Laserfiche WebLink
' ' ' ' O O <br /> M 0 � 0 XU , 0 <br /> OOOO <br /> v 0 - - --0 0N — <br /> Z3 <br /> 00 IQ <br /> CD O _j <br /> w 00NNC3) 0 0) 90 <br /> -n OO_ O_ vO O_ <br /> CD <br /> O 00NNUT � COCD <br /> M. C00W C) O <br /> Q -n TI TI TI OO L p <br /> O rrrr0 -0 C— <br /> N <br /> mmmm - <br /> 00 <br /> rn l� I�IIII�I� � �IIII���iI�IIIIIA��iIdIIIIVIAI N 0 0 - 7 O <br /> (n CJT A A N(O N U) N <br /> ._. esignetl for use on elite(12-pitth�IypewrileL) <br /> erm APPmved.OMB Nn.1(Y�0-p03$. <br /> DOus t'�nemlol 10 Number 2 Page S of 3.Emergency Response Phone i.Manifest Tracking Number (9 <br /> FEST CRL000381673 F 8775772669 012120120 FLE � w ° <br /> Name and Mailhy Address GeneraloYs SiM—less(t e;terenittan meamg aedr¢ssl ���� =;; = <br /> Dollar Tree #1238 Dollar Tree#01238 CD <br /> 8240816 1259 West Yosemite Ave. 1259 West Yosemite Ave. ') (n cn O0 <br /> -tsnamroraPhoae. Manteca, CR 95337-5125 Manteca, CA 95337-5125 O O 3 (n CD <br /> iranspod¢r CompanyName US EPA to <br /> Nember C: 0) 3 <br /> Sterievcle Specialty Waste Solutions Inc MNS000110924 4 W CD <br /> 7.Transposer 2 Company Name U.S.EPA ID Numfxer <br /> CCD (Q D <br /> s.oasignal¢e Factory Name—&leA res 1st Cen ury EMN, LI-C US EPA ID Number cn CDD (D <br /> 2095 Newlands Dr. East " <br /> Fernley, NV 89408 CD:E <br /> Fsaw,s Phnne 7755752760NVD980895338 N 0) v <br /> O Z5 <br /> 9a 9b.U 3.DOT N—ptan(ndudng Proper Shipping Name,Hazard Class,ID Number, to.Containers 11 Total f 2 Uns O C6,HM and Packing G-Pldany)l No. Type Ouanlsy WI.Nd. 1J.wells codon 07 CD <br /> C6 CD <br /> X 'UN1993, Waste Flammable liquids, n.D.s. 1 BR 00005 P 214'D001ID035 CD �. V) <br /> o (Acetone, Methyl Ethyl Ketone), 3, PG II, _ <br /> G CD <br /> ERG#128 �- C < D <br /> w X 2UN1950, Waste RerGs0ls, flammable 2.1, ERG#126 1 BA 00006 P 331 D001 <br /> s 3 <br /> CD <br /> (n CL <br /> X 311N3266, Waste Corrosive liquid, basic, 1 CF 00011 P 122ID0021 <br /> inorganic, n.o.s. (Calcium Carbonate, Sodium CD CCD C <br /> Carbonate) 8 PG II ERG#154 I 07 <br /> X 4UN3i.3 Waste Oxidizing liquid, n.G.s. 1 CF 00001 P 14IID001t Oe N <br /> (Hydrogen peroxide, Phosphoric Acid), 5.1, <br /> 0) 0 <br /> PG IS E G#14@ <br /> h4.speval Hanm;rN lnawaf;onaandadmtonal mrormaaen 1.PK G-DF:1008;0(Elam moble Liquids) 2.PKG-PF;1.00R4'.(gerosbls) CD <br /> 3.100845(Basic Liquids, Corrosive) 4.100854(Oxidizing Liquids) 3 <br /> O `< <br /> 15. GENERATOR'SIOFFEROR'SCERTIFICATION:Iherebydeda.tha11hemntentsofth,c_signmentare fullyardaauralel describedaboveb me O O <br /> marked and labelHllplaramed,antl are in all res 9 PD Y Y Preper Shipping name,andare tlassr6ed.P-k-9sd <br /> pma,ii,pmper mndltion forbansport accorein Ion Ii-ble hismational and national �! � <br /> Exposer,Imrfify that this mmei thiswnsignmeni mrform to the terms of the aeaeheO EPAAcknowledgment o(GortsenL governmental regulations-NexpOs shipmentand l am the Pri <br /> tYDtemNrytiattrs—te-in;m¢afio stsit—lidenlifisd;n4o CFR 26227(a)(dlamalargequantitygeneratwo(b (lama small a <br /> enerator' rs Pont ypetl a <br /> CD CD <br /> G ()G generator�is We. C Q <br /> igna um <_ � <br /> s.mre slionaripmens 10 04 2Ol O <br /> = Imporl to U.S. ❑Expotl from U.s. Po orenty1mcit: (n <br /> Trans Ners'nature fw ex ds on3: <br /> 17.Tra,epr w Arwhowl Dale leavin U.$,; �^ <br /> Than edgmenl of Rewipt 01 Maledals V/ O <br /> Of 5poner 1 PdnledRyped Name <br /> a Jeff Haginl J <br /> ^ <br /> milton I an a5 roar <br /> ZT <br /> Q Transponer2 Pri)%N.a20 <br /> e Si <br /> R _ 1 g 10I 04 1 N <br /> 18.Disoepanty <br /> l 18a Davepa y Ird.h.Space Ll Duan ry O <br /> ❑Type ❑Residue <br /> ❑Parfet Rejection ❑Fu&Rej� [n <br /> 185.Alternate FaI(orGeneratorJ Manifes(Reference Numbers <br /> Q U.S.EPAID Number N <br /> LL <br /> FaoN s Prwrte: (D <br /> Clj <br /> �z CD <br /> 1lle.5i9^alure dAtemate Facility(a Generator) � <br /> Q <br /> N1.11, ➢aY Year <br /> (7 19 Hazardous Wash T. <br /> Report Management Mellrod Codes is <br /> 1, ( miles for hazardous wade Ireatmenl,disposal,and re Uin sCD <br /> "C3 <br /> 9 y=lema, <br /> l� 3 A �. <br /> .>!Dosgnaied Fa•.drty 0wnera0perawr;Cedifratiorh of (A <br /> at <br /> Fnnled?yp,M Kame �tWf of <br /> hazardous menafs covered by the manifest eacepl as poled in Ilem 1&a 1 1 <br /> 1 S tum <br /> PAFavrn87X4(Rev.3-05)Previous ellbonsare obsole(e, 1 MoM `a,Daay Year 0 <br /> DESIGNATED FACILITY TO DESTINATION STT(IF RLEQUIRED) CD y Q <br /> � I _ <br /> (Q m v <br /> Cl) 0 O <br /> Cn <br /> 0 (n W <br /> (D <br /> W 00 <br /> CP (11 <br />