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OCT-27-2008 18:24 CITY OF LODI 209 333 6710 P.24
<br /> Please piing D,type. Form designed Iar &&an Slim I12-pirchJ .eller. Socramenb,Colifamla
<br /> UNIFORM HAZARDOUSeralor's US EPA ID No. Manifest Document N 2. Page 1 I Informotion in the shaded areas
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<br /> WASTE MANIFEST of
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<br /> A. Generator's Phone 120")) :5'.if.j—bP-,-+?{J :„l"•�
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<br /> r 16. GENEAATDR'S CERTIFICATION: I hmeby declare that dmmntenh of this mostgnmdtil are'Fa ly and oca,rpte�descr:bed above bypropar shipping name andare dmsihvdj1d
<br /> marked,and bbolod,and ore in oil respects in pwpor mndik,for transport by highway a Wording b app feoble imromoaanol and nogenel goernmont regulaFans.
<br /> IF I am a lrge quonliy generaor,I catiFy Ihat I haw a program io place to reduce the volume end i,,1dty of wade g.nemled la 16e degree I haw;determined b bepmelieeble and Ihpl I have saleded Iba pmtticable method of treatmmtq storage,err dispaeol avrrandy wailabla 1-me wbith mimmizw thePresnt and FvWre Ihroa laand the mn ircron. 1;OR,iF I am a Small gwnfiy generator-I hove mod.a goad Failte effort 1.minimize myvrave genowlion and select the heal waste management
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<br /> 18. Trans orner 2 Acknuwled emem of Recelp,of Materials
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<br /> 19. Dlecreponry Indication Spam
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<br /> D. zmu Owner err O —1—Ca rlsii-o'on of recei t of ezordeefmaedala.mY d b 1 monif m I err doled In Item 19.
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<br /> 'Yellow: T3Dr SEND$ TI11S (OPY 10 pPNERATOR WITHIN 30 DAYS.
<br /> (Gunorolor who Submit hdznrdous wosta for tromporl our-of-stole,
<br /> DTSC 6022A(1199) produce rompWcdl copy of Ibis copy and send rn DISC wilhin 30 doys,)
<br /> EPA 0700-22 t.
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