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12/05/02 THU 09:26 FAX 949 450 1177 B.E.S.1. 191003 <br /> State of Colifornid--Environmental Protection Agency See Instructions on back of page 6. Department of Toxic Substances Control <br /> Form Approved OMB No.2050-0039(Expires 9 30-99) Sacramento,California <br /> Please print or type. Form dAsigned for use on.4fe(12-pitch)typewriter. <br /> 1. Generator's US EPA ID No. Manifest DocumentNo. 2. Pnge 1 Information in the shaded areas <br /> UNIFORM HAZARDOUS is not required by Federal law. <br /> WASTE MANIFEST <br /> 3. Generator's Name and Mailing Address BP <br /> est Coast Products LLC 2� 1�1 <br /> A. Sta Manifest Dacament Number <br /> P.0. Box 9W779�5 , <br /> 0 310 342-9858 LOS Angeles, CA 99M <br /> B..State Generator's 4D <br /> LO 4. Generator's Phone{ } <br /> n <br /> (N 5. Transporter 1 Company Name 6. US EPA ID Number C. state 7ransporter's!D Lte,erved:] <br /> LO <br /> C? 191 jgCe C A D 9 8 3 5 8 4 6 8 1 D. Tran:porter 5 Phone - <br /> 0 <br /> 0 <br /> o� 7. Transporter 2 Company Name 8. US EPA ID Number E. StoFeTratsSporter's IDReserved.j'. <br /> F.,Transporter's Phone <br /> J ... .. .. <br /> _V 9DjWj[jMoeKVAjM§1 Site Address 10. US EPA ID Number G. Stole F6cility s ID <br /> )02 2NO 11. ALAMA STRM <br /> �-{ �US <br /> OIPTOK, CA 90222 C A T 0 8 0 0 1 3 3 5 2 - FaclIity s hone <br /> Q 12. Containers 13. Total 14. Unit <br /> ^�V 1T Description f including Proper Shipping Name,Hazard Class,and ID Number} No Type Quantity Wt/Vol i, Waste 9`lumber. <br /> Nj Z o. A H ous este quid ,rote <br /> tj( C EPA/Cttli <br /> 3 G ' 6 <br /> E <br /> s <br /> o N b. tate <br /> co E EPA10ffie'[ <br /> v R <br /> C-4 A c. State <br /> o T <br /> co O EPA/Oilier <br /> R <br /> LU d. state <br /> Z EPA/Otfter ....::. <br /> V <br /> LU <br /> K. Handle 'Codes(or Wastes listed Above <br /> LO J.:Addifionol Descriptions far Materials Listed Above- <br /> ZO <br /> a. ! <br /> N <br /> U.1 <br /> 0 15. Special Handling Instructions and Additional Information 6+LirEe s/✓J 1# <br /> Z Mater with Gasoline 24-HOUR CX P # <br /> LU MEAN ALL APPROPRIATE 949-450-1010 (M-F 7an-5pu) .Sar IPsrs���x <br /> = <br /> PROTECTIVE CLMHING 949-753- (24-hours) <br /> .J.i 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described o y proper shipping name and are classified,packed, <br /> marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable intern ' not and national government regulations. <br /> U <br /> =+ IF I am a targe quantiy generator,I certify that I hove a pr ram in place to reduce the volume and tonicity of to generated to the degree I have determined to be eccMmically <br /> n practicable and that I have selected the practicable method <br /> yarn <br /> storage,or disposal currently availo to a which minimizes the present and future threat to human health <br /> `n and the environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize roost generation and select the best waste management method that is <br /> cy available to me and that I can afford. <br /> OPrinted/Typed Noma Signature onth Do & <br /> Q Larry Ho thart/B I on beh f of A <br /> U.) T 17. Trans rter 1 Acknowledgement of Recei f Mate els <br /> w p Printed/T me Signa ontoD Y <br /> LU R !V� <br /> W S <br /> O p 18. Trans ort 2 Acknowled a nt of Rec i t of M erials <br /> A Printed/Typed Nam <br /> Signature Month Day Year <br /> T <br /> LU E <br /> LI) <br /> A <br /> U 19. Discrepancy Indicate pace <br /> Z F <br /> A <br /> C <br /> I <br /> L <br /> I 0. Facility Owner or Operator Certification of receipt of hazardous materials covered 6y this manifest expobt as noted' <br /> T rinted/Typed Name Signature Month Day Year <br /> Y JZ <br /> DO NOT W BELO V7T . <br /> SIC�..+'C_.:! V✓ni!e. 7SD'r SENDS THIS COPY TO DISC WITHIN 30 DAYS. <br /> DTSC 8022A (1/991 To: P.CJ. boy 3000, Sacramento, CA 95812 <br /> EPA 8700-22 <br /> i' <br />