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Mai 19 05 12:20p Ell& Inc <br />j <br />foto of Col'efornia—Emrironmenial Protection A req <br />corm Approved OMB No. 2050-0039 (Expires 9.30.951 <br />%Weasa print o type. Form designed kr use on elite (12-pilchl typewriter. <br />iAi <br />a <br />N <br />h <br />n <br />N <br />L11 <br />ac <br />L0 <br />r� L <br />LO a <br />�+. 2 <br />c <br />c <br />N <br />r <br />r <br />c <br />c <br />a <br />209 3-2928 <br />See Instructions on bask of page 6. <br />Manl{est Document No. <br />9 <br />A. Siota Monih <br />DTSC 8022A 0/99) <br />EPA 8700-22 <br />Deportment of Toxic Sul cos Ct <br />Sacramento, Cc Min <br />Pope 1 Information in the shadec is <br />is not required by Federc <br />of i <br />Document Number 23371 7 1, <br />B. Slate Gensrotoes ID <br />ID Number C. Stale Transporler's ID [Rossrvsd•J -- <br />0 0 6 4 6 4 9 7 D. Trans miler's Phone <br />ID Number E. Surto 7ronsporNr's ID IResesved.l <br />s 1 t t I I 1 I F. TroropoAers Phaae <br />H. F"I"' "s Ynone <br />1) a d; ,� 6 8 1 (32'3)266-5056 <br />12. Contoinars 13. Total 14. Unit <br />lumber)' T Quantity Wt/Vol 1. Waste N t;_ <br />State <br />R9 223 52 <br />EPA/Other <br />0 10 i I) p4 0 3 5 0 P non, rat <br />State <br />EPA/Other '- <br />State <br />EPA/Other --- <br />IF i IIIE <br />K. Handling Codes for Wastes listed Above <br />a. b. <br />d. <br />signtmmt on Fully and accurately described above by proper shipping name and are dossifiod, i d. <br />t aI highway accarding to applicable inNrnaliona! and notional govemmanl regular <br />o reduce Ilto volume erect mscieiyy of wand gernerated to the degree I hove determined to be t micallTT <br />raga, c disposal currently a icilebls to ma which minimizes sho praseni and future threat to h 60013 <br />good fonts oral u minimize i 4 waste generation and soled the bast waste management m that it <br />Month D Ye <br />.... . _._. lel <br />Month D Ys <br />alar. I D <br />month D Yt <br />�oture <br />covered this manifest as Leered in Item 19. Month C Y' <br />gnature <br />DO NOT.WRITE BELOW THIS LINE. <br />Yellow: GENERATI VAIN <br />UNIFORM HAZARDOUS <br />1. Gasssrotor's US EPA ID No <br />WASTE MANIFEST <br />t: A L n 0 O x <br />3. Generators Name and Mail"I Address <br />fi')& Ej 1A rE-kUC1Y3. G <br />j!233 t-0Rr-,-11KEX RID. <br />�1Fliti'ECA, Ch l°336 <br />4. Generator's Phone ('i ,j 9 I ? ? = ^ '� •1 G 7 <br />5. Transporter 1 Company Name 6, US EPA <br />3W--,' I-wZARt13 3C'ILUr 11j)43 C A I <br />7. Transporter 2 Company Name 8. US EPA <br />I <br />9. Desi noted F Mly Name and to Address 10. US EPA <br />yiPilAts <br />2690 E. 26TH 3T:•. <br />'JER14,2V, esr �uu23 .^ .x m <br />11. US DOT Des`riptfon (including Proper Shipping Norco. Hazard Coss, and ID I <br />a• OIL, DIRT, AB3hRBE14TS c DIESEL SILT <br />1)C'Cv-Rc Ph 1WARD---%U3 F,1rp,3TE SOLID <br />G <br />i E <br />b. <br />E <br />R <br />A <br />c. <br />T <br />i O <br />. R <br />i <br />d. <br />1 <br />J. Additional 01 -AT tate for Maprwla Usted Above <br />a) PROFILE 0-110202 <br />LA <br />s <br />i <br />15. Special Handling Instructions and Additional Information <br />� <br />,4PPROPRIATE PR.O`1105* 'i'1I11'E CLOR'tiiNG <br />s <br />"EIIERGEMY COWMCT: 000) 746•-7449" <br />u <br />3EE E.R.G. PAGE,, <br />C <br />16. GENERATOR'S CERTIFICATION: I hereby declare that the contend al this co <br />labeled, and are in all respects in Propo eons ition for transpa <br />t <br />marked, osd <br />II I am a large quanliry generator, 1 certify that I have a p ram in place <br />the melhod of treatment, sit <br />i <br />n <br />practicable and that I have selected practicable <br />and the environment; OR, if I our o small quantity generator, I have made <br />z <br />available 10 me and that I con afford. <br />r <br />Printed/Typed Nome ! S <br />Z <br /><: <br />1t T <br />17. Trans or I pcknovA smool of Recoi t Materials <br />LA <br />PrintW/Tylsed Nome Sigi <br />� is <br />S <br />Ai P <br />g <br />18. Trans r 2 Acknowlad ornenl of Reeai of materials <br />R <br />Prinsed/Typed Nome <br />Sit <br />W E <br />a <br />Q <br />U <br />14. Discrsponq Indication Spoto <br />F <br />A <br />C <br />I <br />L <br />20. Focili Owner o orator Carlin tion 1;f; cal of hazardous ttrof•riosl <br />( <br />T <br />Printed/Typed Name <br />Y <br />DTSC 8022A 0/99) <br />EPA 8700-22 <br />Deportment of Toxic Sul cos Ct <br />Sacramento, Cc Min <br />Pope 1 Information in the shadec is <br />is not required by Federc <br />of i <br />Document Number 23371 7 1, <br />B. Slate Gensrotoes ID <br />ID Number C. Stale Transporler's ID [Rossrvsd•J -- <br />0 0 6 4 6 4 9 7 D. Trans miler's Phone <br />ID Number E. Surto 7ronsporNr's ID IResesved.l <br />s 1 t t I I 1 I F. TroropoAers Phaae <br />H. F"I"' "s Ynone <br />1) a d; ,� 6 8 1 (32'3)266-5056 <br />12. Contoinars 13. Total 14. Unit <br />lumber)' T Quantity Wt/Vol 1. Waste N t;_ <br />State <br />R9 223 52 <br />EPA/Other <br />0 10 i I) p4 0 3 5 0 P non, rat <br />State <br />EPA/Other '- <br />State <br />EPA/Other --- <br />IF i IIIE <br />K. Handling Codes for Wastes listed Above <br />a. b. <br />d. <br />signtmmt on Fully and accurately described above by proper shipping name and are dossifiod, i d. <br />t aI highway accarding to applicable inNrnaliona! and notional govemmanl regular <br />o reduce Ilto volume erect mscieiyy of wand gernerated to the degree I hove determined to be t micallTT <br />raga, c disposal currently a icilebls to ma which minimizes sho praseni and future threat to h 60013 <br />good fonts oral u minimize i 4 waste generation and soled the bast waste management m that it <br />Month D Ye <br />.... . _._. lel <br />Month D Ys <br />alar. I D <br />month D Yt <br />�oture <br />covered this manifest as Leered in Item 19. Month C Y' <br />gnature <br />DO NOT.WRITE BELOW THIS LINE. <br />Yellow: GENERATI VAIN <br />