IS 1^)5 HAwPtoAX ^ faj| A. State Manifest Document Number .. ir, · 2020. 6. 11. · Generator's Phone (H &) V' TObo^ tG

XK.0011 •"State of Citlifornia—EnvironmentaLProtection Agency

Form Approved OMB No. 2050—0039 (Expires 9-30-96) Please print or type. Form designed for use on elite (12-pitch) typewriter.

See Instructions 01

SFUND RECORDS CENTER

88225766

L

SFUWl) RECORDS CTR1-^,

J 5169 00003 | Department of Substances Control

Sacramento,. California 1

UNIFORM HAZARDOUS WASTE MANIFEST

1. Generator's US EPA ID. No. Manifest Document No. »"

C| A\ P | |S%'| S[

2. Page 1

of !

Information in the shaded are'as

is not required by Federal law.

3. Generator's Name and Mailing Address 1^)5 ^ faj| A. State Manifest Document Number ..

IS HAwPtoAX /r ir, (sffc-*/) ' ' J f O£04

4. Generator's Phone (H &) V' TObo^ tG<T

5. Transporter 1 Company Name 6. US EPA ID Number

B. State Generator's ID

I I I I I" I C. State Transporter's ID

7. Transporter 2 Company Name

•Sj? '£-5: D Transporter's Phone V

8. US EPA ID Number .

9. Designated Facility Name and Site Address . -Ho.vitc^.L errW£»<r

I OCb JV.YUAVf bqL.

ii 1^' C i t y OK

10. US EPA ID Number

|C \A |T"lO io lO | & | Y\(e I il | 7

E State lransporter's ID

F. Transporter's Phone

G. State Facility's ID

H Facility 5 Phone

L '• - S • !

Cips y

11. US DOT Description lincludmg Proper Shipping Name, Hazard Class, and ID Number) 12 Containers

TOT rH t'J ^ S fr~ ' Jc l i t> rij C 5 I ' / ' •

No _ Typ_'\.

13. Total

Quantity

14. Unit

Wt Vol I. Waste Number

a. JAW "TOT

(.WV CC'SJ:Ae''hA' :l7i^ « ;. AJA ioh.iai

b T C p f i J 8 y_ 6(1

EPA Other.

State

EPA/Other

State

EPA/Other

State

EPA/Other

fitsiisiis for Materials Listed Above

15. Special Handling Instructions and Additional Information . ' , / ,

Vi <L*nul(*Wc.i , /tlS/feWft • HIST-7VV-2-o&c

CtA.Tip<c4-Tr ••of.

t-C-y- tz>l6\

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, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and national government regulations.

• . * ' • t • • _ . (

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 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 arid the environment; OR, if I am a small quantity'generator,. ! have made a good faith [effort to minimize my waste generation and select the best

17. Transporter ]. Acknowledgemenfof* Receipt of Materials // . r" *•-> /L\

gL. Signature ij/ //f

( 'n i T\%

18. Transporter 2 Acknowledgement of Receipt of Materials ..syS' * *"

Printed/Typed Name Signature Month Day Year

19. Discrepancy Indication Space

A]

20. Facility^ Owner or Operator CertificotiofTbf receipt of "hazardous materials covered by this manifest except <>as noted in Item 19

Printed/Typed Name^ Signature Month

/ S

DO NOT WRITE BELOW THIS LINE.

DTSC 8022A (1/95) EPA 8700—22

Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. (Generators who submit hazardous waste for transport out-of-state, produce completed copy of this copy and send to DTSC within 30 days.)

.4>tote.:ofr-Galrfornia—Environmental Protection Agency ' Form/Approved OMB No. 2050-0039 (Expires 9-30-99) . i'.T'*'"'>' ,>

Please print or type.| Form designed for use on elite ( 1 2 - pitch) ' typewriter. ' ' " A ' "

See Instructions on back of page 6. Department of-Toxic Substances Control

- SacramentoVCaliforriia

i UNIFORM HAZARDOUS

> W^STE^ MANIFEST

1. Generator's US EPA ID No. j Manifest Document No.

' ••• 'I A • Y

2.14 P^'isf.iffio if 1J 5 14 /|9 -\k

2. Page 1 •

" 1 o f j ' :

Information in'the-shaded areas

•is'not-required by Federal law.

3., Generator's Nqme'and'Maili'ng Address {J£ A.'-StatefManifest Document Number

4. Generator's Phone (wj kjCj , •£}

RAAvictsCi? OA B 'State Generator's ID


0. /-,• / —>— A

M/

6 . US EPA ID Number C State-Transporter's ID


/jsJu/A ei \c.\d\/:Ac>\'%\'5 l<o\&\3 T \x£ ' l M I " r ' " - P ./ . yy . > < / f ;

. US EPA ID Number

U

E. State Transporter's ID

F Transporter's Phone

LQ^~

CT)|

Ljo CO±

9. Designated.Facility Name and Site Address , *10. US EPA ID Number

\\Jdsre m

ssdstol oSKT11

k Fttt >. /Sm a n/ c / 7~y. (7 rf* /I" id \i"7? \o\P^> I yid> ''1/17

Gl • State' Facility's ID ' '•

fk! £h^-U_Z_ H 'Facility's Phone

I <va*4<^ * .u

C\t 1 1. US.D,OT Description (including Proper Shipping Name, Hazard-Class, and ID Number)

12. Containers

No.

P*""!

a>| G f

a Wsri#, rt.es,

ivt" Cjssf /A/'tyttFt) Soil4/<4 Jo7*^ fta JJ-i-

o h .It

Type

ft-tr

' 13. Total'

Quantity

14. Unit

Wt/Vol I Waste Number

State

b ' i l

A9:k?-VB y

EPA/Other

a VQi-0i i

Stote

EPA/Other

State

V

I ^ i i L< . [ 1 c L Vt l« i i l L i i i \ l c < i 1 • '•j" K Handling'Codes for Wa ^|§%lfSifi|» 'mm

i»S»

o 15. Special Handling Instructions and Additional Information ,. ^

-£M'- ttM- ZrhPO&UW #£sfi*JS£ : TFli>"^ra\ie. W-.J*so©'

W "iM*" '1 6. GENERATOR'S CERTIFICATION: J hereby declare that the contents of this consignment are fully and accurately described above by-proper shipping name and are classified: packed,

. ' marked, and labeled, and are in all respects in proper condition for transport by highway'according to applicable international and national government regulations., v- , ; •'

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 -practicable and that I nave selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human-health and the environment; QR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is ' available to me and that I can afford. #' , 4 ^ A *

A. Printed/Typjd Naj yped Name \

J—

Signature

I I i t i oTh fW

Day»

o 1 7. Transporter 1 Acknowledgement of Receipt of Materials

Pririted/Typed Name ,

RnfoP \4 lU tPd

1 8. Transporter 2 Acknowledgement of Receipt of Materials

Signature /J Year Month Day

Printed/Typed Name Signature Month Day .


vL 20. FacilityjQwner or Operator Certificotion'of receipt obhazafdous materials covered by this manifest except as noted in Item 19,

Printed/Typed Name. Signature' Month Day Year—*


-DTSG;8022A (4/97)' EPA 8700—22

Yellow; , TSDF SENDS THIS' COPY TO GENERATOR WITHIN 30 DAYS. (Generators who submit hazardous waste for transport out-of-state, produce completed copy of this copy and'send to DTSC within 30. days.)

State**of cfalifornio-1—Environmental Protection Agency • • ' . • '£$ '7 '

- / / / •

Form(Approved OMB'No. 205(WK)39^ (Expires 9:30-96)' -,l! ' ' 1 . S©€ Please print ortype". Form designed for use on elite (J2^pitch) typewriter.?^ '•; ; 1

See Instructions; on back* of page. 6. ' * Department .of Toxic Substances Control ' / Sacramento, California •.


1. Generator's US EPA ID No.

-V " v'. ' I 2 |^rPj<?|6 pug-

•v. . Manifest Document No. ,

m

)/l. Page 1

of *1' A

Information in. the shaded areas .is not.required;by'Federal law.

.3. Generator's Name and Mailing Address US tftA, (L&k JCW *1 • W•• IfZfricH

.' -.is {sr (sfe-i)

• ,» • , f/Hvcisci? X4 ts-io' 4. Generator's Phone ( . . "Ss-

A State Manifest Document Number ^ SL- ^ a

5 o £ i uOIo


• • . ^ r r ^ ' / f \ i l \ d \ O & \ 2 \ 0 \ / ) \ 3 \ & \ 4 \ < 2

7. Transporter 2 Company Name '• " ^

9. Designated Facility Name and Site Address ttiem <-4L ^.'niTS rlr^-lft^Vnt-WT

?Si5i s^yc/A,r Kz.

i<L:niE"^ C l r-/ 61 "i 27-J4

10. US EPA ID Number

B State Generator's ID

I I II I I C. State„Transporter's ID

D Transporters Phone \

b State Transporter's ID


G State Facility s ID

• ' / ; ?•? • • • • ' /

acuity s J

" K l j r | o i o | c i f c . | i f | t p [ r | i P

H Facility's Phone

Zc -i

11. US DOT Description (including Proper Shipping Name, Hazard Class; and ID Number) 12. Containers

No. Type

13. Total Quantity

a. . .wis re, soLapt <V.OA, 0> pr , 1 ; P l O l ' J KiT" te-oj \ iS

b. State

EPA, Other

State

EPA/Other

State

EPA, Other

J. Additional Descriptions for Materials Listed Abovo;

' " i - L . • ' < L r * J I - i ' C I — " i V ' i r - J

K Handling Codes foc-Wastes

'§pm'<y

Listed Above

15. Special Handling Instructions and Additional Information

tli l-iotr'A £,hUZ&?,\:c V /V'u-', Tc • /'• > v-3oa.fi

b„-

'l.t&lhiLi b

16. GENERATOR'S CERTIFICATION:: l<hereby:declare that the contents of thisconsignment.are fully-and accuratelydescribed above by proper, shipping name and 'are'classified, > . packed, marked, and labeled, and are in all respects in proper condition for^ transport by,highway-according to applicable international and national government.regulations.

If I dm a large quantity generator; I certify that I have a program im place to reduce the volume and toxicity of waste.'generated to the degree I'have determined to be

.economically 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 and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best w a s t e m a n a g e m e n t m e t h o d t h a t i s a v a i l a b l e t o m e a n d t h a t I c o n a f f o r d ; / t % . A . ' & x f \ A *

Printed/Typed fllame

, - X \ ' jJfA • J Signature

w I Month \ Day ^

/ I 3 J 0 I 9 \ j

Year,

17. Transporter 1 Acknowledgement of Receipt of Materials*

Printed/Typed Name ' j )

' /JCU /-i JaJ <9

Signature I

Month Day Year

1/13"

18. transporter-2 Acknowledgement of Receipt*of Materials /£>. Printed/Typed Name Signature Month Day Year^


/ n 20. FocilityÔwner or Operator Certification'of receiptyof hazardous materials covered by this manifest exceptâs.noted in Item 19.

Printed/Typed Name/ Signature Month y

Day ^•Year.-


DTSC 8022A (1/95):

EPA 8700—22

Yellow: TSDF SENDS^ THIS COPY TO GENERATOR WITHIN 30 DAYSj (Generators who submit hazardous waste: for transport out-of-state,

•. produce, completed copy of this copy and send to DTSC within 30 days.)

J • <•* 3 J ' Stote'df Cfalifornia—Environmental Protection Agency """** /,

Form Approved OMB No. 2050-0039 (Expires 9-30-96) * 1

Please print or type. ^ Form designed for use on elite (12-pitch) typewriter.

See Instructions on back of page 6.

' V ' • . • Department of Toxic Substances Control

Sacramento, California

Manifest Docurr\£nt_N6. ' /,< •'•jf_ UNIFORM HAZARDOUS

WASTE MANIFEST

1. Generator's US EPA ID No.

C \<^\ P|Q| [£| S |31

2. Page 1

I of |

Information in the shaded areas

is not required by Federal law.*

3. Generator's Name and Mailing Address US itW^

S4\i c/\ 4/tCi*~ • 4. Generator's Phone ( * l5) QC*

A. ^ State. Manifest Document Number •

«QM

B. State Generator's ID

5. Transporter 1 Company Name -6. US EPA ID Number C. State Transporter's ID

D. Transporter's Phone| i n o ^ f L

7. Transporter 2 Company'Name 8.-US>EPA ID-Number E. State .Transporter's ID **•>

F. Transporter's Phoiie

9. Designated Facility Name and Site Address C HOI1 ix4t iflJASnr /-MaM 6e*J£wr

r>! i\ b/i

10. US EPA ID Number G. State Facility's ID

1j&p&p&rt&srtX.

w c j r y C 4 c ) J Z S ' v |C|^|T |o| op-jfo |V \4> \ 11V-17

H. Facility's Phone

17 if

11'.- US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number)

a. rv-i£A,2*bous ;

£&6r • Soj/*);.tji: Aj^pJX ' ^tWL / i r y

-• - f

12. Containers

O 1O.11 '

Type

,b .iT

13. Total Quantity

O i O i o i i - S

14. Unit Wt/Vol I. Waste Number

State £. f I * * - • ;

EPA Other

State

EPA Other

State

FPA, Other

State

EPA 'Other

J. Additional Descriptions for Materials Listed Above

, k-> Aft;**#*:ti €wc\ % i

K * Handling Code's .fprpWastes Listed Above

15. Special Handling Instructions and Additional Information LmUlbLAjcy V-lSftzAis£ Jbb^Hc-.xfer

C&LnP>i4rt ^ bfrPoMb .

'b&T" e&£* ' '#:3 |

A/<SMdt>L : H>S- ?Vy. 2.0o<?

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, marked, and labeledyand are in all respects in proper condition for transport by. highway according to applicable international and national government regulations.

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 practicable and that I hove selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health and the environment; OR, if I am a small quantity generator, I have.made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I con afford. . /^\ /If) | lA A I

17. Transporter 1 Acknowledgement of Receipt of Materials

Printed/Typed Name ... r*>

> H e , 3 « ! / ? / )

/ Ta ioTY i f " ?

Month Day., _ Year^

/ l - ? \ 6 0 I ? J

18. Transporter-2 Acknowledgementof Receipt of Materials

Printed/Typed Name Signature Month * Day Year*


/

X /I 20. Facility/'Owner or Operator Certification of receipt of hdzordous materials covered by this manifest except .as noted in Item 19.

Printed/Typed Name Signature Month Day Yearv,

DO NOT WRITE-BELOW THIS LINE.

DTSC 8022A (1/95)

EPA 8700—22

Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. (Generators who submit hazardous waste for transport out-of-state,

j produce completed copy of this copy and send to DTSC within 30 days.)

' - 1 ' rPJMJ" P -ff

*of California—Environmental Protection Agency y\ t (J $ £?/£*% TT > Q • ' ' Form ApproWd OMB No. 205CHH>39( (Expires 9-30-96) * -A / " C& See Instructions On bdCK OT page 6. Please print or type. Form designed for use on elite ( 12- pitch) typewriter. * . . . . . . M . . .

rStote

y\

Department of Toxic Substances Control • , Sacramento, California


1. Generator's US EPA ID No./> ID No.xy

C|/^| P|O[Of(0|O|S5|"5i^ fS |&1 &\ 15^.

Manifest Document 'Njor^-

O I /

3. Generator's Name and Mailing Address U5 £' y iUzXz 4 C?W . tQiAfJOirf

1<$ K>M sr (jPh -to)

SAivl c1Hior 4. Generator's Phone (H iy) ©CO

2: Page 1 -

i I of

Information in the shaded areas is not required by Federal law.

A State Manifest Document Number

96270383


B State Generator's ID

" M i l l 1 C State Transporter's ID

!_L


"V .in, \C\rifl p |<3|JM*|J|6|f I? D Transporter's Phone rj , t -

& 1 * S> t 8.„US,EPArID Number E. State Transporter's ID


9. Designated Facility Name and Site Address

Crt£iWlt4L IWUJ'fO.cm&ntT

?5z.s <• oub >ilytiue' "brt.

^Lme- wu-j c iT-y c\ iZ 's c<

10. US EPA ID Number G State Facility's ID

CH ZZp&f.

K ^ m ' , i o | o i f e | ' - i | f e | i | | | 7

H. Facility's Phone .

"t&'{ -?\rt *^711

11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) A . x

WU rr~ , Sol.• A/.C.S. '

(bbr* CcwvAww/wvT-Rsr& Soi 3/ ^ ) i)A0o~rir fih jjT

12. Containers

No. TVPe

13. Total

Quantity

14. Unit

Wt/Vol Waste Number

State

Q|Q 11 )>\T k 11

0 | O | Q | l [ 8 EPA/Other

State' 'l-

EPA/Other

State .

EPA/Other

State

EPA/Other'

J Âdditional Descriptions for Materials Listed Above

u" /' yf-

K. Handling' Code? for Wdsf^""Listisd~Af>ove* *

b.

15. Special Handling Instructions and Additional Information *

2.M VMvi. §.vvtfa.6f../Jcv V£ mjr-7\'v-7cce

CL-Art-^da-rc .• i> atopic f2-£Qt/trtx& bcr i&-<* .

15. 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, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and'national government regulations.

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 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 and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is ovailable to me and that I can afford. y*""V_AjV__| \f \ A \

Printed/Typed Name

/ I 'M . i rw ih r t 1 i fp f i t IOT? \ f f 17. Transporter 1 Acknowledgement of Receipt of Materials J

(t-Printed/Typed^N ame pedfName Signature!

£ Month Day^ ^Year„

I 12.1 or? | 18. Transporter 2 Acknowledgement of Receipt of Materials •

Printed/Typed Name Signature Month Day Year


/ 20. Facility Owner or Operator-Certification of receipt of hazardous materials covered by this manifest"except-as noted in Item 19,

Signature Month Day Year


DTSC 8022A (1/95)

EPA 8700—22

Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. (Generators who submit hazardous waste for transport out-of-state, produce completed copy of this copy and send to DTSC within 30 days.)

Documents

IS 1^)5 HAwPtoAX ^ faj| A. State Manifest Document Number .. ir, · 2020. 6. 11. · Generator's Phone (H &) V' TObo^ tG