Laserfiche WebLink
SV c;HIP# 2P795171FIP5 <br /> SSL- 006953450SK3 <br /> Form Approved.OMB No.2050-OD39 <br /> Please print or type, tkin <br /> 7F 2.Page I101 3.f;i a~Trag Number KS <br /> )0695345 <br /> UNIFORMHAZARDOUS "dows"qu CALQ710034 $ <br /> WASTE MANIFEST I I Cenetahs S L Address p <br /> Address �f'dC!erw <br /> lic , <br /> e 5 g add esti) <br /> li.— . n Aa <br /> A6.W Nar!aAl"g,�n"C <br /> gg" <br /> 1850, West c Mchenry 18501 Stanford Rd <br /> Rd S;3pw.1Pj <br /> Cr <br /> 1.. 9',277 Attn L.ester Sabo <br /> TRACY TRACY CA 9 377-9708 <br /> Phone. <br /> I U.S. PAIDNumber <br /> GoneraWs L TXR000081P,05 <br /> RY�;TFMEi INC <br /> Tf�-�2 Company US.EPA 10 Number <br /> rg;F led ....�ye-a,191,A11— 81'11FIT� ', FFN nF I-TIFORNTP U.S.EPA to Number <br /> (_,S8 &1, <br /> TL <br /> SMT <br /> It nVF1 <br /> 51 0-79!i-4412710 NEWARK CO. 94960 CAD980887413 <br /> 9b.U.S.DOT Description(ndudTQ Proper StsPWQ Name.H=rd Class,10 Number, 10.Containers 11.TOW 12.Unit MWaste Codes <br /> and pa**Group(iferry)) No. Type Quantity MArel. <br /> HM I- NON-RCRA HWARTInI.13 WASTE, I-1WIT" TT 113 221 <br /> 0 <br /> t- <br /> P3 — <br /> 2, <br /> 14.Special Ji4r)(11irk)h*5)0004$Ono A00"n"InTofFnHU00 T191) B'S C9131 <br /> by agency author! <br /> R414 <br /> forli behalf. <br /> on inial al -*04WPort r to add ai, substitute 4dditjDM$1 trans Driers <br /> 15. GEN Eg"'SN*Tj3WWMffTlftGAIl :: hereby decE ulre Owt the 00ments of MconsilImment am IDR am accunsi*described above by the proper shIppIN tow,am are clas", <br /> 'Oed�tacerded,and we in all respects In proper corldhon for transport according to WO atonal nw regulations.II export shipment end I am the Primary <br /> t;"=Wsl <br /> time contents of this tonform to thil lemns of the attached EP) DOW" <br /> Minimization stater en Jklantified in 40 CFRZU7(a)(d I am a largeQln pnerefor)is true.f aw* <br /> Mondi Day Year <br /> Nam <br /> _J 16.1 Shpmernts Import to U.S. fraud o(enWe)dt <br /> ture(for exports o,*Y U.S. <br /> Po <br /> Trans Date reeving U.S. <br /> ni of Receipt of Materials <br /> IT Month Day Year <br /> O <br /> T -71.26 VQ <br /> Nam mom Day YM <br /> 18.Discrepancy <br /> 18a.Dbaepanq Indication Space El oueary OTP. E]Rwd. R*c,. ElrviR*w- <br /> Mardlest Relarence Number. <br /> U.S.EPONumber <br /> 18b.Marnals Facility(of CienerSt0r) <br /> ra <br /> Facintys Phone: <br /> 18c.Signature of Alternate Fadfty(orGenerstoi) Month Day Year <br /> Mn,(j1Rac*of�11a.,, <br /> 17 aT <br /> Than "Tl"Nama <br /> ThIR MTypad <br /> "D <br /> 19.Hazardous Yfiste Report Ma-apment MAW Codes(i.e.,codes for hazardous wasle,treatment.disposal,and ralcoing*Is-) <br /> 3 <br /> LM 1. . 4. <br /> 20,Desbroted Fadk Owner or Operator:Ce Ocation of receipt of hazardous m*rW$covered by the manifest except as noted In.Item 18a <br /> Printedfflped Nam montill Day Yew <br /> EPAn870022 FACILITY TO EPA's e-MANIFEST SYSTEM <br /> Previous editions are obsolete. DESIGNATED <br />