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• • Form AW,,ed.OMB No. <br /> 4 Manifest <br /> Tracking Numbw <br /> f`t>e .. 2.Pagetol JEne^,^�}Hew�x Prone 013435243 JJK <br /> UNIFORM HAZARDOUS <br /> WASTE MANIFEST Genarabta S�Address IAdIlelenl d<ar.nadrg ad�assl <br /> Ii S 'PA.O Nem W' <br /> 3 'PA ID 0l <br /> - EPA ID Numb,' <br /> .;y�°,,;,i•,,r.an;Srt,ADerees <br /> I <br /> F SRu+: _ .� .. .. ._ <br /> re.r. _. ••.r. ._rv,� - <br /> NM WARdYVGIa°,:•. , <br /> g� <br /> 4 ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> it hg11f.1�b an'1/nFfGw*21 In(IXnratlen <br /> 'uE4FRA!GRWFFEROR'SCERTIFlCATION. to _.ry --'ne=o ;rsxg,ment are Nlly aM arcmately desmbatl stave EY the Orem sn+DtY <br /> to dl l! �.;.B84 patkaQP' <br /> R n,+,w YraWrdM,arntl are n aft rvsoed nr�r'v"<rd ecn hx trarW�xc.rx✓'gma'APk=aAle in[ama.on4lantl nauonN gQ'mmmon.tl'egula^en <br /> t r*�ronts r x.n.egMs.nlrmr^m'totearms Of tm aoxw EPA hkmv!(Idg* tof CO'e4i"t <br /> ,. n1+ Fia lame auaniM <br /> Lt: <br /> Tram: <br /> 1 _ r <br /> Ibl.A4Mnale <br /> LL M:e,L915 fiMx <br /> 01 <br /> 0 <br /> 19.Fkva +. r1Aer^.r11 n cd,;for hazanlws wmle Vtalm«•, , <br /> �af 1 <br /> r .x❑ ..,•n,u. . .to ,r I,,varves msfMal¢ rwmat h q+e mn I ..rM es nlhu s Ife.m•.� <br /> Prev,ousEdr6on3ateobwlete. QENEH' >� <br />