|
12/05/02 THU 09:27 FAX 949 450 1177 B.E.S.I. IM004
<br /> 0
<br /> Stale of Ca
<br /> form Aporo-d OrAR No 2050-0039 ttxpires 4.30.9,:. See Instructions on back of ptlg8 6. Department of Toxic Substances centra;
<br /> Y!mse p,in.;r type. torn,,iesia:nd}nr ase cn e)iro f t2-eitchf tyie—ri!er, Sacramento,California i
<br /> 1. Generalor:US EPA iD Ni-. .___. Manifest Dxumenl No. ^.. Paye i Infarmmion;n the;!coded areas
<br /> UNIFORM. HAZARDOUS p y �(�� �('� isnot required by Federal low.
<br /> WASTE MANIFESTI.L} �� l —��JC 1� ! ci
<br /> 7 -IF I f_ 1. f f 1
<br /> ! A- Slate Manifest Document Number
<br /> i �,enuutor's Name and Mo ling Address ._-
<br /> Prestige Stmims,Inc.
<br /> jP. Fs. Stole Generclar s 1D
<br /> u Bcz 7
<br /> 4 Geneiales one• }
<br /> r'
<br /> mnvt 1 Cnrnporw Name 6. US EPA.ID tdne•br: C. Scale T(onsporlet's 10(Re erve .)
<br /> „�4. a : , -Ser ices.Tr.!G......_..__._�{wp 2—'"P-_L,_ G>—r D Tf Orer'9.Pfan
<br /> 1 X CC` I P ansp t
<br /> C l ! 1 -
<br /> `cz, -- 3� h E Nv.br: E Store Transparter's 1D toter re .
<br /> t F. Transporter's Phone 1
<br /> ,.. P
<br /> I ?.a pia eiorilay Nin r!nd l.._._.-.....____........_........--- -._...._...
<br /> - ,Ic A:.drrss t0. US EPR Ili Numl:a; G. Slalc Focihty't fl? l
<br /> H. Facility's Phone 1
<br /> o 1704 wE5t r^i,-st stmt
<br /> . -- _.-......w _..._._._._..__. _ .. - . ._._... .._. .
<br /> 12, Cootomars -
<br /> -
<br /> 13: Toto 16. Unit f
<br /> ! 1 I US 1:4:)t De^criphon Onduding Proper$hipping Nc. W
<br /> IJanx%,flc::nrd Class,cod 1D Numisr-rl_
<br /> V! T rte Quantity t/Vol
<br /> i,.Waste Number
<br /> State I
<br /> _! Haa�at•dom Waste,slid,nci.s, I152I
<br /> _`• a 9 NA3M F.G.TTI
<br /> EPA/Other i
<br /> cu..._.e�� I.�_.1 ��--.._. ._.__._._......... .. ......._ ___...-.�_. ..�J .a.GLM. .E_4...�.00
<br /> Slatr:
<br /> t�
<br /> w I E EPA/Other
<br /> b R I
<br /> NI ........_ ._.....__._._._._. _.__......_...._.....� ...._._.._.-_.A...._..1 -
<br /> v! A ____...._..__.__..__..______._. ._.._...._...... Stale.
<br /> T
<br /> c7I 0 ( EPA/Other
<br /> -
<br /> R f
<br /> cr - `.__..— - ...
<br /> ty I .,_ j State
<br /> w I i EPA/Other
<br /> 11 i I I
<br /> w' -
<br /> Additional Descriptions
<br /> or
<br /> Mate
<br /> Orial kish d Above K. Handling Codes Fc Wastes Ebted Above
<br /> g b 1
<br /> 2000 No th Aine i cen ElEMCIENCY RESPONSE GUIDE NO. 171
<br /> w
<br /> rs1)rt3fi1e#DD1360/4809M WD# 47 G
<br /> c. d:
<br /> d _
<br /> O I Soecigl liard!ing instructions and Add;taaal Infarnixior,
<br /> Z. �?,sc iitf s with Gasoline. Weu eppropriate protective ` �Y� 1 BESI# 52730 I
<br /> 2430 Grsntiine Road
<br /> ut IFm
<br /> � Tracy,CA(949)753-52M 753-753-52M(24 ilf;A31" �•gf,�cy I?�zfxte) -- -�_
<br /> J: NT 1h4 ZQ�the contents of this enm,orn,eni are fully and acr.urareiyy oescrbed above by proper hipping name and are clossilied,packed.
<br /> `�! :t 9—ked,and tanafed,and ore it nil respects in proper condition inn hnnsiwrtIsy highwcy according to opplicable vilernationol and national govermneet regulations.
<br /> If I om a large quontityy generator,I re,lily that I have a program in place to reduce 1ho volume and toxicity of waste gitnerated to the degree I have determined to be econemsa(Iyy
<br /> N P,aU eol>Ic and Ihal 1 ho.e selectod the prectirohle med,crl of treatmcnl,storage,or disposcf currc-nkly ouoiloble to mv which minimizes the present and future threat to human 6eoh l
<br /> end the:a,vironmefit;OR.if t on,it sraoll goanhly nenerotnr.I have maple o mood foilh effort to minimize my waste geroration and select the best waste management method that u
<br /> air available to me and Ike,I ton afford. i
<br /> OPrinted%Typer'Nrme Signnlura Month Day Yeses,,,
<br /> z i Larry Ivi t/BFM as aged of PSI
<br /> e i . TroiTs ort jr 1 Ackna led,one. I of!tacei+l n(A1r•tU{lob _ -,,,,_,.,-,._.__ -
<br /> P Hr ed, yy lotUj
<br /> 9 Signature nth Day Year
<br /> U- tl ;F Trnns orter_2 Acknowlodoement of_Rsce�pl of Mn;e+;nh _.
<br /> Printed lT ped NomeSignolure Manlft Day Year
<br /> V - 19. Discrepancy indicalion Space
<br /> i
<br /> P ,
<br /> A
<br /> C
<br /> ( j 20. Facility Ovmer ar Oaerator CetGficnlion o{rsc f�E ha ardous o,alerlals covered by this manifest except as noted in ttern. .
<br /> ii- Prinleu?Typ ince y $i9nalure Month Doy Year i
<br /> M
<br /> 'Y
<br /> WRITE BELOW THH LINE.
<br /> W,f C 8022A WK
<br /> r:�i
<br />
|