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,-MAY-12-2005 13:53 FROM:TRACY T,&CK & AUTO S 12098325307 AJ&4683433 P.11 <br /> "a 111M I M,mlal Peowlion Agency See Instrutilitains on back ovage 6. DepUrnment of Taxis Sulaocuicos Contro <br /> Na 2050-40MEXP,1686'1-30�991 Sacramento,California <br /> C 14-M=*v r <br /> 4jePtarne"id <br /> pleasq, t or Farm designed for tutus an elite 12,pitchl tyPewrher. <br /> I, GanerW*e i US EPA ID No. Manifest Document No 2. Page I Information in as oded areas <br /> . <br /> UNIFORM HAZARDOUS is pal requtrod by Federal low. <br /> Of <br /> WASTE MANIFEST I <br /> C1&I T410101012121 1181811.1 5 S 0 J.3 ".. <br /> Sidfe "A-4 <br /> jg=tojsllame and Mailing Address A6"if."t <br /> 3940 IN. May BLVD. <br /> 9MYr CA. 9004 <br /> in A. Generator's Phemn( 200) 432-501516 - 1�J- T _1 <br /> est 5. Transports r I Company Name 6. US EPA ID Number <br /> %n <br /> s P66ea <br /> 2.11r6" <br /> T - 4� 70 <br /> 0 . � '. , , `,, - I <br /> AD%%Ik= rim VIZIAM77 Ici <br /> --f—Transporter 2 Company Name B. US EPA ID Number <br /> Er Shite TtgifUF?ofkr s ID itched:): <br /> Trqn;io rt ..V <br /> or <br /> '77 <br /> 9. Desi gnowd Facility Name and Site Address 10. US EPA ID Num or <br /> CMBY <br /> a OVOMY <br /> 0 C1 A.] DI 0 121 S1 410191 OLIL <br /> LONG MWE, GA 9001.3 <br /> 1 12. Conlo liters 13. Total I A,—Vnll <br /> _j !.. <br /> 1 1.15 DOT Doscriplion(;ncludino Proper Shipping Name,Hazard Class,and ID Number) Na Typo WI/Voll 1'44��ou <br /> Z - MBIN rLN*Gk= laJOUX09. N.O.S. (GASOLTIM AM <br /> 0M), 3, 11111993, PGX1 <br /> A-1 <br /> T F <br /> E Is. <br /> C:l N <br /> GO <br /> E <br /> R <br /> Is' <br /> F- <br /> T <br /> 0 <br /> R <br /> 77- <br /> Z <br /> Uj <br /> iod.,A <br /> 4A K,.R L <br /> AIX. ow%lr <br /> Uj <br /> ad <br /> 16_$p....1 Handling Instructions and Additional Information <br /> 0 A1111101M 9M APPROPMAIN MWOML kAOTEMVE ZQVXrMVT- Mtsmy CO 900-860-6690 M <br /> Z M=Sgjk X%SOV 909-615-103-6. BILL &MBM FUL r1LMT10*,, INC. WM ORMW <br /> 16. GENERATOR'S COMFICATIOW I hem6y Jaclare that the contents of this consi fully and accurately described above by Presser thl inopameandorecicssifilsd.pocluid. <br /> < marked,and labeled,and ora in all respects in proper condition for transporttlmyh�ihglmu <br /> httwoyoccord-ing to applicable international and holionTgovornment regulations. <br /> Illornalarge quonti generator,I certify that I have a proyrom in place to reduce the volume and laxkqfy of wails generated to?he dogr4o I have determined to be*cann,,,,r <br /> r <br /> p acticable and that Maya sale-clad the practicable method a'treatment,storage,m diap�l c!unFuturo available to me which minimizes the present and . ohreaffa,humps lt <br /> . <br /> anrn d 16 environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste moftoganterl m9",th(st is <br /> available to me and that I can oFfisrd. <br /> 0 <br /> Pr1n!tj/jAqd1 Name 5ignature, <br /> —tL /lei <br /> Z <br /> &Jj <br /> T 17. ranb Aer 1 Ajenowledgement of Receipt of Materials <br /> R Printed/Typod Name '1.1� on r Month Day Year <br /> LU <br /> LL. P 18, Transporter 2 Acknowledgement at ReceiEt.of Materials <br /> I <br /> 0 a Pointad/Typecl Name MY Yanr <br /> kiJ T <br /> V) <br /> fj 19 Discrepancy indication Space <br /> Z F A <br /> C <br /> I <br /> L <br /> 1 X Fwilhy O*n_o_r or geemlor Cerflficoligr%of vecoiel of hazardow materials covered by this manifest except as noted in Item 19, <br /> T Pjnsed/Typej N"mo Monnlk,fA Month Day yeol <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> bTSC B022A(1/99) Yellow: GENERATOR RETAINS <br /> EPA 000-22 <br />