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6 11F <br />gk- <br />a <br />10 <br />d .}��� ���'Aa;�; � ��'���,, ,rr, �"r,�,sr , '�" - •w'c k'a .""-�..'. , .. s . g �„�, �.?,�� ,, "�rr�i�x,'�-,t <br />IS SpeSgaF kmndiie , ti9adi and Additional mformatmn <br />1"over,- -safety glasses SF® G62195-050 <br />as. <br />U GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper ship ' <br />naive and are ciassifigA..packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable <br />,.J international and national government regulations. <br />�j If I am a large quantity generator, I certify that I have a program in place to reduce _the volume and toxicity of waste generated to the degree I have <br />determined to be economically practicable and that i have selected the practicable method of treatment, storage, or disposal currently available to <br />me which minimizes the present and future threat to human health and the environment; OR, if I am a small quantity generator, I have made a good <br />faith effg0oft minimize my was4 ation and select the best waste method that is available to me and that I can affgrd. <br />FFY Hied/TypeOtNams Signature Month Day Year <br />®•Z31C Em <br />A Printed/Typed Name Sign ure Month Day Yea►'. <br />i 4 S'gZ e <br />C3 P <br />O 18. Transporter 2 Acknowledgement ofReceipt of Materials <br />N R Printed/Typed Name Signature Month Day Year <br />4 T <br />U E <br />0 19. i c egancy inatign,Space <br />A' �, <br />C <br />t t <br />( ZO. Facility Owner or Ope <br />rato Pcallon of receipt of hazardous materials covered by this manifest except as noted in ItemA. <br />T P�ITmde e 3lgnat a th <br />Y <br />DNS 8022 A (i /87) <br />` Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS �NS'rRUCTlO ON TH£'ACK <br />EPA 8700-22 <br />k <br />1 (Rev. 9-88) Previous editions are obsolete. <br />f. <br />