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U I • :,U,JJ 11.G UJ:id la.A a I U UJJ U 1 0 J (gz UO2 <br /> 07/20/99 08:38 FAX OAKLAND LQ 002 <br /> Stot�c^"C'�2fornie Envirenmenlal Proleclimn Agency See Instructions on back of p 6. Department eF Toxic Substances Control <br /> Form J�borr O ®No 7050-0039(Eeptres 7.70-99) Saeromenlm,California <br /> Picaso print-or fyp^. Form d+d9^�F""'on dire 112-p:rchl ypa.+ritor, 2, Po 0 1 (nFortnalion in the shaded area <br /> I- G«nerater',US EPA ID No. Manifest Document Na. 9 <br /> UNIFORM HAZARDOUS s not req ircd by Federal low, <br /> WASTE Fv1AP(IFEST A 2 S S B 8 of 1 <br /> 3, G+nerafar's Namc and Mailing Addross <br /> EQUILON ENTERPRISES LLC <br /> P. 0. BOX M9+ <br /> d. Genarato"Photo( 71 /241-8673 LqWQN, TX 77252--20" <br /> ra 6. US EPA ID Number <br /> 5. Transpvner I Company Nemc <br /> h <br /> m <br /> o1�utQ G A 14 G S 6 <br /> 0D 7. Tranevertar 2 lrompeny Name 9. US CPA FD Nam6er <br /> J <br /> J <br /> U 10. US BPA 10 th,mber <br /> 7. Dn•igno'ed Faclliry Nemo and Sile Addrefs <br /> -OQ f I CROSBY T❑�{, II�1C.1b3O W. ).7TH <br /> STREET <br /> u_ <br /> 12, Containers 13, Total 11, Unit <br /> . ..V !I. US DOT Oosariptien)including Proper Shipping Name,ffasatd Close,and 10 Number) No. T e Ostend Wf/Vol <br /> t. RG WASTE FLAMMDLE LIQUID N.O.S. <br /> -0= ( AINS INE), 3, Lh1129' 3, I, t (M), MIS) O O 1 IT <br /> xa3 G 2 z l U <br /> �Q N b. I <br /> ® E i ! <br /> R <br /> N° A r <br /> 6 T <br /> C) O <br /> R <br /> w d <br /> 1`— <br /> Z z <br /> W <br /> t✓ <br /> w <br /> w <br /> Z <br /> 0 ,• <br /> Q 15. Special Handling Instructions and Additional Infatmatism <br /> Facility: <br /> Q 24 HOM ENERWXY PHOW NUMER (9M) 424-95M SERVICE STATION <br /> Z PLACARDS PRWIDED BY TRN4SPORTER - UNIM eso VICTIM ROAD <br /> Ma TLE M8042 LLODCA <br /> t 6. GENERATOR'S CERTIFICATION; I hornby doclore that the contents of this oa--gime are Fully and accuralaldescribed oho+0 byproper shiping memo and are dasfifled,packed, <br /> IUUJ marked,and labeled,and are in all respects to proper condition for transport by highway according to app tcable international and nationalgovernment reyvlall attf. <br /> 1 If I am v large gvontiy generator,I certify)hot 1 have a prvgrmm in piece in reduce the wluma and toxicity of welts generated to Tho dngroe I hove daletmine l to be cewn icaFlr <br /> C6 pt;aeticabla and that t have selected the procricable method of treatment,storage,or disposal currently available to me which mini <br /> m:ms the present end future threat to human health <br /> and the environnianq OR,if I am a small quantity generator,I have modo a good faith effort to minimize my wasto generation end selecl the bell waste menogemersl method$at it <br /> ad evvliable to me and That I can afford. <br /> 0 Oderod/Typed Name �� Signature ON Monlh Day Yooyy <br /> v E�url i o-�• 9, 7 <br /> Z <br /> W t 17. Trona arhr 1 Aeknmwled or entvf ccei I oEMateriols <br /> a Month Day Year <br /> iJ q Prince Typed Name Signature <br /> w P <br /> Year <br /> i of Materials <br /> o a I8. Trans attar 2 Acknawlod emenP of Racei <br /> T Prinled/TypodNama SiBnalura Month Day <br /> H E <br /> Q R <br /> V 19. Oiscropon<y Indication Space <br /> Z F <br /> _ A <br /> C <br /> I <br /> I 20, Fadi Owner or Operator Cortifi<mttmn of rvicei f of hazardous materials wasted tl+is mmnifasr axe es naiad in Item t W. .- <br /> T 7rinted/Typed Name �� Signa a Month Pay Y <br /> TLAS <br /> 204-4416-0306 SH D OT WRITE BELOW THIS LINE. <br /> Wl.,tt TSDF ;ii.:i '�nii ' KJ Li1SC WIT11iN ]^ '�aT: <br /> OTSC 8022A 14/971 ro V Q „- 's ...,.n in CA 953 f 7 <br /> EPA 870C-22 <br />