|
05/14/2014'WED 15!11 FAX Svc MVV
<br />anew Ancmued- OMR 140.2050.0609
<br />male,
<br />print of type. (Form dealonod lot Uae o: MAN 1:! 11110111 I ewrller,
<br />tGenArafor OMrmbar 2, Pe tot & IftprLaflo�', a�9oGr19o<P„Itnpi Men eel raaM ng Vry1 r
<br />NNIFDftM HAZARDOUS CAlsSBQi31,�G'.")6 � 7 pWv/'- t7"176VJ ©19 � A 2 O"O A .A ���[s
<br />U .7 Yat %+
<br />WASTE MANTE15T
<br />enerelofa 9ltepddraea{Il dl%emmthan
<br />S,
<br />Oanenefa "ams aM MN11n9Ad reN
<br />i'(.LL-T4)RSI,I Fl„EE:TWASH
<br />BesGemer kvei
<br />•3.10 W,frRl:NONT'5TltEi:TI1B�
<br />:PAI'le
<br />6T(1CRrON ISA 95203 CA 95337-�,611.ES0775
<br />Na»te�a.feetJM
<br />"r
<br />U.9. mbar
<br />TwTm�N®m5i953C1
<br />E. �(—RRa.F� _ TaY pTt lay3; • zni4a . Y..
<br />'� .E Al mbar
<br />7. Lanapdar2Gompeny Name '
<br />O, Desylmled Fsaltl(Male and Slee Addreee M ECCll:[ICY NCUF►DA 11W19, p DNumWr •'
<br />IMILE B OF BEATTY HWY.3
<br />8577143
<br />e9Mv
<br />NVT3u0B1mtAfAN
<br />l7NN�239-394,e
<br />Fowl
<br />9a.
<br />'e'phano,
<br />�. V,B.ODYbeacdpden (Hdudl PrOeShl 'Ing Name. Hazard Oleea, ID Number,
<br />to. Conlelnem
<br />.
<br />•j.
<br />12. Ud1
<br />WI.NoI:
<br />19. w5flowe
<br />No,
<br />Type
<br />SIM
<br />HM
<br />end PeGIM9Draup(VIM)
<br />p
<br />3SE
<br />+• ldilN Rl'.RA .WG7°GARDdIJ 'WF►STL". '8UL 4LJ
<br />PRIME%,BRr�)BE, 0I0
<br />,
<br />(DIRT,
<br />(rJ(J
<br />s,
<br />r
<br />4.
<br />1, n ,anegn„ r e normdbn SpS SWip#i%GaIMOA 557705 30IMM CBB%
<br />_.:
<br />.
<br />;14._ldR"'EME �ENCI'43'i;.A�'j�-46*B'�1760- (SRFETYLHLEEN �'CDNTRACT—#94138)''"
<br />:R faL!'I'id(IFtt7.E17"TC TSE:.Y:)7SN i.1C7NSE,D SUBBEIQUENT CARRIERS A4 NI�CESSRRY
<br />ASfD114,V1E,fAfA-°7AB2' ''
<br />75. GENERATDR'91DFFERO0.!9 GER71FICATION:,IhlldbydbNWa lAAl tat mnuma pl lhb cond9nmaplBre Ally end eccuraMydesulbAd above by me propor plppm9 naka, BmlamaaulAed, paakP9ea, '
<br />Imamatlo0elend nollonel9ovemmenlel ra9ulallona, II nypodahrymenland I am Ne Pdmay
<br />marNetl and HbeladpllaceNbd,and Ara In allreepayAe m)a'd(97EOIWlllan fat YOAlpdaacardln9 m aaPllcaMa
<br />E,podm, I candylhetlha mnlede Of Nle coma nmenl eodonn N Ina term, ollbe a9ndled VAMIondwiedgmenl of Dpneen1.
<br />I�dlfy that Ne weals minimi!elbneNlymem lden99ed.ln%0 GFR 2d227(e)(Vl omalerpequanllly genorebl)or (d (lameamgll quendry paver kNm. ap BeerDe
<br />(elaf %amr;a Prinmd ped Neme Slgn
<br />f
<br />9, pmeneT Impedla U.S. ❑Even ficm U9 m e4171aHB
<br />7mneporlerd9nelure (foraapadnonp): Dale laedn U.O.:
<br />17.TmmpenerA*mem09m%nl dlReceptel MeladdeSAY, Near
<br />derl pflnkdlTyp e
<br />SQ
<br />rare der P nlatl ed' a 919nelure ModA Dey Year
<br />.19 Diemapaocy
<br />19e. 01M P",y Hdi da Epece Duanl Type ❑Raeldu, a I Jwaun
<br />! ,vitae Re ranch Numb®u 'TM's
<br />,eb.Nlemme Faclltylor Generalar) U$. EDp 10 Numher
<br />MAY a -,P2014
<br />al
<br />Fed111Te Prvnol - n Year
<br />W
<br />u Iplaeua ofAaamale FedlNY In Genrxelor)
<br />- ENVI O -
<br />�q9
<br />Y
<br />19, Hetardwe Weals RepbA Menapenrenl McNad Cptlae(Ie., catlee br haaeNouaweela ueebnanl, dlapGaal, and recycling pyelame)
<br />1. Y ✓�
<br />To,Oeelplmoo Few11Y edaWmaredW lhemenllaelaxce did in Ilam Aee an ay ear
<br />q a ams
<br />anur - ra cm car.» rrV TO nx;G"1'1NA1"1f0N STATE IIF REOIJIREIT',
<br />E7'rf�y�lrlti'!d'�Fyl`]N"J 4alm�ua eoinona era uuowew, y-�
<br />
|