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101 V9 - tkFYi �.. <br />W ? s & 1 s <br />Z <br />O alb n 8 L G CTWE EQM _ EMERGZWY C (800)950-8680 OR <br />Q BUD (909) 545-7415 _ BILL: ADVANCED ML' FIL TION SYS'1100, ORDER; <br />to <br />i <br />16: MWS TKft 1 hereby declare that the contents of this was' t are fully and above prapsr;b' ' nano ward aro classified, packed, <br />marked, and , and are in all respects in proper condition for trap= hway according o icable i a� t regulations. <br />If I am a ksrgo quantity generator, I certify that 1 have a pir+mn in place o r the volume a d of vuosh o dee g►ee 1 h� determined 0 6e aaonom y <br />rn praticable and that I Fiero selected tko method of treatment, or.dispoW_ currently a mi cble to me which minimizes" mid Tonere throw o human health <br />and the ern ironmenh OR, if i am a smallquantity , I have made a good faith effort o minimize my wase. and select bad waste management method that is <br />Cie� ovaifobl. o + tend lien 1 teen attend. <br />Printed/Typed Name S*ataree Monde Day your <br />Z R n1,Qr'�sff/✓`�fir.�✓T/� r„y €i G t: <br />W <br />O R 17. T 1 of Receipt of Mkaftrials <br />U° <br />5role,o Califomia—Environmental Protection Agency ' <br />61 . Form Approved OMR No. X550 -W39 (Expires 9-30-991 See Instruction on back Of 6. Department of Tonic Control <br />Pfogse print or". Form desi®n®d kor use on elde (I2pikh) IYPew'ftsr• Sacramento, California <br />% <br />UNIFORM H US <br />1. s US EPA ID No. Manifest Document No. <br />2. Page "1 <br />Information in the shaded areas <br />��1 <br />U- <br />t <br />t8.. z of Materials <br />Q <br />T <br />is not required by Federal law. <br />S'gnatum <br />Month Day Yon <br />stiff <br />WASTE MANIFEST <br />,f <br />V <br />19. Discrepancy indication Space <br />Ge <br />3. Generator's Name and Moiling Address '' `s <br />1Y t <br />2,231 <br />C <br />QUICK STOP ET $144 <br />a ,..; ' <br />i <br />0 <br />7272 WEST LAM <br />1 1 <br />20. Facility Owner or 2egMtLw Certification of receipt s materials covered by this manifest akcapt as rioted in Rein 19. <br />T <br />PlasedAypied No. Si�nawroDay� <br />e°y <br />Y <br />`� lam, <br />fV <br />Yellow: TSDF SENDS THIS CORY TO GENERATOR WITHIN 30 DAYS. <br />S. Transporter 1 Company Name 6. US EPA ID Number <br />52fl-- 27f} <br />AtIVAIVED FUEL FILTRATION, INC_ r R f) Q 0 1 1 8 9 9 2 <br />O <br />7. Transporter 2 Company Nacre 8. US EPA ID Number <br />t� <br />Address <br />C Site 10. US EPA ID Number <br />1620 W. 17TH STREET <br />LOW BEACH, Cid 90813 D fl � 8 4 <br />0 <br />J,612. 6 <br />11 �, US Wj Dgsc�iplion ljne ga,Prgptir Sfli„Rp g Ngtite #Rard are ID Nymberl 12. Containers <br />Na: <br />13. Total <br />14. Unit <br />VW/Vol - <br />! YYaste kumber <br />T <br />F <br />k%TER) <br />TER) 2, UH1992r HGIZr <br />3 <br />G!9 <br />Poll f <br />T F <br />D <br />EPA/ <br />0 <br />"N <br />b. <br />uro <br />E <br />R <br />EPA/tltbe <br />r <br />et <br />O <br />A <br />T <br />371E 2SPAWWW JIM <br />c. IEAN WATER ACT AND &KUM REQt, SEf.” BY <br />o itTATtON DISTRiCT9L ®Y IAS< C+OLIM <br />5 <br />Go <br />® <br />WASIE7R8ATM�1 t5 !tea <br />�RTDv, INC.. sY TIS Dft T � TOXIC St ttsTmtct E +;RntuttsD Tq .OSBY a <br />EPAI <br />'— <br />R <br />IROV&W—%'T'AL TOGS TIER TI <br />A IN A NCE K'mt TBiE PttOVOS� :• <br />Uj <br />ti.. <br />d t;t'LATIONS CR Y! HAS ALL TIM NEQsiSARY a <br />s,..1 CED WASTE AND ALL WASTE HAS . A <br />. <br />HA IN ACCORDANCE W ANL= <br />65.SUMT 7W yE 's <br />9- <br />U <br />lW HAS ATF11 <br />1 , <br />101 V9 - tkFYi �.. <br />W ? s & 1 s <br />Z <br />O alb n 8 L G CTWE EQM _ EMERGZWY C (800)950-8680 OR <br />Q BUD (909) 545-7415 _ BILL: ADVANCED ML' FIL TION SYS'1100, ORDER; <br />to <br />i <br />16: MWS TKft 1 hereby declare that the contents of this was' t are fully and above prapsr;b' ' nano ward aro classified, packed, <br />marked, and , and are in all respects in proper condition for trap= hway according o icable i a� t regulations. <br />If I am a ksrgo quantity generator, I certify that 1 have a pir+mn in place o r the volume a d of vuosh o dee g►ee 1 h� determined 0 6e aaonom y <br />rn praticable and that I Fiero selected tko method of treatment, or.dispoW_ currently a mi cble to me which minimizes" mid Tonere throw o human health <br />and the ern ironmenh OR, if i am a smallquantity , I have made a good faith effort o minimize my wase. and select bad waste management method that is <br />Cie� ovaifobl. o + tend lien 1 teen attend. <br />Printed/Typed Name S*ataree Monde Day your <br />Z R n1,Qr'�sff/✓`�fir.�✓T/� r„y €i G t: <br />W <br />O R 17. T 1 of Receipt of Mkaftrials <br />U° <br />% <br />Uj <br />S <br />��1 <br />U- <br />t <br />t8.. z of Materials <br />Q <br />T <br />/Typed Name <br />S'gnatum <br />Month Day Yon <br />stiff <br />E <br />R <br />V <br />19. Discrepancy indication Space <br />Z <br />F <br />A <br />C <br />i <br />1 1 <br />20. Facility Owner or 2egMtLw Certification of receipt s materials covered by this manifest akcapt as rioted in Rein 19. <br />T <br />PlasedAypied No. Si�nawroDay� <br />e°y <br />Y <br />`� lam, <br />DO NO WRITE BELOW THIS <br />Yellow: TSDF SENDS THIS CORY TO GENERATOR WITHIN 30 DAYS. <br />1 rvmc on -1-m 11 rnnr t (Generators who submit hazardous waste for transport out -of -sate, <br />