Laserfiche WebLink
06—lb—' 1b 14:;ib rrxml T-282 P202/002 F-589 <br /> Please int or type. Form designed for use on elite(12-pitch)typew fter) '(i"7 ;�-3 Fam Approved.OMB Na.2050-0039 <br /> UNIFORMMANIFESTS ,. tof " '7 2.Pagel 3.Ememency Response a,a,e 4 001827350 <br /> 018 2 7 3 5 0 JJ K <br /> WASTE TF MANIFEST �/ � � 14W-VA-SM <br /> 5.Generators Name AN Maiang Address Generators Sire Ad r man r83s <br /> 'm <br /> aw nna Phone <br /> e T er 1 Ca Narpe us,�pnnlo <br /> verBreen�nwronmel'ltal 3etviaes GAA1262 <br /> 7.Transporter 2 Compa y Name U.S.EPA ID Number <br /> PSC Industrial Outsoulning,inc_ CAR000177547 <br /> 9.Designated Facility hams snit ReAdd" lot Century, EMI U.S.EPA ID Nwlw <br /> 2086 Newlands Drive East <br /> Fernley, NV$5406 <br /> Fadtiya phme: T75475QM NNDBBOIBBMM <br /> 9a. tb.U.S.DOT Description(iEk d rig Prdpw SNppglg Name,Homed Class,ID Number, 10.CoftiMM 11.TMd 12.Unit 11.waste Codes <br /> HM and Padag Cm P(d any)) No. Type Oua*y wuVd. <br /> at <br /> Z z <br /> w <br /> 3. <br /> 4, <br /> 14.Special Hardin;Nubuaiats"AdcOmal lnformfon <br /> / � —/`;006 -450 <br /> 15. GENERATOR'SIOFFEROR'S CERTFR;ATION• I hemby declare Nat the CMM of INS Consig wnt are ady and arcuramet,described above by BSE proper shop"n2mna.W are ckwrbed.pad,*, <br /> marked and MbakdrplaarMad,snit are In eg respeda M proper eDrdWn forasrnpart according b appiaebk Atemaearal AM national mnenlal M <br /> Expwler,I mttfv that Ne coments of N'n Mnsignmmlt dadam b the lama of Be abded EPA Ad enm&tneem M Co sem. 9 regWations. exppr,aNpment and I am NB Primary <br /> I deraN Bial the mate remnixation slsteaenl identified in 40 CFR 28227(8)(111 am a Nfge granity9m mbr)m(b)IN Am a small anGN generator)is We. <br /> GenaMlorSIOReros'S P*"dfTams 65gnaaare North <br /> 'DDay V <br /> Intemetional SN <br /> F ❑Imyud bug. ❑Ew"Itomus, PmtolamykxM1r <br /> $ TmnsprxW signatum per exports Andy): Dale kaykg U.S.: <br /> W 17.TmsWK nant M Recept of MalcnMs <br /> Transpwterl yped Wagr/ Sig Month <br /> y-Day year <br /> GT w dMedRyped Name nature Oay Year <br /> F1cn l 07 <br /> 18.o weparwy <br /> lsj <br /> ft i7auepbtq Wootton space <br /> ElDuanljly E]Type ❑Residue ❑ParBel R8leatbn ❑Fug Rejaclipn <br /> Alomfou Rekrence Number: <br /> 18h.A11errrate FadiN la Generator) Us.EPA IONumher <br /> W <br /> U <br /> ra Fadsty's PAae: <br /> 1&.sigrgNre M Alternate FacAty(a Generals) <br /> Month Day Year <br /> 4 <br /> a <br /> 1CD 19.Hamrdas Week RA Art Management MBBwd COM(i.e.,codes for Mta dacmale Veatmgy,dsposal,end fwycang systema) <br /> 4 4. <br /> 20.Deeignated F50ty Owner of opwalar'.Cedireation M receipt of hwrdsn nsakdals covUed by the manifaR except asT in hem Ills <br /> ire sigreexe � 71 Momh Iwg 1�r <br /> EPA FOrm 8700-22(Rm.3.05) Prw4wuse 11oxis are obPnete. DESIGNATED FACIIAJY TO DESTINATION STATE(IF REQUIRED) <br />