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Q � 7� 3 17 l <br /> I'I SbnofCollfomia— <br /> Em,ironmwlalPnlee!iIAppanay S a„Ins rue' on IS A of page-6. D• Itren.mafTaI30.tela- am al <br /> f Farm Approved OMB Na.2030-0039(Eapira 9-30991 }[ Sacramento,Collfwnie <br /> Y Phnw Print or yP• farm duipn.d iw w•on dire(I2ryireh)NW"^'rea 2. Po I Inhrmwlon in the shaded area. <br /> 1. Geretrala/e US EPA ID Ne. Manihlt meN No. g• n nor required I,/Ped•rol law. <br /> tL UNIFORM HAZARDOUS O' ! O of 1 <br /> WASTE MANIFEST I D IJ <br /> A56ba6yDarDxmen,N 24'69860.2 <br /> I 1.Genpnlo(r <br /> Name and Moiling Addrou <br /> B $I pf0eoranrj 10 <br /> A.Genenrore Phom I t « ` ;IAa r —, <br /> '6. US EPA ID Number C$kh TtBnF�gler1+1D ed - <br /> M <br /> S. Tranywt«1 Comport'Name. <br /> ' MMRDbRM`AL C'A D 9 6 2 411 3 2 6 2'....", <br /> $ SHR'TiCBS �.,.Leiid ,�IR�$use�3fg <br /> 'm' 7, Tner ,NZ Cama N m• m B. US EPA 10 Numb« <br /> Pfl[MTION, ING- ION <br /> R�I¢DIATION, I2iC_ CAD 0 6 3 5 4 7 9 9 6 rF Tmrtjpareh'rJran•ti <br /> ('s 9. Dedgiwrod FFarcrrAri�y�N�cpm.end Siro Addmr � P 'FA .:J <br /> 21ST CROMMU, 29 <br /> Z DRIB TS9u1. N rdq NTe nleai :5q�"�• y f s, F <br /> DOg�pgT,y�69408 N V D 9 8 0 6 9 5 3 3 8 <br /> 12. CanMlun U.Total IA Una <br /> �Q 11. US DOT Duadptbn linduding Proper Shipping Name,Naaard Class,and ID Nen6ml T Quantity WI/Vol i'IWdMe'+1Vurn4Rt" <br /> V 11100 1>1 <br /> •nn `. <br /> yy A <br /> o N <br /> 2 <br /> N R :. <br /> EP <br /> $' 0 • '.tike a y��1t�p�.. <br /> w R <br /> 2 <br /> O <br /> T..... r��l0yyt <br /> ,�� <br /> f t ; , ,r �ne•;ia I .G,re. e v�nn�... <br /> aOz r.�Li P,7i�4 Y ..r�G.gx.f zat r• be, '.'ham?... ..P. w xvabx ear <br /> 15 Spee <br /> Ftain&kn,l dnc,I and Addiliaaal Infamn Fon 1LR IG. # <br /> F71 <br /> 24 HOUR 2MC7 OONTAGT_800-567-7455 lc <br /> W G & EYMI R I lld- <br /> WRAR PRMGTM hi 'n ram�and areda,enied, at"d, <br /> U 16. OINERATOR'S CERTIPICA"ON: Iheroby d•dare dwllh•conlwn of dri•coedgnmwronfvllyard aaeunµy d«eri6.d above by Proper PP me nm <br /> VVVV narked,and 66e6d,and an In dl rupect,in proper condition far Irampan y highwvy aewdiaB b applim61•Imrnananal and-I e I ne IeRem. <br /> � If I am o large 9 anNly genemlw,I III that 1 hwa pro8nm in place b reduce the elven and bdciy d wain penrand b the dogrw haw ddermin e n to NI III <br /> N praetka6le and net how eeledd r6•proeSeo6h method or mwtment,etoroge,or dupe I mr�Mly available b me,which W.E.mthe pnuM and furan Ihrwr b human MalYn <br /> and the. rwmwr OR,If I am a,mall quoMiy .am"I ha.•made o 111 6116 efhrr to mini i my wam g•n•retiw and c•Im Th•bur wmro management melhad Ihol it <br /> O .11.61•n�oe end Am I can afford. <br /> . Manlh Dry �wr <br /> Pdnrod/Typed Nams Si o (O <br /> Z <br /> w T 17: Toru r I led em <br /> an of Receipt of MI ManIF <br /> s j Innd/T P( a 5ignoNr• /)•� <br /> � R V <br /> W = <br /> LL 1 1 B.Tr a arnr2 A knoeleggemett at 0.«ei I of Mandela Month D^y Year <br /> O i hi d/Typed Name <br /> ignaN S L l O G <br /> w E , <br /> R <br /> 19. Dieveponry Indiwden SI <br /> Z F <br /> A <br /> C <br /> m 9. <br /> 2D. PI Ownerw robr eNtfieadw al toed rof Faaordovmon.ial•ro •db 'hi.manflae ea<wra•ne Alam Year <br /> T PHnud/TYpd Name <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> While: TSDF SENDS THIS DOPY 70 DTSC WITHIN 70 DAYS. <br /> DTSC 8022A 11/991 , (� T. P.O. B.3000,Saaamenta,CA 95812 <br /> EPA 8700-22 pM <br />