Laserfiche WebLink
FMnfo--EmirwrmenrotPr when Agency <br /> FrtPAppowd OMB Nv,2050-0039 tGprre,9-30-991 See Instructions on bod ige 5. - <br /> ,KYathprtMargpe. Farm^euvnedfar vse on aLb tF2-pp„ n/eL �� =-romervb,CaGlvenra -,r� <br /> UNIFORM HAZARDOUS vpnaafm'e US EPA lotto_ Mm dart uocamem N 2. Pago F efo ann e <br /> WASTE MANIFEST C tA jra n ,nos*equfradby f«Mra}Iw.. - - <br /> 3, Cmutaromr r NLL..9nd ""tl^ya���� Ad&� <br /> ' _.... _.nfe rWllNtb3A`(�11RMIfN+mu _ <br /> rA fCA 15673- z „ -- — ---- <br /> h j S kGa l Cgnpnnv 4 me s A. l `FFA�l IMWIMJW4 ;rnmIn <br /> p 4 — —'•—_,__. <br /> m <br /> : <br /> m <br /> 7 Tmeopotter 2'Cvmpvny Nome g <br /> ' uE EPA lo'Nirm&ar <br /> r V 9 4e{rr in d' Na qnd tp 4o. ❑^a EPA 10tiumbK r m c r <br /> To lIS 9591 H <br /> V � <br /> 11 UB QCTtbttriphvn{induaYnq Peeper$IsSPpsn9 Nope,Homud Ckss,,and IONumheri 1- N^ wpa r'mr+�ro Vr'Ynl waeta Numae= ' <br /> E i _ <br /> 2 -Palarhor <br /> i-. I t <br /> rk <br /> d.. <br /> Ah", <br /> Q <br /> Z <br /> % <br /> _ I <br /> 16. &FNERkio4s CERTIFICATION Ihaoevy declon ttwrrhe< nr Irh w[sg nr ora Eully and aceuroroipaeser bnd abvue-dyp peshipprngmin tore s ziiiad,�oeked <br /> R '. marked,arrdiobeled,ovd stein atl ao,peq,m proper eondir an Fa_rampart 6, �gF..oy acceding m appltmbla n,ernaimevF and aatonvl gvaemmenr rayvtnr ons- - <br /> v. <br /> k r ora bIuYge qua N g n arort I cerrrr that 1 ha..ta.o :.in place w me velum nd taaa Iy of sf gyn ,m,e+o rhe Ifitd.q,� <br /> ".1 bare dekw' d e 1 xono cahy <br /> 2 prett9epbb and that Fn a m€e•ad tho-pmct oble melhnd aF kvapnen, sroroge or 16.0.l r dy v lab e o o A[cE m:n+mrza,o i.atom an8 future:h,f ro'omen+ma rt <br /> til I <br /> � vnd•ha env onmanr.OR,tF 1 am a small gvonNsy geaervmq 1 ha.e made o goad kir6 eFForl to wrmae my+.acre geaeeRnan and sde't rhe best-..oMemanagament meskao thvf:s I <br /> —,71abo la m,ovd thw caa Mord <br /> � I <br /> >1 Pinreaih_rpad Ncma L$igmtwe I Man[rF DdY Yea. ; <br /> Zi i <br /> w'n -an aor ver 1 AcknoWled omens of 9.,o ofM return ' <br /> R <br /> w � I P red'Typsd No _ }9igemure � �th Day Y. <br /> w B t 19 i onapotter AcNrWwledgemml vF RYcNp-f of M re,ioh <br /> Q j Pr rear'yped Na �.SFgrwhrrp Mwth Day Veor 1 <br /> V�� 19 Cucrepan<Y tediNynon space <br /> Z f <br /> A r <br /> ICI <br /> 4 1 <br /> t ' <br /> l F i 20 Facilfh Q.+nerad eromr Caerihmtlomafraee'soF hoxardosu moron*els m.ered thin moniFest exce r:v,valedin para ETl_ <br /> I. T Prtnhd/Typed Name Signature Mo.* ! Day. Ywr <br /> Y t 4. <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC'W22A11;991 <br /> SPA VOD--22 --`` <br />