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State of California—Environmental Protection Agency <br /> Form Approved OMB No.2050-0039(Expires 9-30-99) See Instructions on back O e 6. Department of Toxic Substances Control <br /> Please print or type. Form designed for use on elite(12-pitch)Oriter. Sacramento,California <br /> UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest DocumeW&IPnt No. 2. Page I Information in the shaded areas <br /> is not required by Federal law. <br /> WASTE MANIFEST ' a of <br /> 3. Generator's Name and Mailing Address BP LLC A. Sta Man&st Documerif umber p <br /> P.O. Box 77 C38 9 V CC <br /> 0 318 342- Angeles, CA B. state Generator',s fm <br /> in 4. Generator's Phone ( ) 1 A <br /> - <br /> n <br /> CV 5. Transporter I Company Name 6. US EPA ID Number C. State Transporter`i 0 fL4op serveda <br /> u7 <br /> O Ile �e (i D 9 8 3 5 8 6 8 1 D. 7ranspartet''-sPhone '94 <br /> N 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transporter's 10 deserved}' - <br /> F. Transporters Phone' <br /> Q <br /> U a Site Address 10. US EPA ID Number G. State facility s ID <br /> K?a X. A (� (1 3.6 <br /> —i p COH, CA C A T 8 8 8 8 1 3 3 5 2 H. Faciuys on 31 .53 '-71 <br /> U 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) 12. Containers 13. Total 14 Unit <br /> No. Type Quantity Wt/Vol 6;Waste Number <br /> V Z NO RCRA Hazardous Waste Liquid5rnte <br /> _ j( <br /> 3 G �Y V 6° EPAf. r <br /> E b. State <br /> o N <br /> 00 <br /> ooci E <br /> v R EPA/Other <br /> AC. state . <br /> 6 T <br /> 80 O <br /> R EPA/Otfver <br /> LU d. State <br /> t— <br /> Z <br /> U EPA/Other <br /> LU <br /> N J. Additional Descriptions for Materials Listed Above X. Handling Codes far-WastestisWAbove <br /> Oa. b.:. <br /> w <br /> Z 15. Special Handling Instructions and Additional Information <br /> SITE: <br /> Q Yater rith Gasoline 24-HAIR CY PHONE: ARCO # <br /> z <br /> LU YEAR ALL APPROPRIATE 949-458-1819 (H-F 7aw-5pw) <br /> PROTECTIVE CLOTHING 949-753-5M (24-hours) <br /> CA- <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described ov y proper shipping name and are classified,packed, <br /> Vmarked,and labeled,and are in all respects in proper condition for transport by highway according to applicable intern nal and notional government regulations. <br /> J� If I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of to generated to the degree I have determined to be economica11 <br /> CL practicable and that I have selected the practicable method of treatment,storage,or disposal currently ovaila 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 wast generation and select the best waste management method that is <br /> available to me and that I can afford. <br /> r Printed/Typed NameSignature /onth Do Ye <br /> Z La Hoothart/BEST On beh f of U <br /> T 17. Transporter 1 Acknowledgement of Receipt4f Mate als <br /> R <br /> w p Printed/T me Signa ontFj D YWV <br /> `L R tV <br /> LU S <br /> O0 18. Trans rt 2 Acknowled a nt of Rec i t of M erials <br /> TPrinted/Typed Name Signature Month Day Year <br /> LU E <br /> < R <br /> V IF 19. Discrepancy Indicate pose <br /> Z <br /> — A <br /> C <br /> I <br /> L <br /> 0. Foci ity Owner or Operator Certification of receipt of hazardous materials covered by this manifest e t as noted <br /> T rinted/Typed Name Signature Month Day Year <br /> Y <br /> C-i,- o Ut L Z <br /> DO NOT WP4BELO T <br /> SENT <br /> DTSC 8022A(1/99) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812 <br />