|
Iun 21 04 11131a Son Dienvenu
<br />713 –&-5050 p.2
<br />M. or Ca6EOrnrq ;�n�lrpnmenwl piropecrian Agency
<br />'arm Appreved QMb"Nb. 2p4gi-pb9p fl:xpiros 9 -30 -Vol S06 Inafructfona on hock of page 6.
<br />�aa -pr%,,'VASTE
<br />corm 4 yanad lar um on afire (12'ptkh) ryp8wrfhsr, F 9 Depom w oP Yoxle 54slancas Control
<br />_ �$acrGtlharlrq, [y�if+prniq
<br />1. Ganernlor'e US EFA IQ No. monifw$ Dacume4l No 2, pa®e 1 Informafipn in Iho Aa er"A
<br />HAZARQOIlS MANIFEST 3 3 9 S y i 1 ' nN required by Federal law, 1
<br />of
<br />9. fsonararora Nama and Mailing nddreaa =3,.1 lap A ''5lula Isla i IIueu U'
<br />krs: P . 0. SCili 21548 r +
<br />" .HMSTOW, T?G 772.S2^2$�4�3 9 rSrals a mora ID
<br />713 211- SSh°"
<br />+ 4. 5erlerolarh rhene I
<br />5. Trbnuaenar 1 Compony Nama 6. US EPA i0 Narebsf G 511trg TEAYVIZV TRUCKING
<br />ran grtorslp �ker
<br />b'
<br />7.jTronaportor 2 Company Name d. L3 !PA 10 Number E MCM T'�arepoYrar°+IQ 80-
<br />1 .... _.. l r. ''�•, � i r Fd"r17'+I �� �~I—, I �(l, �fl �if�i ,F Ti{1ns�S6rC�t ;P�or1A''"�'3;
<br />iTr Q'rR3
<br />a�.zLy��SwOFgf44. i r ' 'f o.
<br />11TH sTE+.a 3 A 1�
<br />BZ V -U , Cgi 00813
<br />rV .'I.
<br />r
<br />11. WS DOY Wasciplion jinduding Proper Shi n f2. Canlainen ! �, Twol 14, U
<br />ppli g Ne ma, Hazard Clask, and I1) Na�berl vif
<br />No. Type 4uo"firy Wt/val f �ilueto'�Ivtn6er
<br />a, D�LST� l,IXX M;+!`I"1., M, 3. [itil3243, PG11
<br />ERG 4-120
<br />6.
<br />' EPA/Other : • ,., ' ,', '
<br />d.
<br />`fir ay
<br />�,Yp l+� pRO �'A Sd'r BRiA:,fCllh'er. ;;
<br />• .'I!f + .1 �1r�,ryry {` AAo�%_sk'Isn r>H�
<br />r solos. bafpd lAiaere 4
<br />S dahanai f?ouui tram for l v i V 1,
<br />r l p A `'r ry �y,1 •n �.h, rr 5 of Y { dN �' r 4 8 IV
<br />�ar .a :r•;y 1{ .'aS:'r, J1 �v �, § t� 1, ��Y��'!f; Yl-;: � 1 � �', ''Y1�, �pRgr. yyj i- �k t� l-.'S4t r
<br />15. Spadal Handllnq InrlevelionY and Addilionol lafsrrnaiian B y
<br />24 1 FLACAWB V,tl2P - f3 �Irf �i'� tBCt�D ed29�g7fifl" n�ol� ssEta�z�Nv3a
<br />16, GENEDIAtqq'S CERTIFICATIOPL• f 6n6y d�lern 1h91 the c"fenh of Ihia consirgnmont are Fu16y and decurareiy daseriI&W obwV l y proper ship�i^A "u°^° °^dam e}aac;�, packed.
<br />marked, and Wooled, and are in ad respects in proper sondWon rana
<br />far rparr y h6ghwoy occording Toapq L4;obla Inrareallenal and nalano gavarnrnem regularlans.
<br />IF i am o largo quanriy ganoralar, 1 carlify That I have a pmgran hr ;lama As ,e44le fha volume and Iexicily of waa'e Ger,erarad 10 1he dovrva I hava darorrpined to 6e econalwlcelly
<br />Qadica6le and that {haw FrlsGdad rho proclitable rnelflod pl Ireotmml, dWdger er 4311PWel eytrontly a+raiSabla Po ma which miniraisar khe prgaont and fwluca Ihraol la human health
<br />ad 'I aavi.o.rr..r,
<br />OR, If I an o analI rivonfity 941wWo" 1 kgve .,ado o good F—k .lj.N 6 nrn -6. �y .e.r. g0-,,., 9— —d ..l.cr !{.. 6.r1Mowew rnl rn.rl ad is
<br />aaailoble to Inc mrd Thal I can a%rd, . est 6W
<br />Prinfed/iypad Name �} 5ignotura ` Manlh Day Year
<br />Nam4
<br />Nwe r �. Sigaatvra
<br />#nor or LJ ;;Tatar haxardoU] materials covored
<br />Name < / Signnturo
<br />DO NOT WRI
<br />,roc 15022A 11/999
<br />PA 8700--22
<br />d
<br />33238
<br />450 'ON
<br />L✓
<br />Mainih Day Year
<br />Marlrh J
<br />ayr
<br />ei r
<br />/ I r
<br />vlanlh Day Year
<br />iELOW THIS LINE.
<br />Ydia TSOF SENDS TNI$ COPY TO t;ENERATCR WITHIN 30 QAV$,
<br />{Cdnoralor; who sVbrnel hozo^dous waero for frenipair out -al -Nate,
<br />produce campletsd espy oi'hia copy pnd rand to QT$C wishin 30 daya,I
<br />WVSS:6 ti00z [Z,,nr
<br />
|