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Jun 01 04 06: 25a NEWARK SIERRR PAPERBOARD 209 464 9215 P. 15 <br /> 05/3i/2004 09:48 9404835 <br /> SAFETY KLEEN CORP PA <br /> air a~+ <br /> t � � <br /> E, s h1ATU -•RAL RESOURd "1--.I.e S 0 t <br /> Y <br /> ,,,,TION C;OM ISSION € <br /> 1§0x 13087 V <br /> Au�llrrl'iexa9 76711.3657 farm a amvad OMB No.7,as0.0039. <br /> r wflter.) Nlanitest 2.Page 1 Intormatlon in llte shaded araas <br /> Flensa Prinl ort O.Ir�orm ontIned for Use on ellla /z• liy peneretvr'a US EPA ID No. is nol required by- Federal law <br /> I�DOUS me.1l At' or <br /> UNIFU� MHA IF EST a .y <br /> WASTE MAN I .- <br /> 3, <br /> 3.Generator's Hama Rrrd Malljn <br /> 80 TAEs ri cHL1RCfa �T, ; <br /> A.Generator's k'har1a g US EPA 10 Number W <br /> Tt9ns vrtar 1 Gvmwy Name } I' <br /> 5. P Ri7C�l?.UCr31G' <br /> N-- It . <br /> 511r'rT; tLtELri ;._f TE�t. . 8 USEPA IO Number 1 <br /> • r. <br /> 7.Transporter 2ompany Name /I .1 f" .r '1: <br /> Na B orrd 81tB Adt '@cs 1.1 r7 C16 1 10. <br /> U5 EPA ID Numlpet t <br /> g;ff�sigMatas <br /> d Fact <br /> r,KLrr r Nc, <br /> rr7nI3ER CR,FER ROAI' d >p <br /> I.'1'2.2 I X `I ti-).0 8 <br /> pV14TON. TXD1)77f,03 '1 ta. <br /> 12.Con�alner6 13. <br /> TOCPI �^Ir <br /> 11A. 11,US OOT DeycripI{including Proper Shipping Narna.ilax9ed Class.IU No. Tyva oklanrlEy WINo1 q <br /> HM Number and Packing rPI <br /> t <br /> WAS't`r 5tli.tpa CONTAINIM3 F'LA�IMAgLE i}f7 w <br /> UID <br /> A }i 1..7i�WAS N. fl. S. ( TOLVEVE, MRTHYL ETHYL (;1�1 <br /> T FCE'.['vNF 4. 1 LIN 317 5 PG I t E€tG 13 <br /> r, <br /> aP <br /> A c. WASTE OIL AND WATER MI XT LIP E: <br /> ( NOT RCPA REGULATED) � <br /> t, F Vr!rr 'rc r�:} r' �•-N ,�f� <br /> MF ST T 1r►�1•'t��14:{. t10Z 9. A.S; �4 <br /> 15.Spec;@IHandling{nstruefior>&anc3Rdd;t[an®ltnrarrersiion F '1T1C1f[.Z ER SIEr, FT tj STg(}r �i r� fai'A3 1,F <br /> FME:RGENCY RESP aoo 46a-1°?Gt)( Zh -3F ) , I <br /> TO (l.^,)M SUF1SFQrjEN1' c;AIaRIE.FtS; Si .4[�, �^ °t'18 <br /> SK t.ORiy AUTH 'D 7 <br /> KDOT 10.: tne Hama and are <br /> 1S.GENERATt3R'S CERTIFIGASti1h1'.I hereby deden+that thrll aonlents or tms®onelpnment era wily end accurately <br /> hWay acQQrd n®Ah 0101110�e t r alloneE ono nntlannl <br /> claetutlnd.Packed.marked.and Labepedrptncord Ad and regulations.7M r@er6 C In prpar fll,Ce the vrtion for tranaparl,bya uma d a>t Gty Or w8ttr®anerAtQt1 l0 EhR tle[1rOr..1 Ireva determined tD bn <br /> q vommt trid <br /> rnl retrr,lotlons.irfcludin9 1PPtrcrrbla StArtrilMIXII <br /> I!I em g(urge qupnhly generator•l cCnity that I h>iv�a Prpprem In place to rOr! ego or <br /> economically p human theanh and the e and net I veWr lBoted OIR r a livaba i le oEn quentlty gtrn valor t have a+ode oa good le Its ortly l W Im4n1 mrA my wears 454r+nrahroe which m nrenrf Hivel ct <br /> fUtrlrE lhrant l0 AAarrrrr pay year <br /> the host waeta MO^.'+6timaat method that in evalUEnle to ma and that 1 con prfo <br /> Sign9rlilre .. <br /> Pdntcdff Name Oats <br /> i M'onfh pay YeAr <br /> r 1 r86,%pcetar 1 Ack+lowledgement of Reve pt of Mater'19ts 8ignature <br /> to7 <br /> n Print"I pied Name <br /> N .' <br /> s /✓' onl11 Day Year <br /> R18.Transporter 2 Acknowle'gement rel im 11 ai Materi9ls - 5ignetwt+ e- <br /> T tf¢tta_diXy <br /> PP�Narr+a'' ..i l_- .f, <br /> 19,VDiscm"ncy Indlcatian Sparta / .V <br /> F <br /> A <br /> C <br /> 20.Facility Owner yr OperatoP:Certipcaiivn of rett}1pt or Irszerdous rnaten8ls covered this m�n{fest except as notn�l in Item Date <br /> T — <br /> rfh , 8y" year <br /> y _ •Signature l� <br /> Frlr%jct1rTytx:d Nam$ <br /> r,r�L � t�0YL 11 Tpom& .Gr `e Sri nest na ry <br /> 9 <br /> TNRfM�34YkA k'V £ 0l- <br /> 0Q23.k.94. •_ c' .Li}QC►g002 0I C:}f 2E359 <br />