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04-11-2006 09:16 Fram-COST SERVIT' + T-493 P.UU6/U10 I•-nl <br /> Stere of Colloa ia—Ervincrow"l aroncNon Agency Sea Instructions an back a 6. , <br /> Farm Approved OMB.No.20SDr�0039(Expires 9-30-991 `O �3 Depo� W okfaul Suboarcvn Conn <br /> Please Pcinr or type ,Farm de.lgeed far se on eliro f 12-pikh)gpmwriler. SaaraTopro,C.46i. <br /> 1-*Gwwomr s,11S EPA ID W. Moet t Dass " No. 2. Page I 1 Formation 1 shaded mea <br /> UN]FORM HAZARDOUS - " Ps not r«pPead 6y Fed rd low <br /> WASTE MANIFEST 7 dt' If ! F <br /> 3. Generalm'a Node and M.11 - sTrsTs s9r Tsrurn6§( t: t'�1 <br /> 92NCt.Gaetocrift4ntl m C <br /> h Aft .. g - <br /> ^ A. GeswwPhone P" 4Xs <br /> uqdG #i <br /> S��T�sppaner 1 Company Noma 6, US EPA ID Nunlbar C A,k`�lr�sL _, <br /> qp.. lfSi�6ITi �TYKiU'QLF[E[Hfil'�l Y��".�'t�lQ+�9�A$ ,y- �G : <br /> m 7- Tvanspor er 2 Campm,y Nome e. UY EPA ID Nam6er ,a'0G1iNjfphSpa(1@T <br /> 9. Dal noted Facility Nome ade 5 Addra;s 10, US BA ID Number �n4fRgr � <br /> Rsfic <br /> MelESwT'I.{SsYsv"I Faa <br /> aE: <br /> Eal4fluivMe, CA 9.?303 <br /> 12. Containers 13. Tam[ t4- U s <br /> II. U3 DOT Dewri �ion(including Proper Name,Hazard Clens,andID'N6er1 N.. T <br /> ( ' <br /> Dsrantity Wt/Vol <br /> �_ { 1A�'i�$16'�2i44EO?t1tlh3�4SGA8, vfICa1C!-Y'17.'A: S`.YF n Y, "'... <br /> 3 a NA 3OW2,P0111. Rdlr Canftl*t S21lj7I41a1S 044.4 o! 4 TIT <br /> c- N 6. ¢�rr=+iuyt�n ds'e)F; <br /> m E <br /> leer Re cst7 <br /> *o: .T a : vq >r $,h �, *'X. <br /> r ,F, <br /> m R <br /> e.. <br /> ,Z d. s� rtaS <br /> U - <br /> ry y <br /> Z <br /> .'Nth_ " <br /> ay�'"�C, q`' 'a�' <br /> Z <br /> 0. 15. Special Hmdirg Inshacllane and Additional InformoNon <br /> a <br /> Cloven and Pr1FmiRteftm C9alfAcing Emerge.-my #3etipxame Pt aana !i' 248 <br /> WRWIPIMA% 02011091 F^ErYs "Jency ReMponisS Guldex Bo*k #171 <br /> z <br /> r <br /> = 16. GENERATOR'S CER71n 11101: Ihere6yddae lhvt the a.mm�k eF this mnsignmenf are Fully card occwolely dawlbd oboe bv,Propsr shipprg nems andaro classixd;packed; <br /> . : marked,and labeled,end are in all respech in proper condition far transport y to ding to applicable internationa ad net.no gnnomment rosplciions. <br /> IF 6vm a large queenly genararor,I certify that l hare..program to piece m redo the.ala and ed.iry of wase gamer.med to rhe Sag. I have deeeninrd m 6e acanomicall <br /> �. procPic.6m and then 1 hwe se6cFed.the practicable method of treoe»nl,storage, disposal trendy available m me,which mm'Tr s Phe pr neat and future threat m human heoW <br /> and Nr.anvhenmenr,OR, <br /> 'A)cam a small quanrily gomaw,,I In ..duo ilh d. minimi.my wase g.nrmivn and select the bast swat.nwnaaement whod that h. <br /> Oc oveiloble W ne,and Net I can afford. <br /> O <br /> z <br /> -� .0 17. Tran w I Ache d t of Rxei r d Mmeriols <br /> N, - PFlnbd/T{ped Name ,a1 ( ({ 3 - NiaPal}y y �e. <br /> W <br /> .0 18. Tram arra,2 Ackr.A antaF Rxei t of M.W.1, l <br /> O ° PdrNed/Typel Wena gnahea Montb Day Yam,7 <br /> yQ. t <br /> (J. 19. Dhcrapanq Indicadion Space <br /> Z F <br /> _ A <br /> C <br /> { <br /> L <br /> _1 1 20.-Facili Owimr a Certihmgan aF race( t of Isroardous maedols oowrod this ifiN azc as ndad in Ibsn 19. <br /> T I Pined/Typed Name Signoern .-- .. MrePlh Day Ywr . <br /> IF TE-D yOoPJ <br /> DO NOT WRITE BELOW THIS LINE. <br /> DISC 0022A 11/991 .. <br /> - - <br /> EPA 97„D - teen: TRANSPORTER RETAINS <br />