Sent.by: RAMOS ENVIIIONMENTAL SERVES 91 6371 931 2; 10/22/16:38;
<br />Strip el Cali6rnio•-En.ironmmpl Frawgiod ancy
<br />Fann ".,,.d OMB Na 2050-00'914p:Ar ao•991
<br />» See Instructions an back of page A.
<br />Pl.oprim or nus Fur. dadpn.•' kr . a.. dib 117•Prlcbl "Iu o.r.
<br />,Jetfa7T #786;Page 3/3
<br />D.panmrnl eF lo•u Iebslencm Conrral
<br />Souememe, Cahlarn6
<br />DO NOT WRITE OfLOW'THI'3,1,Irlj.
<br />D13C 8022A 11/991 1 1Lf
<br />EPA 8700-22
<br />GreenTRANSPORTER RETAINS
<br />UNIFORM-kA7ARDOUS CI c.=me a': US EPA ID Ne Mani{.0 Dn om.M Ne. 7 Pat. l Gbrmmlw In 6yFederl
<br />by
<br />law
<br />WASTE MANIFEST �� (� a� '1 G f1 9 9 d I wl required Federal w�
<br />��.�
<br />J3 ?ain'fQrofr Na. 114MUI4lin��ddrnr d�,- .AlaerleFl DocJ+�enl Nun f �.r-•.+�
<br />/l. lu dY mNrr:.Ia{:C6AS
<br />uvr► Ail llaw2 Wil F,t9Fr fiktm . (:ry �I i21Yi7 1,,
<br />1�^41�79RFTd :
<br />t
<br />211�r'A.!-151il 5r: 7 x;� f
<br />t
<br />A. Ganamlor'. Phwe I
<br />V
<br />t
<br />5- Tmnep.rr.r I Careppny Num- d. PA US E 10 Nmnbrr
<br />j
<br />A ' � ~!•
<br />'':
<br />a
<br />r F••�
<br />6.
<br />Iia11N%S E iiM'4lrl 11 lle'r 1r.A1 �>I•F YLI:1"• t h 1 0Y4y r Q 3 Q 6
<br />Y'* e�� c r'>c'Fi t 7i"
<br />'7
<br />j
<br />---
<br />_ILILIL
<br />7. Tronpone 7 Cwnpaq Nrune 8. US EPA ID Nemk+r
<br />Y rarAd Y,•'� a v 2 , '`
<br />3
<br />-LL
<br />A au
<br />r •]�: �>�I iil'.t � a211'prnh r.r .
<br />Q
<br />Ify AenQn�9d,f l{PA�g1tgId tile Addmu, 10. US EPA 10N..6,
<br />;:
<br />ti r?�•r i . ,
<br />4.
<br />j
<br />YS'!]IUII. !"a :kRl-rl
<br />�''f;IIA`�1I4iII� v � ii i
<br />r
<br />�•�10?; I rr,;';9"�1� n,l`
<br />ah y�A 1e
<br />�',•��lu ItRlr9�.wr=
<br />,4,�II�;''!
<br />n_ _.. L.....<R,•., K' s
<br />r r T, .I a
<br />2
<br />(
<br />'�LL.t1.L_L___l, .
<br />12. C.
<br />I1. US DOT Oaru'Plbn lu¢Iadina ProPar SAippmp taam., Moaord Clo.r, and ID Pa.mbml
<br />No.
<br />rove.
<br />12 T.bl
<br />CTrwn
<br />IA. rint
<br />WI/Yol
<br />...'
<br />j+Wepa(NNm',yer, .
<br />T
<br />_ _
<br />t"i PGRA 11azardom; V144sto :olid (WI, abSCOX 9..,001
<br />ulYi
<br />G
<br />Id(f'i) 1 R�7 ofl 1 % f
<br />A .._.
<br />iA ry..J. w x
<br />1T r I a. r ,'•
<br />A
<br />.. _.— .___. ... - _. ..I
<br />I_.
<br />J.JJ.�..
<br />I
<br />T
<br />5 X 3 S"
<br />-
<br />��� ,.•r; ti ^ II eat
<br />`
<br />.I
<br />"—`
<br />�} F�• F9,� 4 f 1.
<br />IJddro'nel Do <r n (pr baa drdr U+Id ahem "rI m 7
<br />ourN • �l
<br />er°ilw'I++^ori (1�rp F
<br />w av
<br />r cb
<br />F rh tr -s 4 7i t zap NI
<br />n
<br />'
<br />• ,�s
<br />..
<br />15.Sp..i•.I dandllnp lnp.ueYam and Aldn:..•el lnrnmorim iNMItrY -41il11D.T111l0;Kimrl ll,a.;(91xRIttrJ Jl;jFlfir••a•rl llri:
<br />Ldrna(da! <.•� lis r11n:; su kl IEi F,j i 1 !..;r i _M
<br />hdr M i 1ryih
<br />I•>Iiil', 8n1+'rITVdiq 'H�n.Fiull. %,.ki'rlkra
<br />Iherrby dcc6redae Aacanrnnn ein.t eomiy mens ora 1.0yand ac ea Ppl h.vib.d abos b1•prape>hip�inprmm. end ma daniArd, packed,
<br />CEQTIpnj cr.
<br />I d. marked, ORIand
<br />marked, and 1a6..1.d. and are in all re.pmN in pmp-r <omluiw Iv rrampwt by A78A�ay accordirq w opp aaW. inm=ar:anoll end nmimo yavernmam repalariom
<br />II 1 w.. 6. ;n 1-1,1 y.n.mmr, I ewtily rAor I Aa.. a prepram in'I.e. w mdace dm .olamc end walciry of �rrc pmaerd b dm deprm I crow dmemimd Ia 6a .cenomieoll
<br />prep¢able oad rive I �i..e .Alarms dm pronimble med•ed of trrermcwr, aruagr, a di.pa,ol c.rrnn y e.a:6bl. Ie m..A:ch mnirni.. the pnmnl and F w'. Ihr.al 1. Awnw h=all(
<br />and Ih..n.ironmc r 09, d 1 nm a a8 p...I y g.mmrar, I Iva.. J. a peed 1114 .NonJr. ire my vasa p =oras. and Ylee rAa baa .vrr. a rnaoemenl meshed IW:.
<br />..eil.bl. b m. e. ihrrl Iron Jard
<br />'•_
<br />MIAWd/TTp.d Nome �_� -_-_ SiO.. j �( / M"lh V., Ycm
<br />--�
<br />-_ -I .�'L
<br />II, Tro per 1 k
<br />Aen�7a.kadnomeN eFoF io �T_,_, _
<br />Prinrod/Typad Na Sippuara/ �A{ond. Day Y..
<br />1
<br />R
<br />E
<br />V
<br />1 E. dedamnanl al Qrm:Pl of Morrriel. _ _ 1
<br />F..,.LLL
<br />PdmedRyp-d Nati S:pn.Mr �— IbfIn1A II Day �I Year
<br />..1
<br />19. Di.errp mcy 6diwrwn Spe<.
<br />F
<br />A
<br />c
<br />10 Feed; r rvwr Cenilicolion.rhrr:mi reF hac.rdoa. mararieb ca.r..db monifeyy ay.r�u. in lbm 19.
<br />T
<br />Prinred/T pe N�ma Ilpnol
<br />DO NOT WRITE OfLOW'THI'3,1,Irlj.
<br />D13C 8022A 11/991 1 1Lf
<br />EPA 8700-22
<br />GreenTRANSPORTER RETAINS
<br />
|