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<br />• Me. 2050-0l 39 (Expires
<br />s 9.30- See Instructions on back of ge 6. Department of Toxic Substances Control
<br />,eAB No. 2050.0039 (Expires •30.991
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<br />OTSC 8022A 14/971 Yellow: GENERATOR RETAINS
<br />EPA 8700-22
<br />1. ator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas
<br />UNIFORM HAZARDOUS is not required by Federal law.
<br />WASTE MANIFEST
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<br />S. Transporter I Campo 6. US EPA ID Number
<br />7. Transporter 2 Company Nome 8. US EPA ID Number
<br />9. Designated Facility Now and Sia Address 10. US EPA 10 Number
<br />RAMOS ENVIRONMENTAL SERVICES
<br />1515 SOUTH RIVER ROAD, WEST SACRAMENTO, CA 95691
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<br />IS, Special Handling Instructions and Additional Information
<br />HANDLERS BE 40 HOUR OSFIA/SARA TRAINED
<br />AND USE NIOSH APPROVED PPE.
<br />16. Gf:NERAVW5 CERTINCATKft I hereby declare that dna contents of this consignment are fully and accurately described above by proper shipping Rome and are classified, packed,
<br />and , and are in all respects in proper condition far transport by highway according to applicable international and mtlianal government regulations.
<br />91 am a lapis quantity ge nerota, I certify that I have o ran in place to reduce the volume and toxicity of waste generated to the degree I have determined to be ecat�nicollrr
<br />and dual I e selected dna practicable method treatment, storage, or disposal currently available to me which minimizes the present and future threat b human heolth
<br />pracficobfe
<br />and the environment; OR, if I am a mail quantity generator. I have made a good faith effort to minimize my waste generation and select the best waste management method the is
<br />available to me and that I can afford.
<br />Printed%Ayped Name Signalur Month,. Dory _Year y
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<br />17. Tron tet 1 Acknowledgement of Recei 1 of Materials
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<br />20. Facilioy Owner or Operator Certification of receipt of hazardous materials
<br />covered by this manifest exce t as noted in Item 19.
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<br />OTSC 8022A 14/971 Yellow: GENERATOR RETAINS
<br />EPA 8700-22
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