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Mar-31 -97 O7 : 32A P .O3
<br /> Stand of Larforma--EnvNmxn•mal hol•rtim Age" I
<br /> Farm Apprewd OMI Me.200-MO 9.369a) `,e SN Instructions on bticlf of`oge 6. Depenmdm of I...subaerer CMrN
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<br /> UNIFORM HAZARDOUS
<br /> I. Oarnratpri US EPA 1D No. Manifest Document No. 2. Pape 1 Imam.!an in he shaded area,
<br /> STE MANIFEST Y stat nqulned 6y Federal law.
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<br /> r 1 hereby declaIM.6 !*-1-alf1his comignment an fully and ocwrafely described above by proper shipping name wld ort dottilled,
<br /> VV patked,aarl ed,end labelad,and ere in an mociv,In proper condition lot anovort by highway according to eppikable iMemallwJ pend national gowmmem rcpuladom. +
<br /> if 1 am a brye War* p•mrator.1 certify that I have a program k place to reduce the volume and leaklty, of watts generated to the door" I hone determined to be 1
<br /> s amnomkdly practicable and that I have selected the procacoble method of heolakM,Storage, or dlipowt currently owilabN to me whish minimize,the present and furore
<br /> [7i Ihr•d b human health and the emriromnern;OR, if I am a smell quantity generator. I how made a good faith eflan to minimise my wane pmeranon and ,elect the bed
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<br /> A pO Facility,Owner a rata C•ntlileetlen ,r sec el heeardeus materiel,,owned b MI,marsif•n•ec w sated in Nem 19.
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<br /> Pitt /typed Name, sipnoNm - Mash ..Day Yew
<br /> JW ✓ "' DO NOT WRITE BkLOW NI -LWE.
<br /> C.r�rn. TRAN1VC,RTFX R[TAINi
<br /> DISC SOMA (1/96)
<br /> EPA V00-22
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