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" S` 9 of California—Environmental Protection Agency Fc:m Approved OMB No.2050-0039(Expires 9-30-99) See Instructions on back O3 a 6. Please print or type. Form designed for use on elite(12-pitch) •riter, Department of Toxic Substances Contrc Sacramento,California UNIFORM HAZARDOUS 1 Generator's U$EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas WASTE MANIFEST O f 1 r' D is not required by Federal law. U 061010 ( of 3. Generator's Name and Mailing Address A. State Manifest Document Number ARCO Products Corm_sn}r 2114973-& 110 O P.O.Box 908,77 B. State Generators ID W) 4. Generator's Phone (j 10 t787-4600 Los A Cie;,CA 90009 N -Yl-EIFl3I6 k011101 10 ask LO 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporters ID[Reserved.].. O13 1 e - r r D. 7ransportei s_Phone ao e + Inc. t 9 8 3 8 4 8 1 C94 450- OI0 �1 _ 7. Transporter 2 Company Name 8. US EPA ID Number E SfotaTransporteles s ID[Rerved.) )IJ Q F:-Tronsporfer's Phone V 9. Designated Facility Name and Site Address ...10. US EPA ID Number G. State Facility's ID .n g Delvienno KeArdoon �+ - � - k z V � 2000.V I3rth'i'7lameda Street H. Facility's Phone -i O Co. to CA 90222 CAT 0 8 0 1 3 3 5 2 (310)537-7100 Q 11. US DOT Description(including Pro 12. Containers 13. Total 14. Unit V P (- g per Shipping Name,Hazard Class,and ID Number) V Z a. No. Type Quantify Wt/Vol 1. Waste Number = Gasoline M1.xtize State ~ 3 TIN]203 P.G.11 134. 3C�i E C�Rot ReEallated as a RCRA Waste) (� D 'd Q 6 S v EPA/0F.K 00 N b State 00 E N R EPA/Other v A O T c State� ao O R EPA/Other cc U.1 d. State Z w V EPA/Other J. Additional Descriptions for Materials Listed Above K: Handling Codes for Wastes ffiW Above- a 2000 Worl-h imeri[wt ELMKIk CY RESPONSE GUIDE WX 12$ Q t b '111 IIF Notification Statement is not req used as of-Tammy,1996 LU HSC ICitation 2:5I79.6 d. . Q 4 0 15. Special Handling Instructions and Additional Information _-- Gasoline and Water mixture. Wear appropriate protective cio&&W ARCO 4932 i3ES'I# 37638 Uj (949)753-5826(24 hour Emergency Phone) ]6 East I3arding Way (949)450-1010(Mon- r.i lam to 513m) Stoclton,CA Q16. GENERATOR'S CERTIFICATION: 1 hereby declare that the contents of this cons;8nment are fully and accurately described above by proper shipping name and-are classified,packed, V marked,and labeled,and are in all respects in proper condition For honsport by highway according to applicable international and national government regulations. J J IF I am a large quantiy generator,I certify that I have a program in place to reduce the volume and toxic; of waste generated to the d CL h F toxicity g degree I have determined to be economi4ally N practicable and that I ave selected the�rocticable method o treatment,storage,or disposal cu ila6le to me which minimizes the present and Future threat to human health oc and the environment-OR,if I am a small quantity generator,I have mode a good faith effo minimize y waste generation and select the best waste management method that is O available to me and that I can afford. L- Pled/Typed Nome Signature t� Month_ Day r Z Moothartl.SESI as agent of APLCO W L N17. Transporter 1 Acknowledgement of Recei t of Materials LLJN Pri Name Signature Mon Day ay Year W S 1O�Pn e //C j l P O0 I8. Transporter 2 Acknowledgement of Receipt of Materials TPrinted/Typed Name Signature w E Month Day Year N R Q V 19. Discrepancy Indication Space Z F — A E 1 L f 20. Facility Owner�orOueratorCertificationofrecei tofhazardousmateials cov b s ma 'Fest exce t as noted in Item 19.Printed/Type�-Flam /`I IQ Signaonth Day Year \ (�w' Qt l� 2. 1 U DO NOT WRIT ELOW THIS LINE. DTSC 8022A(1/99) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812