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EMERGENCY CONTACT TELEPHONE NUMBER <br /> �, 10010110101111W'_ <br /> - <br /> ' UNIFORM HAZARDOUS`• I Generalo USUS EPA ID No. Mani 22. age nrorma,;on ,,, t�a anaded areas;s not <br /> WASTE MANIFEST Dx°man'No. required by Federal law'41 . <br /> (Cond"Uetlon Sheet) r <br /> Name <br /> r as all, a ri u <br /> Stat Gene toD <br /> 24.Transporter Company Company Name r" 25.US EPA ID Number ' to T s - eYs D <br /> ,.:sJl i 'I'a �;".T'./' 7,�I. �:'f`,±. ;� [n :'gL✓ ., .�7 w� .Tran spo„rtet. Pa¢oo <br /> 26.Transporter_Compary Name 27.US EPA ID Numbei ' atrraaspoSta ID <br /> I sp n <br /> "u <br /> U5 OT Description rmn.,apvr w.srbo..s,rrn..ranbciw,lrcv ,,, 29.Containers 30. 31. <br /> Total Ural est <br /> N No T QuantityWtNol <br /> a. <br /> b. <br /> e <br /> G d <br /> E <br /> N <br /> E ' <br /> R <br /> A e. <br /> T <br /> 0 <br /> R <br /> 1. <br /> y. IF THE IMAGE DISPLAYED IS <br /> NOT AS LEGIBLE AS THIS <br /> OVERLAY,TT IS LIKELY DUE <br /> n. l TO THE POOR QUALITY OF THE <br /> ORIGINAL DOCUMENTS/IMAGE. <br /> 1. <br /> ib'oLaPDesalpticnsior KAaten'15 List=d Above -"`=:Y 1 lY€= -iJ tr iY +yr="*.r"r'- ." .,, RaiMhn9 C'etles;fo ,des List <br /> "u el-x .er —v <br /> 32.Special Handing Insr.,crons and Additional Infora,at,an <br /> 7 <br /> e _ <br /> T 33.Transporter Acknowledgement of Recelpt of Materials '. "'t d .— +""~ Date <br /> A PrintediCryped Name -�'� S'OaturA Month Date Year <br /> e : ,�:. . �--> <br /> P <br /> 0 34. Transporter_Admowledgemem of Receipt or Materials Date <br /> R PdmediTyped Name Signature Month Date Year <br /> E <br /> a <br /> F 35.Discrepancy Indication Space <br /> A <br /> c <br /> I <br /> L <br /> 1 <br /> T <br /> e:ta =it Lz�COPY <br />