Laserfiche WebLink
G <br />E <br />N <br />E <br />R <br />A <br />T <br />O <br />A <br />Fj�RGENCY CONTACT TELEPHONE NUMBER <br />UNIFORM HAZARDOUS t Generator's US EPA ID No. Manifest <br />Page Information in the shaded areas is not <br />Document No <br />required by Federal law. <br />WASTE MANIFEST <br />I1000��s�aG9 51 3, (Continuation Sheet) <br />- <br />23. Generator's Name <br />L. State Manifest Document Number <br />A. 3.,. � herospace Structure <br />.'a:1aE�;?3s <br />i'- Airport Way <br />M. Stale Generators ID - <br />24. Transporter _ Company Name 25. US EPA ID Number <br />N. State Transporter's ID <br />O. Transporters Phone <br />26. Transporter_ Company Name 27. US EPA ID Number <br />'. State Transporter's ID <br />Transporter's Phone <br />28: <br />USOT <br />Description (Including vmcershroamp Name, Na:adcraea anero Nuceew,. <br />29. Containers <br />Total <br />Unit <br />P <br />HM <br />No I Type <br />Quantity <br />WVVOI <br />Waste No. <br />a. <br />R0, Waste T tsolids, cs rganic, n. u. s,., 4.1, <br />UN132t,, TI (Methyl, Ethyl Ketone, Aoetone4 <br />ODk <br />W <br />00tv"I <br />F <br />b. <br />RD, ,Waste A -nines, liquid, corrosive, EiaTurable, <br />- <br />- <br />re.G. a., &, ON.2734;.II fSrietEayl.anihQ Rresira1 <br />Oen ( <br />op— <br />fool tot <br />i,, <br />rr <br />, <br />C. <br />Hatazdoars waster solid, 9, NA30/:1, III <br />f0hrmitil3:0 <br />Do <br />Dr- <br />aO}h'I a.�,.. <br />P <br />d. <br />Nion-RCRA hazardo[aa Haste liquid <br />--- <br />Eit3► <br />L1M <br />100(4-11-L <br />e <br />Pon-RCRA hazardous waste solid (Graphite Pre-Pxzg) <br />604 <br />DM <br />0114ei <br />f. <br />t,n-RCRA hazardous waste solid (. astic, a leslve <br />00 <br />e{ <br />0 d (oq el, <br />r•` <br />9 <br />h. <br />i. <br />S Additional Descriptions for Materials listed Above <br />T, Handling Codes for Wastes Listed Above <br />_ <br />sl, <br />32. Special Handling Instructions and Additional Information <br />$3. Transporter Acknowledgement of Receipt of Materials <br />Printed/Typed Name - Signature <br />Name I Signature <br />35. Discrepancy Tndication Space <br />GENERATOR'S COPY <br />Date <br />Month Date Year <br />.I <br />Date <br />Month Date Year <br />