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F''c Sse familcriyp ffiofw Efs 4 us P, on , <br /> Otto uh'q c <br /> r <� .? Form Rf�trsc v ,i6 :v:,. 2011-003u <br /> UNIFORM HAZARDOUS t Generator ID Number 2 ['agoi of 1; t f n n ttsnifc rite `,lnf( ltrmnc�c <br /> "JASTErv!ANIFEST CAL 0 0 0 8 2 6 A G t (ROU) 424 9300 018236661 JJK <br /> 5. Genetalars Nhtno and m AC Address _et .. alai s Site ay.:re >s P d ar-Wvni E: l <br /> Jfr�rC LU$ E ?2197 <br /> 1471. 3HORE 5T <br /> WEST SACRAMENTO CA 95691. 4725 N . WEST LANE MONTHLY BILLING <br /> Earcralm'z phone: <br /> 209 9524662 STOCKTON CA 95210 <br /> b lfa ell r 1 > %rm =t 1ar:n. U S. fiR 10 Number <br /> Pe OURT E�NVIRQNMENTAL SERVICES CA D 0 2 8 2 7 7 0 3 6 <br /> 7f <a� lr2t%Arg;:nyNim <br /> �;iJw�R)i MVI,PONNIE al <br /> SERVICE - CERES <br /> 1920 MORGAN RD, <br /> CERES CA 95358 <br /> Farr tis Ricno; (209)541, 1825 CAL 0 0 b 3 9 3 6 S p <br /> 9a. 9b. U.S. DOT Descr�. Gon (inctud4V Proper SWW� ng hamo, hazard Class, ID Number, 10. Con°afners 1i , Total 12, Una <br /> Nhi and Padirrd Group (if any}) _ T t9. laaste CcG_s <br /> _ No . ! y a CnanNly LVI-Nof. <br /> NON-RC'RA HAZARDOUS WASTE. LIQUID (OILY WATER) <br /> 23 <br /> 0 <br /> 001 TT G t <br /> w � f <br /> t <br /> 4 <br /> i <br /> E <br /> e , <br /> .. _._..p_ I : <br /> 'Ia. lbF��6n; {.�n3 ;� 3nLbi. tt:r, ar„.�' t��dan:s3Ki, nrtikrt <br /> EMERGCNCY:0ONTA0T ' CHEMTREG PERSONAL PROTECTIVE EQUIPMENT * EMERGENCY <br /> CONTACT CHEMTRE6 800.424 9 Zb ir TRUI0000 <br /> iu, Gi ftC'iAT R`.?0! FEftOR'8 GtRT1F1i hTiC L' I hereby t1aclar %ih?t the ci tt(a.a V lh=*, crr Ir r rr,;;; era tut} x! accurnyt;y dosaibad 2rnvc by (ha proper ftpin name. aro are dasstrcd <br /> marked and lahele&placarded, and aro In all raspaCls En fxapei cordit'on fa transport according to zp aNn internal anel an.o. national unvornmonial regutalions. Ifaxoori vFincnl and I am the f'timir;+ <br /> ExtIontr, I cedity that dia contanis of to the terms of Jho alUchod EPA Acxrewlaegn;antef Cansont. <br /> Iom thntth$ wactatn;rxrizatirjtamlemantidan3fiadtrid0CFR 2G2.27(a) ('rf ) anatnrgpquanU,yncnemiaJyr (D'} (iI arasrtalqu::rt^agener ?xtlshc2. <br /> r. . �.._ <br /> u }t srcv �tf�a tPrtn",ad(I"s'W:df3rnns _ _:rat r� ,aUr Dttg• taut <br /> -� fG. lntc.naltann( 5) pnonl7 <br /> ❑ hnP-d la i!,5 , EjExricrt fuer it 'b ,bf g �t .Ljr h <br /> True pui �rsEgnalura (leroxpor'Sorny'tt t.� tYl vrrtrJ5 _ . .. - ���.»� <br /> W 17, Tr >rYit r , it +cagoInietRecc.fgteililt <br /> r $awJi vt Ycs! <br /> t <br /> jD <br /> Val r <br /> i itr� APA-MA y Yr, te <br /> I'll Zzr '0 <br /> 18a � .cap„ Yy s ttlli�fl sc', e 1 "'•`--�-�----t--` t—�t � ..� �� <br /> L._.�- Guaniity � iypo + � r?crt �=� 4. ,_,IS'arii� Rejeellcn l_� r `! Rc!cc ;t^r <br /> a <br /> u } =c{ r s fmne <br /> p w _ _ <br /> 114 . V, r.u�.ra ,:. ! : na.r . . .� g tr < t,� , :..�,,,._t ----- - —°�- <br /> C3r I I _ . . : ____ .. _ . .: ..._.._.�_... .�..._....�.:._.-1._._ <br /> 7i1 Fa.,ar3ou. Ida IeRyPxt f z.i�rr ,: i ,J edC ;vs .• E w,9osfa f aa1CG5 .r r Ea, ..i9rea .o .ar, err -ydr -;ys { ' ns! - <br /> 111 <br /> t ' , ni{ ( : lsi <br /> f f <br /> �r�- <br /> o ; r ;7(4..11"far a '. ) s' t. t, _,. ;: tE,,, .: .. _ ca . ,._ , a [ St (irf . 11� 7 � ? r :t = IIJi 'i TO DESTINATION STATE (IF REQUIRED ) <br />