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b CD <br /> a)Cn <br /> •x (D N <br /> O O � � <br /> v CD <br /> O — OD <br /> G7 i N p 2 <br /> (9 <br /> ty <br /> m <br /> _ n <br /> U) — <br /> �sam,z rma..x...i L RECESVEi.: q.: _ O <br /> a <br /> .. c a 0 u:s z T 7 0 3 sE,,,,,9,o,.T <br /> Vi rucat azo-sax, 017458$7 <br /> rs Rr SANTA✓EAVE ;=NTAL SERVICES �'°"�"�°re sr�r. �y fp Yyy <br /> CJMPTON NTA FE AVE maauy^mo+1 <br /> 3108aG34Oo Ca 90221 N <br /> rs...a�s rte_ >v <br /> e �,r r raro.nr use <br /> WpRLD Oil EIYYIRONMEN lAL SERVICES us.erntoau�w.. <br /> T.r..��ranoo,.wmh. CA 002827 7036 0 <br /> U.ew,io ree,m <br /> ' A.D-7-6f—Sr,Noin N+ a Sia Mdes C/1 <br /> DEMENNo/KERDOON u,s,Eramui.npe, <br /> 2000 N.ALAMEDA STREEr <br /> COMPTON CA 90222 <br /> CATOBOOISS52 r�-r <br /> 9a. W.u.s.DOT oetv4aaa Porran9 ,per <br /> — rue s coonr-4m sNnnag Name, bc+sa.wH�oer. ,u.eoau � sh,Tach hzum <br /> 3-NQN RCRA FIAZgRDCIVS WASTE.11gUiD{011Y WATER) <br /> 135 <br /> z D M 5, G <br /> CDh <br /> De; <br /> arc rn <br /> 3 .+L <br /> CD <br /> a. O <br /> r� <br /> Speeal <br /> ling 4sh1K4ore aria Ad(lia'ptal ln(onnation - - - <br /> n <br /> EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL-UNION CITY CS RAERG#961:171 PROFILE 01951: O <br /> OILY WATER APPROPR}ATE PERSONAL PROTECTIVE EQUIPMENT PARTS WASHER OILY WATER 4q :4 <br /> V � <br /> 75. GENERATOWWOFFEROR S CERTIMATloaf:1 heraby declare B�ai the mntenes or this coiWrrnent are fu4y and aoairateiy ofib d aWm by me emrg shppinS name.ar;ane /aassa d` ,aa<ic - <br /> nie ed and Mbek-4/plarard'ed,ane are in al respects in proal condition fir transport according to appllo&e mtem il—I and nakm i you(;,rnr i regvdafwns.X espc(<sNpnenl am t an 4,e Panay <br /> Egorta,l ce pay Car the doNwts W this consignment oonrmn In Bre leans of Ire atlad ed EPA Ar maMedgmenl of Consent <br /> I mw r,at Bre caste medrri� statement iderrUW in 40 CFR 26227(aj(dr am alarge Wn4rygenenatal«{h)(dl a quaz W generator}is true. � <br /> Fs ear! Name Slgrrahnre - _ ._ Waam .Day -`feat <br /> ( D . o <br /> 1 16.Y,lerria4anal$Frignersls_ .._ ... <br /> F- ❑}mppri tD U.S. ❑Ecpar[hUm U-S. P rtorenVyleiat O <br /> 7rarLspoMr» (iar eeppr� Yl= Date leaving U.S.: <br /> 17.TransPorlerAdno Wgrfer;l o(R"picd Malerials - _ (D <br /> T JilaNT Name Signature Mont, Day ^S <br /> 0 b oaf. fig- zv <br /> IL <br /> r <br /> g <br /> (D <br /> }8 YCD <br /> 18a Disolw ancy k6lcagon Space ❑Quantity 7 - - ❑Residue ❑Pattiaf F4--fan ❑CvN Rejection <br /> O <br /> Manifest Reference Number.----------------- <br /> t <br /> ID Number <br /> �Far�ity's Phone:18c.Sigrtalrire ofAlfemale Facafly(or Generator) <br /> LU <br /> 19.Hazardous WashReport Marragemertl Method Codescodes for hazardous waste treaunenl disposal,and reLTdirg systems)Q1 3, <br /> O n <br /> O <br /> 20.Designated Faa7ity Owneror Operator.Certification of receipt of hazardous materials covered by them3dtoasnded in Rem f8a o <br /> Praltad/fyped Nerve Signatdre O <br /> DESIGNATED FACILITY TO DESTINATION STATE SIF REQIl1RED) <br /> 'A Form 87022(Rev.3-05) Previous editions are obsolete. - � <br /> CD <br /> N) <br /> N <br /> CQ OD <br /> ( 0-)D <br /> (37 <br /> N N <br /> CD <br /> O <br /> N <br /> N <br />