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�.. �.. <br /> lease print or type.(Form designed for use on elite(12-pitch)typev:riter.) Form Approved.01013 No.2050-0039 <br /> i.Generator IG Number 2.Page 1 of z Emergency Response Phone •t.Manifest Tracking Number <br /> ¢ UNIFORM HAZARDOUS (j Q } <br /> WASTE MANIFEST C 1-L J Q Q 3 5 s %r 1 @'0()) 336__ 0 0 8 U 5 2�O 2 J� <br /> 6egeratot s Name and Mailing Address Ganeralcr's Site Add ess(if different than mailing address) <br /> ~.'flEARTL4AJCI STEEL L'RrU'c7UCT5;NEST,LLC LP 213 BELLY STREET <br /> Y2C tflILL5 5TREE7 �H. :35240 <br /> ?ein.FY i MLLE iii +3C <br /> Generatat's Phone: r,T 0 1rr-7 s U.S-EFA ID Number <br /> 6.Transporter 1 Company Name <br /> Eft"ijRJitPte,,TAL RECVb`ERY SEKVIC.E5,'sNC. <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> Ot <br /> 8.Designated Facility Name and Site AddrcsO U.S.EPA IDNumber <br /> umber <br /> 1J5 EC0LCr,_ <br /> i- '6"95,i2WLE5501-1TH <br /> BEATTS' T•5}5:3 12tr3 fJJ 33GCr� N''T=_.';0 Q .( 113 0 l�J <br /> Facili s Phone: <br /> 9a 9b.U.S.DOT Descrvlicn(including Proper Shipping Name,Hazard Class,ID Numbar, 10.Conlainers 11.Total 12.Unit 13.Waste Codes <br /> H,,4 and Packing Group(if any}) No. Type Quantity 4VL(bbi. <br /> _ {lam ;-c•3 <br /> jj <br /> 2. n)rsfU rrC?3.HA%.AR.Ct'rtSSlnl:5 t,S0L10 P'RJf'TCHIFS) <br /> ,.t <br /> 3. <br /> i <br /> Special Handfatg Instructions and Addiiionaf lnfommafion <br /> 9$1y HSPE-PAiPv T CHiP-'u1ATEP.8&EECi PA!PJT Ct�InS ERG�J��i;1. f�L1A,��2. fVla "^EP,S'vt+.rl.#7i17{-5+�'"' <br /> 91-'•2')HSPE-PAINTCHiP-`•EATER 5µ45E0 PAINT"HIPS <br /> BILL T:)ENVR`5EFIVd VVEjk PROPER PP <br /> 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipftig name.and are classified,packaged, <br /> marked and labeledlplacarded,and are in a9 respects in proper condition,for transport according to applicable international and nalionai gommmentai regulations.If export shipment and 1 am the Palmary <br /> Exporter,I cerfin•[hat the contents of this consignment conform to the terms of the atached EPA Acknowledgment of Consent. <br /> I certify that the waste minimzation statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(it I am a small quantity,gererator)is True. <br /> Generatorsi t7erar's PhnledTyped Name SignalUti Month Day Year <br /> 1 .International Shipments Import to U.S. <br /> Export fro S. Port of enlrylex, <br /> z Transporter signature(for exports onty): Date leaving U.S.: <br /> 17.Transporter Acknowledgment of Receipt of Malerials <br /> UJITransporter t PrintedrTy ed Name Signature / Month Day Year <br /> CL <br /> V) Signer rh Day ear <br /> Z ' ,pa.e ri edit T ped Name / <br /> Q r' <br /> 18.Disc epancy �t <br /> 18a.Discrepancy Indication SpaceQucntity Type J Residue LJ Partial Resection ❑Full Rejectlor, <br /> J <br /> Manifest Reference Number: <br /> >_ 18b Alternate Facility(or Generator) U.S.EPA ID Number <br /> J_ <br /> U <br /> ua zacility's Phone. Month Day Year <br /> w 18c.Signature of Allemale Facility(or Genefaw) <br /> a <br /> I.Hazardcus Waste Report Management Method Codes(i.e.codes for hazardous waste treatment,disposal,and recycling systems) <br /> 3 1 2. <br /> 3. 4 <br /> d Q <br /> 20,Designated Facility Owner a Operator:Certh caiion of receipt of hazardous materials covered by the manifest except as nded in Iter Ida <br /> Month Oay Year <br /> Zo,,,�� <br /> ' ped N me � '7 <br /> PA00-22(Rev.3.05) Previous editkKs are obsolete. 0ESIGN4 T ED FACILITY TO DE TIM 1 ICN STATE (I= ?E-0-1-11 ;ED) <br />