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Store a'C-Wwn bavironmeMal PrOhecfion A,,ercy <br /> I'm Appm,,J OMB NO 2050-0039(11inO 9-30-94) i So <br /> "primm" FormdOegned far are on.9se(77-pwh) .0 Instructions on back of 6. 0"Mftnent at TOi,Substance. <br /> Gmkol <br /> t. UNIFORM HAZARDOUS Generator's US EPA ID—N.. ---- SmrarOmm'cllifor,'a <br /> FOR Manifest D".. <br /> WASTE MANIFEST .2 Page I InformaHan in Ans sl�add mean <br /> E is ant required by federal fawn <br /> 3. C One d 0I <br /> �O.10,.Nam.and Mailing at <br /> tt <br /> 4 Greene es Pharr, <br /> 5 5 ranslanne,1 Company <br /> one <br /> Tmeaportm,I Co. hl; � 6. US EPA ID Na <br /> mber <br /> �ny- Ai• IL I <br /> T m, arm �,)l 4 8 4 3 7 <br /> "u"a" PA'D Number <br /> 9* 0""gruss'l F-10Y Name and Site Address <br /> 10. US EPA ID Number <br /> R i C I'll S tq <br /> '55 PARK <br /> 'l- US DOT DWHPN.(including PMP-1 Shipping Name,Hawed Cars,and ID Number) 12,.C-atoineer 13. Total 74. Unit <br /> T <br /> E G WASTE & 1& Y TANK RON—KhA HAZARDUUS WASTE SiaLID <br /> N p <br /> al R <br /> A <br /> T C. <br /> 0 <br /> A. <br /> Qlc <br /> Q, 9!,-stmwwffham,and A rrnM�6*mn <br /> < i <br /> Kap AWAY PRO!! SOURCES OF IGNXT!OiV. ALWAYS 'WEAR RARDOATS ARUUND w.,�ERGROUNI) ST <br /> TANKS. 24 lip, I I - <br /> S <br /> d� *01 the candents,of the consignanso um fully and mcunately described above by pro"r sbippir,name �ku;�fwdl <br /> I packed,--k-d,and ksbefed,and are in.0"rpmh in pr.Re, and era <br /> j rand'flan far""Part by high--Y=-Idlng t.applicable fulan.j,Made and mannatian.1 Fa�, <br /> If 1 mn - "'I' W-`nuY generat9l, 1,certify that I h..u Program <br /> Or. 0. redurn 'he vOlumm and Wx'c'ty Of waste 98renuted fa,the degree I h*� determined M be <br /> OOOn0mucOgy Pra�ficabie and that I hus"s,6,,.d'ls.prss�. "I <br /> bl. <br /> threat t-h---health and the ft�iranaamrj OR, H I am small War*f=e"t""r-Re'or disposal ru"""y'n"'fab"fa 10 which rnan,';zOs the present and fw , <br /> -asts,manna "a'ar' I h"'--d' R's*d f-A effort mmirai�- MY�Outr,generation and se[,d the <br /> P'lMed/Tyrwd Name best <br /> Month Day Year <br /> d44 o:E <br /> 17. ram; arse,I <br /> Printed/Typed Name <br /> ran a waste gerneration and q*0 bast"ummu'e my�O* sr'� <br /> M.t Day _Y-r <br /> �Owre <br /> Month Day year <br /> 18. T <br /> 7:;p 1 'rm w 44 <br /> A- of��M�,ah I <br /> Nene <br /> T Primed/ <br /> Typed <br /> III D-mr—y Irsdiouma.Sp— mon'", Day you, <br /> *C <br /> 20. <br /> Fecility Oyrner or Operator Cerfific,shan OF receipt of hazardous s al b is..Hmd s' <br /> as rroted in Item 19. _ <br /> —Y Preftd,.Me.Name <br /> D.; Year <br /> L <br /> DO <br /> V51 -W2A(7/92) <br /> W 00-22 <br />