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Sroro ar,i:aiiiarma—Eaviranmenroi Prorntriap yaacy
<br /> =otos Aoojoved C "hot See a See InstroeTions on bO[X of b. 7eoarrmenr or Toxic Suom,mc..Comtel
<br /> ?lease otos.ar .'8im daslgned lvr..V.aiih•(L-oacirl 5acramenro.C.iiFormo
<br /> UNIFORM HAZARDOUS 3e.eraror rUS EPA 10 No. .M.miesr Dacuma.r Na. :. Page I �II Inrormanan m:ha shaded vr,ha ^'I
<br /> not revwre S °edery
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<br /> WASTP MANIFEST ,,;I. a � a' '1 `1 71 c `{ -• I ar s�7w.
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<br /> ?. Desigetwea Facility Name ana Site Address '01'JSI EPA 10 N.maer G"'STMsEvaT'd k'W£,:� 'e-,a.,_,. ,,x.•
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<br /> AND G5= V OSi A?PROt —ED F?R.
<br /> ACT! (916) 471-5747
<br /> 16. GENERATOR'S CERTIFICATION; hang declare mar rhe c.menn vr:his c.nu nmenr are iml a accurareiv demribea.Dove a Doer shin ams ane are clauiiiea.?acxeo.
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<br /> J ..crxed.dnd!ebeled,ana are;n ail.aspects In grog..zanaitian i.r vansoort by nignway according to applicable lnrerncnonal and nadatop g.vemmenr reguiarians.
<br /> 1 IF I am a urge auanhty gena....., I ceni',that I have a?rogmm in Place as reduce he voi.me and raxiciry aF wmm generated name dear.. have determined'o he acon.micaily
<br /> proaicaela d n r h.%m w6sa ed the orocr cable memad or ve.tmenr,.horage.at disposal urrenrhy avai aoie-ome cacnmimizea the aresear and wrote 6ruara numan health
<br /> 1 ana the n Y .R,iF I am a small c.,staty generator.I have made a 3aa6 6m ado"'.mphmn.ze my she eraiiom and salsa rhe nest waste management method shat is
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<br /> DO NOT"WRITE.BELO THIS LINE.
<br /> OTSC 8022A(4/971. Green: IRAN SPORTER RETAINS
<br /> EPA 8700-22 '
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