|
' ci3s Control : "
<br /> Departrrtentof ToxicSubstan
<br /> .i�I I--III II,I I 4IA I lI.VI,II%.%b I II,sI�,,aAI aFlI,I1I I III A F II ae,ll,I1II7FrII II I I IlI-;d-,lIII.I�I�--I faII,aI'2I A 1IfVI IaVF1l.I,II5I 1 I IF I I 4"-Fk I dd A d I,IIr,,I II 1i`Pq aI�Il'I I�0Il I-I1.Ii IiI0I S—iIFANI%-IlI
<br /> lIaa--I AFfI-�1�I-4,Z._�&f,I Il I.I�-II I�.I la,4 I,II Ia:4III4III-r-IN,II.,I IFI'l�a1.F-I�I-,FII"II I,I'dIi IIlI I I AI FI 9Ij-I,A,2;l_I I I1',V1I�III-,-ai-I1
<br /> -Z tII I1II I--,I I1'%%I1%1AF4-IIII,I,t'III II I-I-I I aI 1�IIb VFI'I 1--Z-I1,�,a I,I-II't 1IJ1Ia II I�%,I)I,-I,I-I-�I.FaI II-,i I%I-,�IlI fI I'i a-II-I F"I1II ININFI"I.II,�-tII"I."I;�-a,1fI.—,NIIN-�II
<br /> ;:Barbara A. Lee; Director Edmund G Brown Jr
<br /> Matthew Rocirtquer 100I- I Street
<br /> II
<br /> vernor
<br /> secretary for P}O Box 808
<br /> EcnrlronmerKat _ Califomia 95812 0806 _
<br /> Sacramento,'
<br /> �. <
<br /> > �. ,
<br /> ATTN NICOLE NiAHONEY EPA ID tNumber lssuetl September 48, 2415
<br /> MEpICAL MANP►GEtVIENT INTERNAT16NAL I Lacaflort �tddiess
<br /> PO BOX 13998 _ 10520 TRINITYk PKWY ' 1Sg
<br /> ;PORTLAND OR :97213 5TOCKfO- CA 96 - - I -
<br /> ,I,I F,I-Ia-tIII1 II.,.A a II-�I,II,I,I:.VI I,1:,N lI,I I I I-1,,II�,a,I.I-�e4III 4'�iIaI I,%I IIlI.�a.I I q I,f FN�I�aII i;IiII1IIiI II-4:I 4 IIIII IAI`Ie�:I t I I I III�,I-,II"II,-I,"I-I;IIII I II I 1'a-iI1I III;4 UI'jIIII a 1 a il,I IaIIV-i,.I I�INI1AI;I I:V7.III�I'am;III1!.%I4 III I 1I--aA III I IIl-II..III I�I.I-iII.N�v ZIa--,tId I��f-aI.I,I,AV4IV,I I II;,I I,--II,;:I�1 I�I I 1N),tm I)I I,I A I I I-I-_--I�1&-7�I�I-I;II F Ia iI-I,I%�1,I dIrI4II%0%,I I�NIIII14,&f7 I II1N-N.-I�IIO,I II�III NI LI II I-I�I F4FIq?,I-I.II IFI�I%d�a II-&III-I I 1 I-�e-I f I 1 9 N 4I I--,a QFI-1I II-I I F IIII II II�,1 II 1IN4 I,dI IN4I%I,.4 I I4I I I I IIII1;IIIIIIwII-II VI,I I Ia I I I I�Z I a�m-1-I�IrIIII If I"I 1'+,I%I-IIII�I I%6II4II4fIII1I II-I I-I I I I i%I I-�I�I III,I-I rIIII Ia,I;7�.I",II Ia II I1 I I I I I I 111III I I.I:I 1III.II�1I4�,,I.1 l,a 4 I411--1IIIII I1%II-AIIY,II II III�a--I—i-I I I I I-.I I�I NI,�II;FII;14I I III.I I.I,I II I II.&1IA I I�%-IIIIA I1 I-7 1.I IIIIIiI,,,,;I1,I-I1TIqI,1 III I I 1 I LNI'imI III 1II4..IIVFIiIvII�-I I II l-q I 1I a�II-I iI�IIIIIIAII II-.
<br /> I-l aaaII g�III�4I4,i�IIV I�-4 1I%'I4ItA A I,--I 1,I I i.1 1IImIII I1III 4-I III:4IIAI;IIII 7 1.I I-I daI1 IqV.II�IIL,II,II I4�pIIZI1iII.I.11III%IF—-1III.�IIIa III N I:I"I 1I,I%I.II,-IIIIII I;%I,I 9 I IC Iq1I II-II-.,5 II�1-I dIIIIa I1I III-I IF III,1,I%IY jI I0�j 1AAII%I FI%II II II:,A AIif I��,I.T II-..Id II1I dII�I—.I 1 1 I NI-�N I-,IiI a1 I A II I1I—.I;IIII NI"�I I,4 a I-I�AII,;III-,I�I-I41I11I I a1,III i.1,A II F-I'i1NI,IIfI.IIIfI-4II:II IIII III,,I faII II I I-VI I III7NI-I%I a I 4,I III II1II IiI-II II4I�I-.INI-AI III)11-III-1I"a,7,I I.-III II--I I-I,I I I II I—I F 4 I,,I�,I16 I1 t4-I^I,IIIII%III 1�1VI I,II'-II I I I I.0 I I 1 4I�,%A I-�-%I IA IIi i'-I III"IIIIN II I III I I;I,I I,I II-IIII I�-I1.II,,-1 I IA1a�a1N F I4II�.,,II-F4,.I 1 aI A II I I IIIN;,I II,k�I1 I:I-IfII IIN AIIFII Y.I I1I,1 1'N"IN,f;I"I:II.-I1a FI-A,%I-II III II-I I1I I VIII I,II II-1I I II I INI.II 1 I�I.III aI I4"Il�.A I II lA.I1 II I IIII IIaI II,I1I.I I AII I�II"1-4a44 a-%I dI111I-�0I,I-1-I1I II I,III4I;.III1I 1,11II IIaI NI I-�II,I I I 1-�I I�Z N 17II I414I1I I+4II II 4II 1.1 I 14II P-7I II�-I I%1II1IaII—INI�71 I I—I N LIft�I�1 I,I I IIII III-I:'II,II I-II4 44I 7I1II I II4I 11a II.11I I I-IIIFI I 4 t:NI iII I F 4.I,IId I.1 I,.IIa II,,.II4a0II 1 OII,1 II�I I II�A,"a.1-I II-III�II EII"I 1-I.-AI,,�I,II1I1I II,II N.I I I aI II,1l.VI I-I I 4a I4 11 IN
<br /> RMNENT RECORD - D® NOT :.DEST,ROY E
<br /> YOUR' CALIFORNIA EPA IDENTIFICATION NUMBER IS
<br /> . NI
<br /> I IiI w,i III II II NN1I�1-I�I I II-Ia Ii la,laIII1NilIN;1I-1IN-I,�II I I--I.�II-4IIII�-I�-II I I1 I��;I&I�l 1 I Ij Il�IFI11;AN:I I-"I I�.-1I I 11.F I,—.I.�,,I.�I—III FI.fv AI I III N I,",lI Ii r
<br /> 0
<br /> 0
<br /> Y -
<br /> This is to acknowletlge that" a 'permanent Cahfomia ' Environmentel;Protection Agency Identification {EPA 1D)
<br /> Number has been assigned to your, piece ofbusiness
<br /> ArtEPA ID Number Is assigned to�a person or business at a specific sl#e /t Is;only Wll&for. .
<br /> fhe location and person or husmess to whlchrt# was assigned if your business 0ItNlmtI
<br /> generation sites, each site anus# have �tsrown unique number if you stop handling hazardous
<br /> waste, move your business, change ownership; = change mailing address; or change the type.
<br /> mor amount ®f waste ou handle, you must`nofify the Departmen# of 7ox�c Subsfances Control
<br /> IIN
<br /> II
<br /> VI
<br /> iI
<br /> III 14I
<br /> IFaIt
<br /> VI
<br /> III-I
<br /> Iai
<br /> I%IItI
<br /> VlI1
<br /> Id
<br /> iNFI.
<br /> aIi
<br /> IVIFIt.da II
<br /> II
<br /> III
<br /> II,a.III
<br /> AV I1II
<br /> III 4A
<br /> I.
<br /> iII
<br /> IiI
<br /> Y .
<br /> i►�mediafely: If your 1ness has .moI U your. EPA ID Number must be canceled A. new % _
<br /> number must be.:obtaned, for your new location if you: continue "#o -genera#e hazardous wasteII
<br /> IIIilF 1�--1 Nl-i)I I,'-i.7 NIA I I.�I-aI I I aIII�-l1I ILIIII,I)',i%-I I-r I,IAII7 1 I--tE-I I':�Nd1,IrI-II,IFII%
<br /> This EPA iD Number must .be used "for all manifesting record keeping , %and reporting requirements
<br /> Please retain thFs notice inyour:files
<br /> Department of Toxic Substances ,Control _
<br /> Generator information Services Section
<br /> Telephones (g16) 255 1136 or California Oniy Toli=free Number '(840) 61846942
<br /> 1+ '
<br /> I,
<br /> .,
<br /> Operator's initiais : MCRA I - % - 1 %
<br /> version : January. 2011iit' � AL
<br /> HvI4I
<br /> ` I 1 Pdnfed an Redyr*d Paper I
<br />
|