|
AM _
<br /> 6*
<br /> (tj�l 5 ES
<br /> V p-Environmental Rrotmct on AggcnryJ�7 p0 ar men4 of Tonic S olifnrni a Control
<br /> rrcs'3-30.49) E$Ingructions OY!-yGC a� p Saerramento•ColiFarniO
<br /> No..2PS0••00,I lsrP rater. (/ c+£ ..
<br /> y „8 Qfin!Or lypa-. Form dB8'$nb�.�r use on elite(12-pitch)rypew'
<br /> Manifest Document NO. R, Fag°.1 tn$ar1 q.i a the shaded areas
<br /> Generator s US EPA ID Na. � is not required by Federal law.
<br /> UNIFORM
<br /> WASTE AAAAIIFEST of
<br /> ,r-,J �r ',`�•.;:Sidle;M9nifgst,[?dr?,iineriflNdriakS�Y'•
<br /> 3. Geiser Chir s tdomB and Meiling Addr¢s: t -,'3•
<br /> /,r^'"f ��/'r .M �„{ � SBt;''rSP.bnx_,'•Genarofa'.s.10.", t ..
<br /> 4, Generator's Pbor,e rr,.�-7 �/` t. ']•..•i.� _
<br /> n 6. US EFA ID Number t0"�StdfFiTrori'sporie"�!rs?lDF Reser'v8rl:
<br /> ul
<br /> 0..r ! 11 J 6k .Lc _"J: 1. J f. cCt, rao;pacFerrys'@Irflne•}.i' .
<br /> C] �•�r�i �0.g� •���y7 �'aa. US EPA Ib Number
<br /> ..,t. ry �0. r� [� vE�Stuta°,T�ftspa�arrteaQi �rvad
<br /> C AD
<br /> rfY.ssv'].•,�s�p,�„�,�asr�•,.•,baa0�t.:'V:F;.':
<br /> V _ t0. us EPA fD Number ;G,Srot+a� a#r1D ? �'
<br /> y_qaa If it Name andel Site Address
<br /> DRIVE WT-
<br /> FEMMY, NV &9408
<br /> r f2.Ct,ntpinars •13_Total 14 Unit
<br /> 11, US DOT Pests'iptioa lincludingfroper Shipping Name,Hozofd Cioss,and ID Number) No Type Quantify wt of ',l tWastq Narmber
<br /> 64© N b :EPA/CN#ierj: t °,
<br /> m E r
<br /> Ac.
<br /> R
<br /> t, T^
<br /> LU 46
<br /> :w•�µ.,...�� Thr:�,eyc<,tr,4; 5��;' "i �F�j�ie 11�)Fn dJ"-� �fl�¢s� t., ..�,'y.�,''w t-�;'�':K
<br /> .M:ar a{ •: ."hid 'S:y1:' 't� ��;,�, aF„9• ''Y, :� :.vF,° i 4-(('.}`k�,o_,'-y a :r.. h1;W`: -'x1 ev aa4Vv'r`�)"'"''''vSe.
<br /> Liu Ja\y.', 1°Y^ -I° 1• M,b\}' x7'�H � �e,��"��"_�+�- ..}�� _4+? ea+��A��b�4i.d5:yi'. ��' ) �3R� �•'� �'.,,,i�k}
<br /> • - . „� Y7..• � �� %Wa �•-� ��3",tet t��-4cS' F"� �t�i.icy, ,+.
<br /> fY.. e .•. 1• `• °. Y,�np�_g4�'q�• k (��� .k1 :•# � i �r t(Lk,zv-a'?..•. Cpyt�J'Ij�pl�' Y C��Yiltnt
<br /> � ° .$f.e. � �• 4 A+,�""�M`�k 1:`��\�:�..1yU",'o`:•.�,y^�' r.-,rh�., �l'� Y•: '�A•,� tY fit,
<br /> --
<br /> c� _,n. ,f.. ,+,, .r, v .���,fy' qq ,+�,�<^`.��, ;� :n, �,ya...°:„a yy�� �_*{a y ie.. �5c^. �1��`.:='':`,'.',•
<br /> .J- �;'A. ..,y �ri" �i �g��Jd'�,4�,} �wAhF '+M.. n' �,r,°c3,�.•Rvl.? �V'}{(a;SS4�.::.l.d�
<br /> D 15. SpacialHandling lnsfrucii«tsand Additional ln{vrmaHn
<br /> o
<br /> 24 HMMWM rVg. rrEYMUL
<br /> Z 6y proper shi in name asrd oro dassi$ed,packed,
<br /> r
<br /> I re that the contents of Rsis ca ni nment are fully and aacurat dascri ova
<br /> 16. 6HNERATOR'S CMIFICATION: I
<br /> hereby dada cable intemational and natiopo Qoverntnt+rtt r�ula:ians,
<br /> I < ° marked,and labeled;and ora in all respects in proper condition for ttonsp by hr9h SOY acca�irtg 9a aM
<br /> dogma 1 have determined is be.ecanamica
<br /> I terrify chat I}rove 4 progrpm in place 4o mdtca the volume and fe:ddly Of wOlta ganaroled to 1}W aQ
<br /> if i am a large quantlly generator, r di I Owren avertable to rrre w(rtch minimizes the 7srebsent wonaste d ^� e mod that is
<br /> s prodicablo and that I have Wadad the P�ructicable rrrcibod o{t"ohnent,aforoga,o iP°Sa �?', h
<br /> ZZt(reemironmenF;OR,if I am a small gv�tlfy generator,t'ltova made agoad ;t(t.•elfart to minrmaB my waa>S$811a o lOR end aelad 1
<br /> w _ pvailabira to me and that 1 can afford- Montt. Y
<br /> Day
<br /> aar
<br /> t
<br /> 0
<br /> Frim d/Typed Name
<br /> t l
<br /> z
<br /> j 7 17.Tram r!ffi wl nmeat of Retei of Materials - -
<br /> !ti pap Year
<br /> 21ku
<br /> u prinradlTyPP —
<br /> ku a
<br /> LIJa
<br /> P 18-T 2Aeknawlad tZflece: ofMatar;a6 Month Day Y¢ar
<br /> T. Pri-.. 7Typad. amn
<br /> ili E
<br /> screponeykwlkofion Spore
<br /> a A _
<br /> (
<br /> 20. Facili Owner err ra5or terfifloatioii re of hazardous mcfariaiE avvere tfii: ndasY as armed' th Yaw
<br /> s T Pr Nemo - Sign 6
<br /> 9 ,
<br /> j
<br /> DO NOT WRITE BLOW THIS $
<br /> 5 CC]PY TO DTSC WITHIN 30
<br /> Whig.___.TSDF--- i�-------- __
<br /> DTSc 80�2A(1/94y Lo: p_0, BOX 300D,SYscrOMOM,Oi4 45$72_
<br /> € EPA 6700-22
<br />
|