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NON—HAZARDOUS WASTE MANIFEST <br />Pleas WIN or typo 1Kwm d Wri Iw use on el4e 112 p li ty,ovaaer) <br />lf NON -HAZARDOUS <br />-1. Genaratoe. US EPA ID No. <br />manw `w <br />2. Page l <br />l" WASTE MANIFEST <br />CAIA00348278 <br />00C11en1N. j <br />e <br />GktUd�&%W`�ld Pmdtads <br />1913 Seudhoden SldSt <br />..'. ad-CA99240, CA 95M <br />4. coneralo;It Phoria, 248 5833-W27 <br />5. Transportw 1 Campary Name 6. US EPA 10 Number <br />ChllnhB3 Trampw b& t5� CAROg007U54U <br />A. State Tmnspwter's ID <br />0. Tmrrspuder i Pho e <br />T. Tranapw(w 2 Cornaany Name 8, US EPA ID Number <br />C. Stele Trwlapoeees 10 <br />D. Transpoder 2 Pt,vi <br />9 Dastgnalrtl Poorly Name eii SIM AMnit 16. US EPA ID Nnmbw <br />E. SW W PeGBtys ID <br />orwxd LargM <br />CAL000190M <br />9 $. AM#n Read <br />F. Pa says P P a <br />lbrdma, CA9533a <br />11. WASTE DESCRIPTION <br />Cwrtahura <br />13. <br />14. <br />Tom; <br />UM <br />Na <br />Type <br />Ouamey <br />WI.Nol. <br />N HAZARDWS WASTE SOI iD <br />VVI <br />Gm_ <br />& <br />aw <br />G <br />b <br />E <br />N <br />E <br />R <br />` <br />A <br />T <br />O <br />R <br />a. <br />G AWiliCnal Deccnprana Ipr Matwlals IJs1e0 0.buva <br />H. HamiRrq Codes Mr Wesley lBled Above <br />Pn*#dNumbw 7452 <br />)ER(W; ACTY4aa ORF -=3 —CXR 7..C_`?' <br />TS_ SPbCtef eo"'W"na MSUUGINn9 aM Addpenel lMOfrtyleOn <br />18. QENERAnM'8 CeRnFICAnOR: 1iei°bY cedilyaxt the epniaw9N chis aMMeMA are tug MAVAWAFAWA <br />atq acFenetaly deacrWad Prataremep raspecls <br />m proparutndrbn foro-anaporl. The .1i Uescdt>wi on lhls rnennast ere not wRject to Yapeml hazardous wttaro mgelAMW,. <br />PMledrtypsd Name <br />S"wree <br />Data <br />_ <br />M1aontll <br />Day YeaJ <br />T <br />IT. mnaporter 1 Ackrwwkdgerrrwrt a Porto, rn Mefaneis <br />fl <br />A <br />PfiIteMYPBd Nems 8gnatwa <br />SN <br />MMM <br />Day Year <br />P <br />18. Tmrrspo W, 2 Acanowl Wnronl of qM M1p1 at W wrels <br />R <br />PMIAdrly,,, Name <br />Date <br />E <br />R <br />gnwum <br />Monflr <br />Day Yaer, <br />F <br />19. D=eparwy InUrotti Space <br />A <br />C <br />L <br />2g. PaciNty Owner w CNlamtw: L'wlnkaVan rn rePwpl or the wade mateuab covered by 1Ns manitew. o• Cep[ ea noted In item 19. <br />T <br />Pdowdleyped Name <br />Signior° <br />Dela <br />Y <br />Meer <br />Day roar <br />1114 ULoot LA IMAMRD (800}521.5808 WWW.Iaba011aS1er.0 M.n., —rSla <br />9 "" .n.,�_ wa <br />