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nmental Protection Agency <br />2050-0039 (Expires 9-30-99) <br />irm designed for use on slits (12 -pitch) ewri" <br />See Instructions on back 04ge 6. Department of Toxic Substances Control <br />Sacramento, California <br />Z <br />L <br />J <br />a) J <br />15. Special Handling Instructions and Additional Information kjt�},�23 7 / <br />HANDLERS BE 40 HOUR OSHA/SARA 11�Ajj�y�r++�������'LffD <br />AND USE NIOSH APPROVED PPE. <br />EMERGENCY CONTACT: (916) 371-5747 <br />2. Page 1 I Information in the shaded areas <br />is not required by Federal law. <br />1 of <br />13. Total <br />MFORM HAZARDOUS 1 • Generator's US EPA ID No. Manifest Document No. <br />Quantity <br />WASTE MANIFEST C1 Al115171218191 <br />0 51.2 2 <br />5 <br />generators Name and Mailing Address <br />5 <br />STOCKTON ARMY AVIATION SUPPORT FACILITY <br />18. Transporter 2 Acknowled a rs ent of Receipt of Mates <br />T <br />2000 STIMSON ROAD, STOCKTON, <br />CA 95206 <br />Month Day Year <br />u E <br />Q R <br />4. Generators Phone ( 2091 983-5331 <br />J <br />5. Transporter 1 Company Name <br />6. US EPA ID Number <br />- A <br />RAMOS ENVIRONMENTAL SERVICES <br />ICIAID101414101013151516 <br />I <br />L <br />7. Transporter 2 Company Name <br />S. US EPA ID Number <br />20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br />J <br />J <br />Q <br />V <br />9.� c% I&MSite Address <br />10. US EPA ID Number <br />Month Day Year <br />I <br />-i <br />2 <br />V �, V�1j� <br />2000 ALAMEDA STREET, COMPTON, <br />CA 90222 <br />I , <br />o <br />C A T 0 8 0 0 1 3 <br />3 5 2 <br />J <br />Q <br />V <br />11. US DOT Description (including Proper Shipping Name, Hazard Class, and 10 Number) <br />12. Containe <br />No. T1 <br />a'COMBUSTIBLE LIQUID, N.O.S., <br />NA1993, III <br />3 G <br />E <br />(KEROSENE) <br />NAERG96#Hfr/Z8 <br />o N <br />b. <br />o°Do E <br />n R <br />v A <br />a T <br />O <br />c <br />0o <br />R <br />L <br />d. <br />Z <br />L <br />J <br />a) J <br />15. Special Handling Instructions and Additional Information kjt�},�23 7 / <br />HANDLERS BE 40 HOUR OSHA/SARA 11�Ajj�y�r++�������'LffD <br />AND USE NIOSH APPROVED PPE. <br />EMERGENCY CONTACT: (916) 371-5747 <br />2. Page 1 I Information in the shaded areas <br />is not required by Federal law. <br />1 of <br />13. Total <br />14. Unit <br />Quantity <br />Wt/Vol <br />Month Day Year <br />5 <br />5 <br />16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, <br />marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and national government regulations. <br />If I am a large quantity generator, I certify that 1 have a proram in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br />practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health <br />x and the environment; OR, if 1 am a small quantity generator, 1 have made a good 'th effort to minimi my waste generation and select the best waste management method that is <br />D available to me and that I can afford. <br />11- Prin)97yped Name Sign re Monte Doty Yoar <br />z r--- tie d) rl o <br />3 T <br />17. Transporter 1 Acknowledgement of Receipt of Materials <br />NPrinted <br />Typed,Lyame Signatu <br />Month Day Year <br />5 <br />L P <br />A- 0 <br />18. Transporter 2 Acknowled a rs ent of Receipt of Mates <br />T <br />Printed/Typed Name <br />iWature <br />Month Day Year <br />u E <br />Q R <br />J <br />19. Discrepanrylndication Space <br />� F <br />- A <br />C <br />I <br />L <br />1 <br />20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br />T <br />Printed/Typed Name <br />Signature <br />I <br />Month Day Year <br />I <br />Y <br />I , <br />DO NOT WRITE BELOW THIS LINE. <br />DTSC 8022A (4/97) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br />EPA 8700-22 To: P.O. Box 3000, Sacramento, CA - '95812 <br />