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JUL '02 12:4?PN KAIS TKN ADMIN 408-453-60 T-887 P.02/03P•7-171-
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<br /> oRn Approved S„7MC — 1117 J,—rj.* • -- ' er. rrf
<br /> lease prsrl ar tyPn. Form esiBned for urs. +:flPo E[i''pifahl bpi Manifest DaeuMenl No. 2. PABe 1 linlarmolian in the shaded areas
<br /> I Ornerapar'r U5 EPA Ip No, is nol requirod by Federal low.
<br /> UNIFORM HAZARDOUS of
<br /> WASTE MANIFI=ST �� D
<br /> A. faf6 lulanik� 1 dufrt nt Number �7
<br /> 3, Gcrsrafa's
<br /> NI arid MailiA9 Address
<br /> 63294
<br /> 14111 S6@ pSB1I!►HBATtii - Sl'OC[T4R`'t, '��: t1. 5{arc 6eneR1lor'e IA
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<br /> p, Trarrepurter'a Phone
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<br /> Numbm ti
<br /> 9, Designated FslGiliry Noma and Site Address
<br /> (OAK 10191'1 "C' 4. faciity2 one
<br /> � 1�$89,Ai11lt�k�,r � ~
<br /> 1fl71 9B111
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<br /> T e Auartli WNwul I. Wwry Number
<br /> 4 11- US DD7 Description{including Proper 5hipping Name,I{azard Clpse,and 1D Numb�rlu item
<br /> 4 5 • 3.
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<br /> ulatiany.
<br /> —s c o er condiliee far Praarparl by highway accarding to app Icahle inlcrnaYanq)and notiorlq gavvrnTenl erg
<br /> 1 b. tl6N13 A DRrS Ihand are in o re po�l,cl�rPr1hP I the eunlenls of Ihis canzi n and ate fultY 4111 a[curaraly de l,nid eboVa 6y propor shippinA nsfin[+apd oro dasffFea.PoC
<br /> U marked.and labeled, I I
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<br /> If I ons a greF uanti genssralor,I cerlrly rft41 t ho,e a pre rem in pisco b reduce he volom■and I-kiciry n{wo.Ie genarflr■d to the dcyree I have d jujure hr to bs oeonomica
<br /> + q Iy p 4) inimiu my wore generation do
<br /> prael4aable and hall I have{silo°lea�ma91 4rIII I $”Pal pro
<br /> row
<br /> mode a a adof4ithposal currently nv-jloblk 10 me which min+m'x�r rCss}+reosm and future tfer9al to hvtnan hod}
<br /> Ln and Ilse enrir inm■frl;OR, i Ma Th Ray par
<br /> 0 0,oil
<br /> ob1 Io me and 1h01 I nen afford.
<br /> Sipnalure
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<br /> Nsonlh bay Year
<br /> 17, 7ra s u er 1 At nqw ed4■ ■ I o Aecsi I e9 M e ials lj Q �+
<br /> 51 9 re 1
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<br /> � 5 •� N4onth Dw Year
<br /> r_ 16 rens o 2 AcI now ed e1 p
<br /> Qa PrinledIt ypod Nume rp
<br /> 19, iseroponey lndicaAon Space
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<br /> DO NOT WRITE MOW THIS LINE-
<br /> While: 7SoF SENDS 7HIS cne
<br /> GPnloo CAC WITHIN 'O DAY5.
<br /> lar P.O. Box IODD,
<br /> 12
<br /> DISC OD22A
<br /> SpA 8700-22
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