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<br /> UNIFORM HAZARDOUS ' GeccTalrt 10 Nmlber2 Por=t f 3. t rnergency Rsspcnse Phate 4 Manifest Tracking Number �^
<br /> CAL000182646 1 (800) x}24-9300 014057515
<br /> /) 0575 ( 5 J _ rK
<br /> WASTE�teA\A�NtItrF+ IE+S (TI ger 1. �t 1, t+
<br /> 5, Generaj Y L1Jl ti � y / esa Genac;tor ; &i!eAddres ti` di r;eni lhart m,?ding ecMrnssj
<br /> 730 S. BECKMAN ROAD
<br /> LODI CA 9524.0 4715_ N4 WEST LANE MONTHLY BILLING
<br /> Generato s Phone: 209 952.1662 STOCKTON CA 95210
<br /> t!, t'ir,5 Jj;, 'qtr 1 L ma nV Har;v=, l i, rF )r ! , .i .z' '
<br /> ASI3UR�' ENVIRI•?NMENTAL SERVICES ( 1 8 2 7 7 0 s
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<br /> 7, Trentir4 ler 2 u mnq N a it ,y U. G= Ib aetr'rrY
<br /> 6; 11 1 Fa t*l° PdarO�j aril p,;s x4;y0 U.S. SPA )D Nwnber
<br /> /04M WATER TECH MOLCGIES LLC
<br /> 5375 SOU`I li BOYLE AVENUE
<br /> LOS ANGELES CA 90058 CAD 0 9 7 0 3 0 9 9 3
<br /> Faciliys Phone: 323)277-15.00
<br /> 4p 49a. qo• U.5. 6t�T Descr alli { .c'ad; g Proper Shipping Rldillu, Hazard Gtass, l0 Nutnter, 10, Containers t i . Tolal 12. Unit
<br /> 13, Waste Callas
<br /> H;1 and P � G c ra (if alai)
<br /> No, Typo Quantity .1".Idcl,
<br /> 1 • NON-RCRA HAZARDOUS WASTE , SOLID , (OILY SOLIDS-PAPER FILTERS 1 352
<br /> / U N 1� 0 P
<br /> 2, F
<br /> WUT 11
<br /> 4.
<br /> 14 ' ,,.crk::! Ftng�r4g (�klructohs �:! hC�7Fn�� irdenr�al°.a^
<br /> EMERGENCY CONTACT : CHEKfREC 1-800-424-9300 NIAERG# 981 ; 171 * PROFILE # 981 ; AP 192210 OILY SOLIDS-PAPER
<br /> FILTERS * * APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT --�
<br /> 15, GENERATOR'S?OFFEROR'SCERTIFICATION: Ilrerebydedam [hat lhacontents ofl),''* c . k tmvnlf. are fullyand a ratr?y01#pr;0Wttjtrr; bylingtr .? .nhftgr�s,, atrl Zia p elra7ctl,
<br /> marked and t_baled?p?zca :d, and 3io In a7 ras;kcts ) r pop rnncNler fu ira 4spn t Fb rung b pnlcabla !t 'crra- s:ei a3# na(lanal 5avar anenlii rer laUcns, ti Coad t a '%'d I a tle Fr!rn.:ry
<br /> Faporler, i rortify li,at Iho portents et Rds mmignrnent confomt tc the lorms of the aftjOod CPA. Sr rs x jrcr td of C nsent.
<br /> I corliiy, hwLlha wasto joiiOidr ' :rs stakmonl lejrvmjc.i in 40 GFR 262.27(6) (if I am a la) x. ; ;t ganeralx) or (b) (91 am avd, qg lilt guicq.Uj is into,
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<br /> 18. Inlenz cnal.Shlprner
<br /> C knporl to U.S. ❑ Expcii from U,S, Po;.i of aaWoxfl
<br /> Transporter st;nalure (for exports arty); Me iea�rlrq U.S.:
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<br /> 7ESIGINATED FACILITY 70 DESTINATION STATOF REQUIRED )
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