018233899JJK
<br /> Pi:asn rAti nr tgel Irvin detGJrhd for use on utitu {7 V11 8) hTx vritro.} ;
<br /> UNIFORM HAI t GsnorntrftoNnnitef Fom1 Dowd, OMB No. 2000030 •t�• '}
<br /> 7.. Page t ul 7 EirvIrup cy Pt�.,nnz,5 Pharw . Mannas, TIlmllu "li we ,�%
<br /> WASTE MANIFEST CAL 0 0 018 2 & 4 6 1 (800) 424 -9300 0 2 O v
<br /> `.. G,;.f�rzUts7l;?m�zarvlkr t ,4+rko;s 8 8
<br /> JlFFY LU B E 1124 1 C n rale 's .4ae kfdrms (if d ltcra, n U¢tn r 1flp;f glnj
<br /> 14718HORE ST
<br /> WEST SACRAMENTO CA 95691 4 715 N WEST LANE MONTHLY BILLING
<br /> c*io,,I n; 209 952.1662 STOCKTGN CA 95210
<br /> G. Trurry, srM 1Cgen{u7a••yNama
<br /> ASBU RY ENVIRONMFNTAL SERVICES
<br /> 1, tran{otl�r 2 Cnmparry Nsrna -
<br /> CAD028277036
<br /> U.S. L'Ph N} NI
<br /> A: De*0m, 1-,WJ7. flu,M p HI Y Aalltlsq
<br /> US ECt7t OGY VERNON INC Us. La 1t10 Nwnh r
<br /> 5375 SOUTH 130YLE AVENUE
<br /> I.05 ANGELES CA 90058
<br /> ratil+ys I (323va_7aO CAD 0 9 7 0 3 0 9 9 3
<br /> ga 9b. U.S. DOT 00$Oi 4p0n ( x3uding PW Shlppbtg Nemo, Hazard Class, ID nNx
<br /> ta• imsn1751HM adPa3acrc4 ( a17 . Unit 19 Waste Codas
<br /> No. Typo OuanNty WtNol.
<br /> t NON-RCRA HAZARDOUS WASTE, SOLID, (OILY SOLIDS-PAPER FILTERS) J� 352
<br /> 7. DM P
<br /> r i
<br /> 2 7W 17
<br /> W 1 i
<br /> u i
<br /> ta , S(n*Li;tlta.'N14rgln%Uyc�ftsarulAddeansitnW+rlsrticar -
<br /> EMERGENCY CONTACT : CHEMTREC 1111600424-9300 WOES TERMINAL: CERES CS NAERG # 961 ; 3,71 * PROFILE # 981 : AP
<br /> 192210 OILY SOLIDS-PAPER FILTERS ` P500 000,vib14 * APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT
<br /> 15. GENERATO(R£JUFFERlN1 $ GFfTlffii ATION: 1 hem«y doulta P%at L*� [sninnLs of wt
<br /> a�Iedar4 Lftivdivacard*d, %! aro is nYm C sG7n%cnl era htly sit xuratrly dosnrlyd above by the pmts r y!yPi�rq r%stno. on am ctis >w Pay sty1,
<br /> Ps kr, 1 rarefy dwl lho mit oam II e t br pmper 0n tC ImmiI ncwdh7 9 �plu% intutworm arai m9cr,na itovemmantal rtVutaGxts. If eVort shipment and l stn sic Rimery
<br /> fa �I4 r4 mann to N tams of du xlw;tnd
<br /> GMtrJc'✓gdt0'NRN'rrtm6w4$a;u `mrl rr } ( aucalapoEqGuaAnA�,�ody�eHctNkntomUtuxr/Lis,lar.�ltn,o�t I,oU'f-)�C(d-.,nf^espdc'm,`rd�n�.
<br /> s,mall
<br /> is N1l TF)+ Hama y. qu'sntg_.y.ep
<br /> 0,uvfaUe} iytrue
<br /> pp 9 � Od y
<br /> �-+ t trrorrat�nnlSlzrinrrts
<br /> yl ❑ (melt to u S, ❑ F pwt hom U.S. Port of 0nhy/ext —
<br /> 1% Dab loavirg U.S.;
<br /> u: 1J. 7n rAt�t,�� afriptot6brria's
<br /> T�r.�ro+ i (`rta:uiVr ilxJ Namtt
<br /> � j/'' :xJi�a�ro ► 4x
<br /> frsstx,rtvs 21`dn!avC}Tkst Narrm _ , �4�.• .�' � /b4, �l.- ��..aa,,^„� � .,^'1..�
<br /> llkol% Lbsy Year
<br /> 18: 0~serapunry --- _
<br /> t8a. DitImpancy Indication Space f�1
<br /> Qumnty t_.IType ❑ Reskiue ❑ PWIaIRry'oc6on ❑
<br /> Fo;l f2ejcction
<br /> IAU6,lpnmt7PottIN (of cnrratarj ttu4l+ 1+r{ rur,grh8rrntrr,
<br /> U.S. U`A IpNumbnr
<br /> 0
<br /> 114
<br /> ItC
<br /> 47 atrnsunux% FU^+ lytrtGtnirdka)
<br /> y4 Ih.,dt Day Yfal
<br /> 19. F{a�rdoue�`yr �%�b f Wrt
<br /> if nl0eI Muftc! Codes Ii.o„ codas for hazardous waste aealmani, dars;a?, and k*ad^J system:)
<br /> p t � � 1 1 . 7• �
<br /> 3.
<br /> U. l} aSTjatr r„ T�3Sy pwnor or t} ;t!cr Certi cat on of a cryt o l aza daus mate isle covered ty y c marJhst axapl as nded !n imm ma
<br /> am: �
<br /> ,;itoritU� / --.. ttCMh Ikty Yir�r
<br /> CPA cain8707 pZ,;v Vii , ) Ptevususeditka ,„ oreoltr I,,td' DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
<br />
|