Laserfiche WebLink
EXHIBIT 16 <br /> Please print or type. (Form desVIed for use on elite (12-p#O) typewAter.) _ Form Approvedt OMS No. 2050-0039 <br /> UNIFORM HAZARDOUS I. Genemlor ® Nu Iter 2. Page 101 3. Enwgeh Response Rxw 1. NmAest Trading Number <br /> WASTE MANIFEST C .AL7004 ? 96924 1 ( �IN71 3Uf1- 4776 017035297 JJK <br /> 5. Gene ew's Name end Mang Address Omenbrs See Address Cd ditwg Nan ma7i5 address) <br /> c7NEN5 - SROCMW4Y GLA55 CilWUhvER IiJL - TFAC r t a7io '.V 5CH1-IL TE ROAD <br /> 1b700 W. SCHULTE ROAD <br /> IKACY CA 95371 TRAi' r CA 95377 <br /> Gererews Phone. 55"M <br /> 6. Trantpater 1 Company Name U S A ID Number <br /> 7 . Transporter 2 Carpany Name U S. EPAID Number <br /> 8 Designated FadNy Name and Sea Address U.S. EPA 10 Numbs _ <br /> UENENNJKERDOON <br /> 2M N ALAN[OA 9T <br /> CONVTON Chat 90123 <br /> Fa= � <br /> sKwe: PhIMW41CAT- 0900i3352 <br /> 9a. 9b, U.S. DOT Doacro n (�rdoV Pmper Shppkg Name, Hazard Close, 0 Number, 10. Containers 110T <br /> 12. tins 13. Wards Codes <br /> HM and PadwV Gray (1674) No. Type Ouanbb WLN0I. <br /> I . NOt4 RCRA MA2A.RDOUS WASTE, LIQU O toll, WATER) Q3 <br /> o 0,, . I T 'r / ' JO C) G <br /> 9 WARTE STREAM HAS BEEN QUALIFIED <br /> LU 2 FOR RECYCLING/fREATMENTS AT THE <br /> 7eMENNO / KERDOON FACILITY IN COMPTON , <br /> HERMITS TO RECEIVE YOUR WASTE STREAM AS - <br /> 1ALIFIED Inn FPA NUMBER 13 CAT08001335 <br /> a <br /> 1a -c• 1' H:r .I rn lF,r �. ..•.i Allrl: "it�on <br /> EKGal . 96T . 171 " ERSW.Dr1101di - EC67flOt �310SW`T7 <br /> 24 HitENER;GENCY CONTACT' ENVfROSERV <br /> 15 GENERATOR'S:OFFEROR'S CERTIFICATION: I lterebydedare tllot the comerds of Ks Owd rawAgm ftly and aawaWydesalbed above bythe Proper dippig name, and are dassLsd, packaged, - <br /> maded and tsbi led'p" ded, and mein at respects in proal mndben for transport acccrdiag to appk:abie imemational and nab Nal gwem el tal regulasons, detpat shipment and I am Ow Pronary <br /> Ezper!er, I oN* that the mntatds of this oestsgrrrend wtbrm to the terms Otte attached EPAAarusledgment of CorvwnL <br /> I oertby that the wasta mgr int®bon statement NeribW in 40 CFR 262 27(a) It I am a Wge gwnty generator) or (b) (d I am a small gerwabr) is true. <br /> Gem Name Sgnature — Mordh Da Year <br /> ISM Z056 AtcG I <br /> ...r 16. Imemaborlol Shynwda <br /> f— ❑ krporl to U.S. Espen from U.S. Pad of eMrylesit <br /> Tranww sytebae (for experts wm: ' Dale leaving US.: <br /> W 17. 7raraporw Admviedpnem of ReoeO of Materals <br /> t2Transports 17 " d Nine S natum (' Momh Day year <br /> Z Transporter 213MIedrlhyped Name Signature - I.!,- nth Day Year <br /> Q <br /> K <br /> 1-- <br /> } 18 asorepanq <br /> I 16a. D:screparxy ktdcaun Space Gjarbt _ ❑ Typo ❑ Parcel Rejectm R/ Rejecibn <br /> ( I . , rill I \ ; v ; � ; rL/ t� �C. <br /> Reconciled nwntihr Ui; th Man �e4ren eNumbe^ <br /> ' Eb. Atema!e Fadty (or G4nrac_r) U,5 EPA1UW1E1h1Ew1 - _ - <br /> J <br /> U <br /> 4QL Fmt lys Phone <br /> 0 1ec. &jnaU- ofAllewte Fady (or Generates) I.Ionth Day Year <br /> z <br /> z <br /> 2 19 . Hrzarhjas 1Y//aste Report Management htethA Codes (re , codes la hazards s waste treatment, d.sposm, are regslng sys'tam) <br /> - , 2 - 4 <br /> 2b E"%d FaWy Ormer or OPgralor. Cer0 at cn of raceep d hazapdowi materials covered by the manifest except as nded m Item 18.3 <br /> Prmtei'lyyed Name / T . - SgrreNte - Month Day Year <br /> / / ter ;/ fes • I / frl 11 <br /> EPA Form 8700-22 (Rev. 3-05) PwAous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />