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P! ....1'fSfiF.aTO.+.-?i2S` Form Aow%ec.OM8No.20540059 <br />rra -cmc r, tw.ez ptev. 3tlb) Prevdyus E'!ma;,p ate obssa. 4?GG1 SFATE (IF REQUIRED; <br />UNIFORM HAZARDOUS 1. Geraraor iD Number <br />^gas r0 <br />2. Page t of <br />3. Emargtmpy Rap" prime <br />4. Mamdfesthadurig Number <br />004901784 FLE <br />WASTE MANIFEST m348278 <br />5 Gerarzbr'sAerna erdMOame% reas!' 3tAaa nraTrg aedress� <br />LL: dba Y,s:..ey -lows q Products <br />13-13 Stockton St <br />LoIAL, CA 45240 <br />G,w,WsPnme: 209 36E -8E8-.: <br />Transporter Company hmme <br />US EPA)Driumeer <br />Advaaawd Cham;,caai <br />:ABODUC70540 <br />7 Trampoil& 2 Cnmm.y Nme <br />U.S.EPAIDNumber <br />8. Designamdo Naga and IeAdmiss <br />In Eatrloa Nevada, `Ac. <br />U.S EPAIDNumber <br />P.❑ Box 578, Exy 95, :i IS.16aF 6_ <br />Beatty, W4 09003 <br />Faa�Ys 1000-239-3943 <br />330010000 <br />ga, <br />lA U.S. DOT DesapWn (bvJu3ng Pr1w w' SMS Nana, Ha38tC Cfaa3. la Number, <br />Ie. CELM <br />ll. TOW <br />12. Lund <br />13. Waste Codas <br />N0. <br />Type <br />HM <br />mtl Pa40.ag Group 1parrN) <br />Ouienuty <br />WUW. <br />1WfJ P-eCA J4AZA4Z(1pvS t�A+CTEI-s ea vA <br />B <br />i <br />(Ort rN $vLf E rS) <br />)000 <br />z <br />2Ua1326+t rn1A�'I'E O¢ROsImAF Lrrr�r0 Azibtc <br />OpOJ'T$1 <br />OefGA+JrGrnJ.�.S. (�rsC{ <br />(y <br />G -rr- <br />3fi3paj PC. leA HAZACOJri WASYe`, SOLrp <br />3 <br />( 6$F -Ase) <br />3 <br />Dm <br />q0o <br />P <br />4404) 2424 NAZARaOI: WA1TE L I aj, C) <br />y <br />$© <br />313 <br />DAA <br />P <br />14. $pad81 arca'vg aeauc5ans and Addiealal inianralbn 3C�fd P2 �J3t7[%` )71Z <br />(�K S.ri a�T) s/AV-003.ODS <br />Project Number: <br />1)0.70131570-2967 t // 1%G y9)VAV`001 q>1 'r013l 57+a -ZQf+7 <br />f <br />(teas %T, JaV-�6 <br />2)070 713 (1,a 157 e/,)trAV - ova J <br />15. GENERATOR'SIOFFEROR'SCERTINCATION: I hereby dadarsew aro opniantsof tHBcrosignmem arefally ane a4aUta&lydesdibadaboke by ft propershpipugname, and are geuiied, packaged. <br />marked and laos"placbdee, ane we maa respecls m proper w6pon forttanspon acmrdrx3 toappli lubintiumbonal and neticna govmrinrenlet legulaEona ff,=n slmhut, a,it {am the Rtmely <br />Expcner, l 4eNty time the C ermdInk GNrB%Jnm8n1ipnlpan to the mme of the saU6d EPAAxnepicigt.rept at Comarm. <br />I caNN drat due wase nimaraint9n satenwm kukfied in 40 CFR 262.27(x) id I sm a Warge qunuy yerxreNrt w (b) Vf)mta <br />rater) is we. <br />r/krm. amend. -A 'Fier <br />z 7.1 I r <br />-J <br />16. litematq+a ShipmeM4❑3$t ImRadbLLS. F.P.❑ExP"mimm US r#enh+'exd': _.....�.....�_ <br />..� <br />Tran a(fore per! ; - 1" - U.S. <br />d' <br />17. TranspcmyAdm ni*Igr np of Reciii tkueaals <br />.. <br />T Piinred ypad N <br />ex <br />4m 6 27 4-IL!2 <br />zr f! <br />G <br />Tmnsprnler 2 Nripidayped Name <br />ph, my YW <br />} <br />18. Dbaur iI4 <br />f8a Discre� r <br />pancy Micar ":;u ElopmertY ...El❑ Residue --L..I <br />Parent Re(Ccmn ❑ Fun Rejoclbn <br />ManAed Rafamnce Numbei; <br />18b. Aramate FaMay(w Generator) <br />U,S. EPA6) NuffIW <br />d <br />ofAl�talE FaC3ity (afaR'ri :ag= _ .._ <br />Month Day Nebr <br />s[,s.:.$ggehma <br />Z <br />y19.IiazaMcna'h'xeb <br />Reprn F:. arrant Me4noE Codes fi e., Wdos tat F:. armktus was!a laewaanl. dkposa6 and Pxydingslamms) <br />p <br />f.2. <br />3 <br />1 <br />' <br />(i <br />1 <br />;g Ema7aial FpcBNy(timer or Operamr. Cea}bppon of ret; PIo:haradnes meSadal3 mvelkd by the minutest except a3 Out +I&m lea <br />- <br />PtM18�r fJ%rse eke <br />d yp ear <br />rra -cmc r, tw.ez ptev. 3tlb) Prevdyus E'!ma;,p ate obssa. 4?GG1 SFATE (IF REQUIRED; <br />