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FRpl9 FHOI lE 10..1. 209 96C 9153 40 JU1. 01 1999 L19: P r; �- NON-HAZAR6613rS SPECIAL` WASTE.& A�:PdESTOS MANIFEST • If waste Is asbestos waste,complete Sections L IL III acid IV. No. if waste is NOT asbestos wagle.complete only Sections L II and III. 512436 3@Cb011'] rl •fir TC ib'a 'n}'rR.. - ''ns-- � .^ �'„" rt �' - .wA+r"'t.rtzn J mw�. ..� t:�_'^ ".-...ems- t..1.. A'„C.'O PPfh3jum cozwAlfy - rttCO STATT7TI 8.4332 - .. Generator Name: b. Generating Location:_ - :. Address MICS SO" d. Address: 16 -F. Stl'maztci 36tTFd PAP-r, M q-:i622-=1777 S_fOG'R'ONI cm ;. Phone No.' (S251 2S9-8891 PAUL SUPPLE f. Phone No.: NIP. '- If owner of the generating facility differs from the generator.pineide: g. Ownars Name: A21t(_X't PR0!1LCSS CONPA,'VE h. Owners Phone No.: S`Tme a9 lie) �� BFI WASTE CODE t: �`m C. S O 6 3 7 9 3 2 l O Cuntainars DM-METAL DRUM DP -PLASTIC DRUM B -BAG j. Description of Waste: NCZ* � uJX"0' 40TL k. OuanI t 'inns No TYPE RA -6 MIL.P1J+9TIC BAG F2_1 1 M O -O HER or WRAP GENERATOR&CEATInCATION: I nereby,emir,mal that aDc+a named matarlal is not a hazardous a aate as defined by 40 OFR Part 261 or UNITS any spa"nah4 slate Taw-has been properly daedn&ed.daseified and packaged. and le in prober Wndition tot transportation according to P -POUNDS apprioable regWat«> :AND,if the waste 1.a treatment residue of a previously reemlcted harardous waste"bjeat to the Land Disposal Y -YARDS Raet wn.ra:I cane,and+.a.rnnt that me-0sle has been Vbarecl I vii requirements of with the requiremeof e0 CPR Part 268 and Is no longer d Mt -CUBIC METERS nanndoua waste as 00red by ao CPR Part 261. d 21.a�i S. ".ge"(yy Y ARCO JY' -CUBIC YARDS mDO -OTHER 14=506 KC$8ar G anere or Autno ized Agent Name Signatu2 .m� Shipent ate '.•: C`y''k .: v- pr y��dx ry :L .. .ru mpl4td"g �� }:=+ � � T �Rgf`t�TP�d:"�>C4 �a�..._. ', ... '.' �CO 9teyh`n �tS•'• d . - 4y,::.: TRANSPORTERI TRANSPORTER II: a. Name: �!(,J r:" .11 f,.! r.! 7a' %'/!// ._ In. Name: - . - '�s.rf/J��ic7?''7:J'!/ y. ..� ? 1. Address: b. Address: r � y ..OrNoi taalnl#/fide:'- Tr`':' �f-i�_ -�„ .,1 . _ J.-Driyer Name/Title:. PRINTRYPE PRwT.T'Pf d. Phone No.:i e. Truck No.: �' k. Phone No.: - L Truck No.: _- E Vehicle License No./State: !-'f%r`!! /'�. '✓✓ 7// / m.Vehicle License NodState:_--.- Acknowledgement of Receipt of Materials. - Acknowledgement of Receipt of Materials. / Da.er' ' meNre $n1 Irlant Dare Dryer.M to Sni rMnl Dale .. ..;n �. n�ir23wWitom�>,fatesg SET - iiA6C0 ROTIP F.A.-nTAPY ?:222flE1L_ f:s25} 447_U491 a. Site Name: _ c. Phone No.: 8001 M. VI Etolu- GOCil. tq- GTa-rC0 it1AD b. Physical Address: _ d. Mailing Address L"1VVERSg- 9Z, CA 34SSO T-r1VA:2'+87RBr CA 343=0 e. Discrepancy Indication Space:__ 1 hereby eertity that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate. v _ JOT?$ 130:7-114 f. /lir/-'•r' ?OLS l>9-3::3fY<: Noma-"y Ided Ayem y— skgr . � RawiPr Deta in it7.V°gr+ rriplacos an:. a. Shippere's-Name: _,- b. Shippers's'Phone No.: C. Shipperes-Address: d. Shinners',,Special Handling Irsarucuons and additional information: CEATIFICAT70N: 'i-Aereby'declare araT the contents of this consignment are hilly and ectnuateiv described above by proper shipping name and are classified, packages marked.and labeled/placarded.and are In all respetts in proper cond'Rion for transport according to applicable intonational and national goaernment:J regulations. e. Shippers a-Name 8 Title: Pnnr/fvw SNppa.e'e Sldnenae Dare I. Name and Address of Responsible Agency: .. g. ❑ Friable: ❑ Non-friable: ❑ Both %Iteble %nonfriable Snippe•rare%m the Mmpany•vnkYt awns.Ie9a0a.operates.cpn[rola.dr fluPervlee�1110 fadlily 1>elnp derrMliSmad of ren0•ated,or IDs demolition or renovation operuiorr.cr Goch.