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MMM <br />IL <br />1. Cuslomor US £R410 No. <br />;` <br />Mani <br />°°` ""-12O40' ����� <br />of��`��i� <br />CAL000366211 <br />3. Generator's Name and Maw Address <br />FIRESTONE #028746 <br />720 E. HAMMER LANE <br />G TQCKg C�` 96210 <br />4. Phone( 2081 951.-2403 <br />5. Transporter 1 Company Name 6. US EPA 10 Number <br />A. State Ttansportsr`s ID <br />ASBURY ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 <br />S.Ttensporter 1 Photo ($00}9744495 <br />7. Transporter 2 Company Name - 5. US EPA ID Number <br />C. State Traneportses ID <br />0. Transporter 2Phone <br />S. Designated Facility Nams and Site Address 10. US EPA ID Numbor <br />E. State F&OWS ID <br />CLEAN HARBORS -WILMINGTON <br />1737 DENNI STREET <br />F.Fw Ws Phone <br />WILMINGTON CA 90744 ICAD044429835 <br />(310)838-0775 <br />11. WASTE DESCRIPTION <br />12. Containers <br />13. <br />14. <br />Na <br />TypeTOW <br />Ouantity <br />Unit <br />W1.1m. <br />a <br />UN1950, AEROSOLS, 2.1 "UNIVERSAL WASTE" <br />DIM <br />P <br />C. <br />d. <br />G. Additional Descriptions for Materials Usled Above <br />H. Handling Codes lo(Wastes Usted Above <br />w <br />15. Special Handling Instructions and Additional Irdormation <br />EMERGENCY CONTACT: CHEMTREC 1-600-424-9300 "PROFILE # 981: 083115-2 AEROSOLS "UNIVERSAL WASTE" * PO# <br />Al 10215086 *APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT <br />SITE: ht 0,90 <br />15. GENERATOR'S CERTIFICATION: I hereby certify that the contents of thio sNpment are k4y end aacwateyr described arta are In ag taspeCIS <br />In proper condition for transport. The materials described on this mantlost are not subject to kdorai hazardous writs regulations. <br />Date <br />PrintedJT <br />a <br />Sllptalwa <br />l+f Month Day }bar <br />oft <br />T <br />R`�7 <br />R <br />17. Transporter 1 AdmovAedgemanl of Receipt at Materleb <br />Date <br />Print <br />Signalwe <br />Month Day *or <br />�$j <br />P <br />6 L.� <br />O <br />15. Transporter 2 A,cimowiedgament of Receipt of Materials <br />Date <br />p <br />T <br />PrintodinypedName <br />Sdfnralm <br />Month Day lbar <br />E <br />R <br />F <br />19. Dlscrepancy Indication Space <br />A <br />C <br />L <br />20. Facility Owner or Operator; Certification of recelpt of the waste materials covered by this meet, except as toted in tem 19. <br />I <br />IDate <br />T <br />PrintedinVped Name <br />Signet ro <br />Rbrlih Day Y" <br />Y <br />