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Str.e of California—Environmental Protection Agency <br /> Form Approved'OAAB No.2650-0039(Expires 9-30-99) See Instructions on back c ge 6. Deportment of Toxic Substances Contra <br /> Please print or type. Form designed for use on elite(12-pitch)t),,_writer, Sacramento,California <br /> UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> is not required by Federal low_ <br /> WASTE MANIFEST O O O 10 O It I -" <br /> 3. Generator's Name and Mailing Address A. State Manifest Document Number 20830777 <br /> j <br /> ARCO Products Company 2 0 8 3 0 7 7 7 <br /> CD P.O.Box 90877 B. State Generator's ID <br /> V) 4. Generator's Phone (310 042-9858 Los Angeles,CA 90009 <br /> n <br /> C 4 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID Reserved.) <br /> LO <br /> C) Belshire Fnvirorunent8l Services,Inc. D. Transporfer's Phone(p4g)450-1010 <br /> N 7, Transporter 2 Company Name 8. US EPA ID Number E. Stale Transporters ID Reserved.) <br /> Q Asbury isnvironmen al Services F. Transporters Phone <br /> V 9. e' ted Fa '' me and Site Address 10. US EPA ID Number G. State Facility's ID <br /> Q 1`3e�iYad 1 r"cfoon u <br /> D Z 2000 North Alameda Street 1 <br /> o Compton,CA 90222 1 5 H. Facility's one (310)537-7100 <br /> Ou <br /> J <br /> D Q 11. US DOT Description(including Proper Shipping Nome,Hazard Class,and ID Number) 12. Containers 13. Total 14. Unit <br /> V No. Type Quantity Wt/Vol I. Waste Number <br /> S10134 <br /> 3 UNI 203 P.G-11 <br /> 3 G (Not Renflated as a RCRA Waste) T G EP <br /> " <br /> oN 6. srofe" '""� <br /> coo E <br /> R EPA/Other <br /> A c Stale <br /> o T <br /> m O <br /> R EPA/Other <br /> LU d. Slate <br /> Z <br /> w <br /> t� EPA/Other <br /> J. Additional Descriptions for Materials Listed Above K Handling Codes for Wastes Listed Above <br /> V 2040 North American MARACTENCY RESPONSE GUMS 140. 128 a. V b. <br /> w The LDR Natificution ststainant iti,not ragiicod sm of Jtauumy,I M y <br /> IHSC Citation 23179.6 d. <br /> J <br /> Q <br /> Z 15. eci I,Hondlin �s�uclions and Additio�J nformation <br /> o Lso�Lne anti Waierml>�Lae. WearapPropziate protective clotitirig, ARCO 4932 BEST# 32205 <br /> Z (949)753-5826(24 hour Emergency Phone) 16 East Handing Way <br /> w (949)450-1010(Mon-Fri lam to Spm) Stockion,CA <br /> J 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> Q marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and nationol government regulations. <br /> V <br /> J-r If I am a large quantity generator,I 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 practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health <br /> and the environment;OR,if I am a smolt quantity generator,1 have made a good faith effort to minimize my waste generation and select the best waste management method that is <br /> available to me and that I can afford. <br /> O <br /> } P n BFM as agezi of ARCO Signature Mor I ay - Year <br /> V <br /> Z <br /> T 17. Transporter 1 Acknowledgement of Receipt of Materials <br /> A P /Ty U Nome Signature /�Monlh �D <br /> Na Year <br /> N ivf <br /> LU S <br /> P <br /> LL_ 0 18. Trans oder 2 Acknowled ement of Receipt of Materials <br /> O T Printe ped Name Signature onlh Day Year <br /> NR 315-0 <br /> U 19. Discrepancy Indication Space <br /> Z F <br /> A <br /> C <br /> I <br /> L <br /> 20. FacilityOwner or Operator Certification of receipt of hazardous materials covereda -fest except as noted in Item 19. <br /> T Printed/417 <br /> orae �(' Signot a Month Day Year lo if <br /> DO NOT WRI BELOW THIS LINE. <br /> DTSC 8022A(1/99) While: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS_ <br /> EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812 <br />