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07/20/99 TTUE 09:18 FAX 510 633 0759 AKLAND til 07/21 08:88 FAX <br /> 0 slot•al Cc�r(oini0�EnrRonmenlol 1A'gmscy See Instructions on back of pill Deportment of Till Substances Control <br /> Form Approved OMB No.2050-0039(rials 4'70.44) Sneremonla,California <br /> Plcesa ptlnFar bpn, Form dnslgned lar uta an cfite(IZ-p�tchJ lypoarilar, <br /> 1-�narate is US EPA ID No. Manifest Doetlmerll Na. 2. Pogo 1 isfnal reQvired by Federal Iaw,e <br /> UNIFORM HAZARDOUS <br /> WASTE MANIFEST 2 5 5 8 8 °f 1 <br /> g- G«peratar's Name and Mailing Address <br /> EOLIIL�I I5 LLC <br /> _i�TSP13WK-1 <br /> 7 P. 0. BOX <br /> ii d. Genorolor's Phone( 71�/241�'8673 2" <br /> ^ 6. US EPA 10 Number <br /> C:y 5. 7ranspoAof 1 Company Noma <br /> a7 <br /> 0 <br /> q° 7. 7ranaporlar 2 Crompany Name <br /> S. US CPA ID Number <br /> J <br /> 1 <br /> 9. pesignotnd Facility Nemo and Silo Address 1a- US EPA ID Number <br /> _U2 pY & OVERTON, INC. <br /> pce 1630 N a �."M STREET <br /> WI-RE I12, Contahim" 13,Total 11, Unit <br /> �} 11. US DST Doseriptienwpnduding Proper Shipping®Napmsse,�flaiattf`G�{os/4�s and ID Numbarf T a Ouand WI/Vol <br /> '�^ , a' WASTE � LIQUID N.0 Sa <br /> -0? ( AIMS INE)i 3, Lhk14' ' I ( i>, SD01> ? D 4 >t TT 2ni <br /> z <br /> �Q' G <br /> 3�a b r <br /> ca <br /> E �4 <br /> IN <br /> :r R <br /> ati <br /> V A C. - <br /> ® T <br /> evil <br /> a <br /> w d, <br /> z <br /> W <br /> v <br /> w <br /> V) <br /> 7- <br /> Q <br /> - <br /> O <br /> a` <br /> V5 <br /> U, <br /> a ,•. t <br /> QIS, Special Handling Inslrilelioni and Additional Information FdCly 1! S r <br /> Ill-,Q 2l4 Y (WO) 424-95W IC.IEYSTATICtt <br /> z PLACARDS Pf=XDED ;BY TRANSPIORTER — UN1995 Ell VICTOR ROAD <br /> LU CLO PROFILE #19042 LODI CA <br /> t— <br /> U 16- GENERATOR'S CERTIFICATION: I hvrolby declare that the conlants alls eenirpnmant aro fully and accurately described abs+e by proper ship ing name and are classiflevi paakod, <br /> VV marked,and iobefed,and vire in all respects to proper Condition for tmnspart by highway aceoirling to applicable international and nolionaPgavemmenl("ologani. <br /> If I am a large ii ity gendrater,I cariify that I have a pro m Place to reduce the vollmre and tosdetty,ai waus,Beiterarod to the duergg I have delermined to be economiev(Irr <br /> practicable and that Anne selected the provskable method at ireollm ilorags,ot disposal cvrrend_y available la me whish rniniai:ms Iho present end inure threat <br /> to human heal8i <br /> and the oavfremmantl CIR,Ill am a small quanlily,penereler,I hove made a yood faIll effort Io minimize my waft ggnaralraa and select the hes!waste monogvmtatl method Iho!is <br /> ovalloble 1a me and shut I can offvrd, <br /> O PAntod/Typed No.e �.�-�" 51gnaNraON BEHALF OF <br /> V O Monti, Day Yooyys <br /> _ �„i '' <br /> JMQUI o241 7 <br /> 17. Trans erlvr 1 Aeh,a.wd gM of ecei t CA Nialev:ois <br /> e sign Month Day „ year <br /> W N Printo Typed Name 9 �} <br /> YLT <br /> LU S L <br /> Oo Ia. Trani orlon 2 Ackimw F vi l of Materials <br /> T print. /TypedNama Si®nalaro Month Day Year <br /> siJ i <br /> ✓7 R <br /> Ui9- Diact"i indication Space <br /> Z F <br /> A <br /> C <br /> 1 <br /> L <br /> fZ0, Fac:li CMna or 4 orolvr Cor11f 6etien of roeof t•f hamrdous materials wvvred Riis mantiesi ee as noted In Item 1 P. <br /> 94 <br /> T Prirtled/TYPadNamae—s Month Day Y <br /> if r \—? t4l 4n <br /> 204-4416ON D OT WRITE BELOW THIS LINE. <br /> tvl.at: TSUz Iri 1:45C w1T11iN X! 'i <br /> DTSC 8022A I4/971 to P C.1 „ r•+mn CA 99x7 2 <br /> EPA E70C-22 <br />