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j 5 of Cohfo_o—_Envi,_,rral Arosvcnan Agency See Instructions on back of page h. Department of To,<Subsronccs Control <br /> F; APpraved OMB No.205P-4019(ErPires 9.10-9d1 Sacrameneo,CaMFern;e <br /> pnnt or type. Fane d."g—d!or uz.on.fire(12-pi7chf ypewraef- <br /> 1. (aenerasar's US EPA ID No. Manifest Document No. 2. Page 1 information in the shaded arws <br /> UNIFORM HAZARDOUS i%not required by Federal lay. <br /> WASTE MANIFEST C l A D 1 0 0.1911 O 9 3 f 9 8 ��� �' °' <br /> A. Siate 'est merit Number �� .•. _ - . <br /> I J. Generator's Name and Mailing Address .. ,. 9590 <br /> . <br /> -3 <br /> T3 I` <br /> . <br /> HUNTER CONTAINER CO. <br /> EL Stats tienercFors ID <br /> 35275 HWY. 33 VERNALIS, CA 95385 <br /> Q33 8 H A H Q 3 6 0. 5 6 <br /> A. (renarator's Phone y 48 4280 <br /> C. State Trariportees ID <br /> qp. s5. US EPA 1D Number - <br /> O 5. Trvntporter 1 Company Name <br /> 4; Trorssporfer's.Pham 209-578-4106`: <br /> RICH HAMILTON TRUCKING C A L 0� C 0� _. 1 2l 4L1 3 <br /> i <br /> 8. US EPA ID Number E. State ranssportels IDx <br /> — i 7. Tronsporter 2 Company Name <br /> Q i f. Tronsporlers Phrase <br /> U, i �w <br /> Q <br /> G. State focirty s ID <br /> 2 9. pesivnated Facility Name and Site Address <br /> W. US EPA ID Number ENTINC. 0 A T 0 a 0 6 4 6 1 7_,^��' <br /> 2 CHEMICAL WASTE <br /> MANAGEMENT, <br /> 35253 OLD SKYLINE RO• "_foams Mom <br /> 800 222--2964- r <br /> Q KETTLEMAN CITY, CA 93239 C A T 0 0 0 6 4� 6 11z ne <br /> rtairs 13 Total 1a. urn <br /> U Quantity Wt/Val :L,Wast,*hkrws er'%' <br /> 11. US DOT percription(incktdinq Proper Shipping Name.Hazard Clcss.and ID Numbed No. _Type - <br /> take `. w ^•_ -r]:s�"3.s+1 <br /> RCRA HAZARDOUS WASTE; SOLID NOS--DO08 <br /> 3 D T T <br /> G SAw s xi <br /> cp 1 K j b. <br /> ! aO E <br /> Q Q c- I .EPA/Cidser"'4 � <br /> R I <br /> EPA/Oeher <br /> Li <br /> �+ s` Ho<sdFssg-Codas for Waatea Liged Above <br /> u") <br /> far Maeesiab.tideri Above a. !0 3 b. - <br /> Z, J. Additional DascipMorrs - ,.. J <br /> Ln <br /> LEAD CONTAMINATED SOILS d. ' <br /> a i G ,;a <br /> Jz L <br /> O 15. Special Handling Instructsorns and Addilionol Information <br /> WEAR PROTECTIVE GEAR <br /> Z FACILITY # 800-222-2964 <br /> T� GENERATOR # 209-848-4280 <br /> �i <br /> -r ! I& GENERATOR'S CERTIFICATION: I hereby declare that the corrtem%°°this consignment are fully and occuratefy described above by proper shipping same and are ularicit , <br /> Qpacked,marked,and labeled,and are in all respect%in proper condition For transport by highway according to ap0caole imcrnanonal and rsational go+remment rcgulatiass. <br /> UI j <br /> !l! if I am a large quarrMy generator, I ceAiFy that I have o Program in place to ,educt the volume and tonicity of wartc gentratcd to the degree I have determined to <br /> k l have made a good faith effort to minimize <br /> my waste generation and sleet the best <br /> I if I nm Kala practicable and that I hone ify H'ed the Pr°aicable method of treatment, "fage,ae disposal currrntly avadoble to me whici min <br /> imtzcs the present and re <br /> 0. I threat to humor health and the envirorxnent; OR. i3 I oro a small quantity generator, <br /> k p Year <br /> � wrote m emerH method that is awilable to me and that I can afford. � �„tor„FZZ, ay <br /> I Sig re 1 J <br /> Q I 1 Printwd/Typed Name J1 <br /> Z ' Year„ <br /> Z <br /> ; 17, Tans rte, ! Ack+ww erre of R ei t of Materiah Month /Day s� r <br /> Sip re Lf s <br /> 0 A � Pri /Typed Nam <br /> i s:s,t} S <br /> L I f 18. Trans 2 Acknowied eeneert aF Recei t of Mdreriols Mant}s Day Year <br /> LLL R Signature i <br /> .. LL T Printed/Typed Name <br /> 0 E <br /> R <br /> u.t 19, Discrepancy Sndicotion Space <br /> cr1 <br /> 4 F <br /> V <br /> A � <br /> z C � <br /> ___- <br /> U r or O rotor Cernjjcaman of receipt of hazardous materials covered b this marsifest eKce t as noted in Item l9. Month �, Year <br /> I <br /> 20. Foci,., Owns re /� <br /> T d/Typed Name lLJ! <br /> DO NOT WRITE BELOW THIS UNE. j - <br /> _�P•.' '.0 :TSC. WITHIN 3v DAYS. <br /> 955.2 <br /> ()TSC-W22A {1/931 _ <br /> 3 EPA a700-22 <br />