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NON-HAZARDOUS WASTE MANIFEST <br /> Please print or type (Form designed for use on elite(12 pitch)typewriter) <br /> NON-HAZARDOUS 1.Generators US EPA ID No. Manifest 2.Page 1 <br /> WASTE MANIFEST <br /> CAD029503703 Docame2No.a 5 7 2 of 1 <br /> 3.Generators Name and Melling Address j <br /> STANLEY ELECTRIC MOTOR COMPANY <br /> 1520 E MINER AVE <br /> 4.§T r1RATM( 209464-7321 CA 95205 <br /> 51�O�r6f jN�/INRONMENTALI US EPA ID SERVICES 6 CAD 0 2$ Num �( 0 3 6 A.State Transporters ID <br /> B.Transporter 1 Phone 310$86-3400 <br /> 7.Transporter 2 Company Name 8. US EPA ID Number C.State Transporters ID <br /> - D.Transporter 2 Phone <br /> 9.Designated Facility Name and Site Address 10. US EPA ID Number E.State Facility's ID <br /> POTRERO HILLS LANDFILL <br /> 3675-POTRERO HILLS LANE F.Facility's Phone <br /> SUISUN CRY CA 94585 C A R O O O 0 8 9 4 6 6 707 432-4627 <br /> 11.WASTE DESCRIPTION 12. Containers 13. 14. <br /> Total Unit <br /> No. Type Quantity WtNol. <br /> a. <br /> NON-HAZARDOUS WASTE,LIQUID"SUMP WASTE" 001 TT a! 000 G <br /> G It. <br /> E <br /> N <br /> E <br /> fl G. <br /> A <br /> T <br /> 0 <br /> W <br /> td <br /> ditional Deswlptions for Materiels Listed Above H.Handling Codes for Wastes Listed Above <br /> OES TERMINAL DVON 11AI PHLF-17585 <br /> osn3o� Ra 'Z O t 0 1ppecial Handling Instructions antl Additional information <br /> EMERGENCY CONTACT:CHEMTREC 1-$00-424-9300 USERPE <br /> ITE: 1520 E MINE,R,,,AVVEE,,STOCKTON,CA 95205 <br /> Z 7�v�® AFSA -S-'_AVAWAFAWAF®ENERATORS CERTIFICATION:i hereby certify that the contents ofthis shipment are fully and accurately described and areInallrespects <br /> proper condition for transport.The matel els described on this manifest are not subject to federal antl state hazardous waste regulations, <br /> Date <br /> edlTyped ha a Signalur Month Day Year <br /> u <br /> T 1 .Transporter 1 Acknowledq merit eipt of materials Data <br /> A <br /> A Pnracl ed Name 51 Month Day Year <br /> INS ine <br /> P <br /> p 10.Transporter 2 Acknowledgement of Receipt of Materials Date <br /> R Primed/ ed Name Signature YP 9 Month Day Year <br /> R <br /> F 19,Discrepancy Indication Space <br /> A <br /> C <br /> 20,Facility Owner or Operator:Certification of ecelot of the waste materials covered by this manifest,except as noted in Item 19. <br /> L <br /> IfI <br /> jD81hT Printed(Typed Name Y <br /> Y <br />