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v cnvvonmentalProtectionAgency . f" 9e -..� ) T� Form Approved OMB No.2030-0039(Exp 9-3099( .io A'S80 n tructions On back of a 6' Y C� Norse print or ype. Form designed kr me on eOle(12-pile writer, Department of Toxic Substances Control Sacramento,California „ UNIFORM HAZARDOUS . IJ` neraror's Us EPA ID No. Manifest D«ument 2. Page 1 InformaRon in the shaded areas WASTE MANIFEST A D 9 B 1 B I7 7 ,j4, 5(� is not required by Federal low. I of I 3. Generator's Name and Mailing Address - A. Stale Manifest Document Number LUSTRE-CAL NAMEPLATE CORP 20065446 111 E rTOM DR ,J U L () 5 2000 I FRIT"er'6�rsytry`� 11. State Generalor's ID N S. Transporter 1 Company Name 6. USA um r C. Sm1s Trane rroi s ID RIRserve P° _. m T AOMIC EAYIROHMEHTAL TEG). D 6 6 9 4 3 2 6 3 7 D. Tranapomr'r hone (6391324 1638 l l/�' 7. Traroporter 2 Company Name 8. US EPA ID Number E:'Slate Tmnsporlei a ID)Reserved.) ^0J �4 -„ F. TmNpoler's Phone 9. Designated Facility Name and site Address 10. US EPA ID Number G. State FaciliV,ID Q LnZ RORIC EIIVIRRHMAL TECH - U 9 19 19 14 15121 61 31 1 OO 2681 BAT ROAD D 6 B 9 4 S 2 6 3 '/ M. Facility's Phone 16391321-1638 EAST PIT n AT M, CA 94311J QU 11. US DOT Description(including Proper Shipping Nome,H"rd Class,and ID Number) I2. Contain... 13. Total 14. Unit No. cliz WASTE FLAMMABLE LIQUIDS N.O.S. 3 WT Quantity WI/Vol 1. Waste Number 1993 III state (PETROLEUM NAPHTHA,TFW66 yQ EPA/Other 34 E E / `x/L l State !.!s RA T c RDR-RCRA HAZARDOUS WASTE, LIQUID state m p (RICKEL ACETATE) 726 R 2 EPA/Other rMIR V 1115255 ERG# Zd' State W V EPA/Other W J. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above N Lime 116. EPA Codes: DNS - o ( Is. c W K Q15. Special Handling Instructions and Additional Information 24 HR. EHERGENCT RFSPOHSE 6: (8661333-3633 a ENERWCT PHUNE4: CALLER RUST REFERERCF. RUNIC Z W x Q16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this conignmenl on,Fully and accurate)Y described above by proper shipping name and aro classified,packed, V marked,and labeled,and are in all respects in proper condition far transport by highway accordingro applicable international and national government regulations. IF I am a large quontiq generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically hpr«Iicabla and that I have selected the pradicabfe method of lre°hAeht,storage,or disposal currently available ro me which minimizes the present and furore threat la human h«hh ac and the environment;OR,if I am a small quantity generator,I have made a god loilh effort to minimize my waste generation and select the best waste management method that is O available to me and that I can afford. } Printed/Typed Name Signature Month Do year V. t 17. Transporter 1 Ackck""wled °mens of R«ti 1I[of Materials w " P '` �(./ .�I`L .lure Momhi �y// Year W = (s`1 /y P OR 18. Tran rror 2 Acknow email of Receipt of Materials " d Nama W [ Printed/T YPe Signature Month Day Yaar a " V F 19. Discrepancy Indication Space A C L 1 20. Facolih,Owner or Opisram,,Certification ofr«ai 1 of hazardous materials covered by this manifest exce pt as noted in It..19. T I Printed/Typed lfgms _ signature Month Da Year Ir^' Y Y o,., . O. o iI 9l a 4 Reference Humber: E 669633496 DO NOT WRITE BELOW THIS LINE. Yellow. 1SDF SFNDS T116 COPY TO GENERATOR WITHIN 30 DAYS DISC 8022A 11/99) )Generators who submit hazardous waste for hmsport oW of slvle, EPA 8700-22 produce completed copy of this ropy and send to DTSC within 30 days)