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%02 / 25 / 2015 THU 14 : 01 FAX X001 / 001 <br /> fi <br /> , <br /> ,t <br /> 11211 ma 0A or typo. (Form deaiyned for via on elite (12•pilch) t pewritor:) Farm raved. 0µB No, 20500638 <br /> UNIFORM HAZARDOUS .t,yenerelorl0 Number _ _ 1 Pape 1 of 9 EmarponcyReaponeaPhone Man feat Tracking Nwn e► np <br /> WASTE MANIFEST CALOOD3503M 1 2004224271 <br /> 0198891 <br /> 3, Ganvnttara NAmo And Madvip Address dM EQUIPMENT CO , MANTECA <br /> Csnorelors Sito Addreaa (if different (haji meVing eMOS) <br /> • <br /> 321 SPREC*LS AVE <br /> MANTECA, CA 953M � � a <br /> Generr3tora P+1ona: 2094213271435 <br /> U.S, I;PAID Number t <br /> fl. Uarrst+ortw I CgnperryNeme SHOP HAZARDS SOLUTIONS, INC CA000040497 <br /> ^�. MAR <br /> r. transpodai 2 Company Nowus. rPAlU Numhor <br /> S. 0ealgnaled Faaltly Name and Sits AJdro•,a S, EPA ID Numlmr <br /> GE*RANCHO COADOVp, LLC . <br /> RON <br /> 1115% W" TEROC KFiD. I-I5AITyr� �r�� t� �Rtl= ftp rr��@4avwelav <br /> RANCHO CORDOYA1 CA 05742 � <br /> pr�ifil 'n Phone• 9113351-OABO <br /> 1 <br /> 0,r We U.S. DOT Desortpdon (inclddfog PloW ShlppkV Name, Hard Class, 10 Number, 10. Conlaners N. Total /1, unit tg, Wa6te Codes <br /> Aim- oad�zd S 2 en 1 Typo OuenNY wI Nol. 3 <br /> 1 . SOUD 1 DM 325 P 223 $62 5 <br /> ABSORBENTS 8 OL .. <br /> } <br /> 2 <br /> ri <br /> 3. <br /> odalHandlinahulrucilonsdA! I ( nsilnfarmatlon <br /> 'RORLE #GR26540- 02 <br /> APPROPRIATE PROTECTIVE CLOTHING <br /> SEE ER© #171 EMERGENCY CONTACT: MATT DAY <br /> 15, G2)*RAT01V810 F0W$ CERTIMCATIOWIhwhydeclare that the catknL4ofthWcor4momare P49yand accurately deeafiedabove bythe pmperahlppenyneme, eMaredeaeMed, pedapad, <br /> marred rnd tabele* acarded, and are in all respects In proper oohdidan fortlansparl acmrdtny to applkeble (nla *onalerd re0onatgovemtaental reguhllohs, If szponah(omentand I am ire Primary <br /> EVorior, I cediry that the contents of dds condgnment conform to the Nlmo oll"M attached WAAcknowied mon! of ConssAL <br /> IdptllythatUtCWaBiepdnlmtradonelala:1'2entilfedhrdOCFR282,Tf{a) (Illemafargequenutygene ) or@) (d em anklyguwroWr? U <br /> Go r0torsl0 in Ikhtedl pedNeme are h1WNb ay Year <br /> -s18. Nternadonel Shipments Impar to U.S. tDrpott from U.S. Pod 0t entryledb - --- <br /> Tforladoftsr signature 1w axpore oncy): Date IoaKng US.: <br /> 17a TrempodarAofatOM04118010filoilO( Matsd8la - <br /> ear <br /> Trenepaderl P frypedNnrno SlgnaWre N1011% Day Y <br /> Tnunpnrtar2 prinledlfyped game 8lgrreklte Mnrah Day Yoar <br /> JA, Otaaopency r� <br /> Dtacral Indreeion Space U quanutY Type 0 Residue LJ Parlal Reladton ❑ full RQacdon <br /> Medfeat Relefenco WOW(! <br /> t 156. Niemela F rtihty (tN Genorat0$ U.S, EPA D NUmber <br /> 2 Facluty s Pltonet Month DRV Year <br /> w 1Sc. SfgnabrredAllemele sdlky or enwetotj <br /> H10. HezardouaWesleHepOrlhiGAoyenrantMethod Codes ip,, codaatorhasatdouswwsbheehrrent, dlaposal, Ord teeydlnAayalams) <br /> Look 1 � Z 99 /. <br /> Z0. DasiWtaldtl fstlMy gwneror Operator. CeNscaSan of reeelpl olfra:eMous matenats onvered by the marltval oxcept es nrted h fleet 18e <br /> PriNedlTy <br /> Pe r ` yYear <br /> KJD <br /> EPA Harm 00042 (Rk 3.015') Previous JR10118 are obsolsto. <br /> r. e-nrr.►a .rnn Wawa rTV Tt1 mrv*7nU1Trna1 OTATC itc mcnI1tcs; nt <br />