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c .Pc30---o038(Evitac 9-=r" �„ ut y1�6d <br /> xg.A pr°vor OA19 No. c 1 G Toxic.Substanme Control UMebn <br /> Please riot or f!rnr lft for eon on loh / / ��/�/�/�;. � Taaaxfeeto.California <br /> • <br /> UNIFORM HAZARDOUS ' lord us EFA i°tIe Manifest 2. Pogo 1' Miormatbn'M the shaded ar000 <br /> . WASyT�F MA IFH EST�o A O O C, f1.7,SQ�. / °• is not mqukod by Fodoral law. <br /> A. State Manifest Ooaanont Nuttaber. <br /> L`Gi►l�vrif �%�4- `>' g? S,,81cta Genercipee to <br /> 4. oan«.toes Phone(q/sl S7-�Sov <br /> r-- <br /> TraTt j Coupe ame e. US EeA 10 Num C.'Weto•Trencporteea ID <br /> clAA M Tronepwices Phone 0 6 03s,77 <br /> I7,rrsnsporer 2 C;empany Name 8. US EPA 10 Numbor E State Transporter*b <br /> f 41 S tt AFa <br /> u�y� �de.e 1. F. Trosapertore Phone <br /> //[ /:dr s° 1. US 6'A ID Numbs -(L Stam CaWly's W <br /> - <br /> ?.4$/ds K FedWe Phone <br /> 8 -I o c lel 4/ <br /> 11: US OOT Description(Including Prober Shipping Nana.tlmtaM Claes,1xd 12. Containers 13. Total 14.; ' L <br /> tD� Quattlly Unit Waste No. <br /> No. Type / <br /> i a•1;4 L;a25cU.S "1.45 O <br /> sq �j '•Zytato _ <br /> PA <br /> I <br /> i <br /> E_ t. <br /> R t. State <br /> ! T rEPA/O&,w <br /> IO Y. <br /> - State <br /> Lr EPAVONct <br /> ' t►`�patnaalo':tyrate�f�l3tftlQ/k7C+ Y 1 <br /> ,• ,r,:... r Codoa tel L*Jcateo Lk�tea Above <br /> b. <br /> KZZ- <br /> 1 hS^YrY •' J` _ _ �~ 12,x,(' ^k�•I .. - <br /> I �- _ .-.. �=.';'�:.V��'� � :� .,Aa1 .:/''G«t�"iL_' . .F��- .�iti`..r1N"^?-�H�ye z .k'rt . '-.- • ' <br /> 1 <br /> f!—,Spadai Handling 6retrvetione and Additional MNorrnatfon JJ <br /> IC�Ltra/fSS-,4,r,1p ,4�.r•�y.r.Rfa—/7yol�rTi,aG ��fi:,-• whacar.' Ci.� <br /> I � • I <br /> -qiE'•.BATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping <br /> I tta PP and ere Classified• packed,marked;and labeled,and o all rospecta In proper condition for tranoport by highway according to appl;c°ble <br /> Werleticral.and national governmont regulations, '4 <br /> .111 am a largo Quantity generator,1 certify that 1 have a program p rodtice_the volume and toxicity of waste generated to the degree 1 have <br /> ,4erm1npd te�¢e.oconotnically�reeticabb and that <br /> ..� 1 laevo selected ttaM' eAQtf�(e method of treatmstorage.a <br /> , otogo, disposal currently available to <br /> i cry:.. •w`t'ea.�.+rlarst a�xf i:isne Rfiioat Td*+kris-'he', a osusent:.OR:If C am,a•small�tacntity.gonorstu.)hgvo,made a good <br /> faith amort to Minimize my Hasid generation and aoksot the beat�tlti�e:. gomem thod that;a avattabso to me and that t car atf6rd. <br /> I _ T Month Day Year <br /> R 1r. Trar&oorter 1 Ac#nowledgeme t of Receipt of Matedate <br /> I A10401 <br /> /Typed Name Bans Month Day Yo r <br /> j s �` t " <br /> I O 16. Transporter 2 Acknowl gement of R <br /> eeelpt of Medals <br /> R P iMed/T d Nemo <br /> t T 1'p° Signature Mouth Day Year <br /> E <br /> 19. Discrepancy Indleatirn Space <br /> F <br /> A <br /> C <br /> I <br /> L -- <br /> 1 20. Facility Owner or Operator Certtlioation of res-,Apr o'hazardous materists covered by this manifest except as noted in Hem 19. <br /> P, d/Ty ed Name lure / Month Osy Year <br /> . Y <br /> EPAOHS 8700-(1/e7) Yellow: TSDF SENDS TH!S COPY TO GENERATOR WITHIN 30 DAYS INSTRUCTIONS ON THE BACK <br /> EPI.6700--22 <br /> tRev.9-8a) Previous editions are oFeolete. <br /> IN CASE OF AN EMERGENCY OR SPILL, CALL THE NATIONAL RESPONSE CE!;i.P 1-800-424.8802; WITHIN CALIFORNIA CALL 1-800-852-7650 <br />