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State of Cobforma Enviranmenla Prolectmn Agency <br /> 'Pores Approved OMB Na.2050-0039(Expire,9-30-99) Wee Instructions on back of a �. Department of Toxic Substances Control <br /> ' �e. :,• P <br /> Please prints r type .Form designed/oe'osq„pn elite(72 pifch(y r - Sacramanro,California <br /> 'r. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in Ike shaded areas <br /> UNIFORM HAZARDOUS is not required 6y Federal law. <br /> WASTE MANIFEST is A ]'} 9 Z';. s. 3. 7 3.2 I 'll I <br /> of <br /> 3Generator's Name and Mailing Address <br /> iNum6er <br /> PA IaL: GAi M6 1K4'1'0Li "f.t M- '2 2 i d� <br /> P RUX 2.70T, '^)f� <br /> O y��sej�vSY 7 Ew 1 F B Sion,Ge alai s ID <br /> h rhea%+C P c& Irs�• <br /> A. Generator's Phone I4r)..�I "} "�i't+3L.? t <br /> N 5. Transporter I Company Name 6. US EPA ID Number C Slate4ramporlar's ID[Resened.i <br /> h . <br /> Cilkt r 'rR& af''.T6' .tLi�10N D. Tran porter's Phana <br /> ( i <br />