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State of California--Environmental Protection Agency v <br /> Form Approved OMB No.2050-0039(Expires 9-30-99) See Instructions on back age 6. Department of Toxic Substances Con <br /> Please'print or type. Form designed for use on elite(12-pits ewriter. I <br /> i Sacramento,California <br /> UNIFORM HAZARDOUS 1 Generator's US EPA ID No. Manifest Document No. 2 Page 1 Information in the shaded areas <br /> WASTE MANIFEST LOID 022&74-310 p U () 1 of f is not required by Federal law. <br /> 3. Generator's Name and Mailing Address A..,SttTteJNMsifesf Docseaestt.Numbsr , <br /> 2 27 <br /> BP Nest Coal Produces IZG <br /> J B. State Generator's ID <br /> P.O.Box 908'77 <br /> h <br /> A. Generator's'Phone <br /> f\ <br /> N 5. Transporter 1 Company Name 6. US EPA ID Number C. State ronspoAer's ID ese" <br /> to <br /> cp <br /> O D. Transporter',Phone <br /> O <br /> �--�oD 7. r A umber E. State Transporters ID ese <br /> QF. Transporters Phone <br /> U 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> D-)Z DeeMn emo Kerdoan C Cr_ 6 3 <br /> `O 2400 North Alameda Street H. Facilitl/s Phone <br /> .Njm <br /> ,V U 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number( <br /> 12. Containers 13. Total 14. Unit <br /> No. I Type Quantity Wt/Vol 1. Waste Number <br /> Z a. <br /> Stale <br /> = Gasoline Mblure <br /> 3 G 3 UN1203 P.G.II D D M 4 v G EPA/ r <br /> o N b. <br /> State <br /> OD E <br /> a R EPA/Other <br /> v A <br /> o T c. <br /> State <br /> 000 O <br /> R EPA4/01hw <br /> a� <br /> Lu d. State <br /> Z <br /> Lu <br /> U EPA/Other <br /> J. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above <br /> 1 , <br /> ;. 20 . Narr..ffi„AmeicsnE. LMCTENCYRZSMNE C�IDz.EE 140128Lu + clo .41 <br /> � b. <br /> a HSC Gitatim 25179.6 <br /> Z <br /> O 15. Special Handling Instructions and Additional Information AMMK <br /> zGasoline and Water mixti;re. Wear appropriate protective cic&x g ARCO 4932 BESI# 66439 <br /> Lu (949)753-5826(24 has Emergency Phme) 16 Ease Harding Way <br /> _ (949!lt 450-1010<Mar Fri?tan to Spm) STOCKTON ,GA <br /> .�; <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and ore classified pocked, 'r;Tt7! <br /> Umarked,and labeled,and are in all respects in proper condition for transport by highway according ro applicable international and national government regulations. <br /> If I am a large quantity generator,1 certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br /> N <br /> practicable and that I have selected the racticable method of treatment,storage,or disposol currently avoiloble to me which minimizes the present and future threat to human health <br /> and the environment;OR,if I am a sma I quantity generator,I have made a good Faith effort to a my waste generation and select the best waste management method that is <br /> available to me and that 1 can afford. <br /> O <br /> } Printed/Typed Name Signature ont� Dye-" Yea <br /> U <br /> Z <br /> w <br /> 0 T17. Trans her 1 Acknowledgement o Re t of Ma rials <br /> ce R <br /> Lu Printed/Type Signature nth ) Day / Yea <br /> f " / o <br /> w P 7,W S <br /> uL It 18. Transporter I Acknowledgement of Recei t of aterials <br /> 0 A Printed/Typed Name Signature Month Day Year <br /> T <br /> Lu E <br /> sn R <br /> Q <br /> U 19. Discrepancy Indication Space <br /> Z F <br /> A <br /> C <br /> I <br /> L <br /> 20. Facility Owner opm0perator Certification of receipt of hazardous aterials covered by this manifest except as noted;n Item 19 <br /> T Printed/Typed Na Signature th Day Year <br /> Y <br /> DO NOT WRITE BELOW THIS LINIC--' <br /> DTSC 8022A (1/99) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812 <br />