'Sacramento. CA 938+2 <br /> 3 <br />