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_ NON4WARDOUS 1.Gereretw1D.N/ufteAr ppaaCA U 2.Papald aErnelgancyR061,04sephone 41.wlminmdlgMlllm4vaj�a�_372 <br /> WASTE-MANIFEST a�V F/V rYWODHG / 9 1 ��11YY l !� <br /> 5.Generetds Name and Mai ing Addreass GenewaWs Site Address(11 differarll ten daft addrmn <br /> C(a E t r-f lJ'Culs/Jci f 0,: G ! <br /> ! L4 Ij 5 t 1 <br /> 6,TrarNporler 1 CoWp"Nm U.S.EPA ID Nwbw <br /> .._f..)C.kI I C`_, E I NV r f 'b.; �=APKMABU <br /> 7.Transporter Company Nam U.S.EPA ID Number <br /> NOT <br /> 6.Designated Fac-My Name and Sip Address US.EPA ID Number <br /> — RECOLOGY OSTROM ROAD NOT APPUCABL E <br /> 5900 OSIAOM ROAD-WHEATLAND,CA 9M <br /> Fec 's Phone' MW T <br /> 9.Wash Song Nam and Deacrbtian 10.Cmpinere 11.Tdd 12.UFA <br /> No. Type Qll * WINO. <br /> 1. <br /> Sc:t I ( > vr„ -� CV fK �.. I I iu;,y t . : p <br /> 0 <br /> 4. <br /> id SOMW Handling Iminctions and Additlonal Information <br /> Cjeucc;j :ab Nc' L/-ncleU 7 2en,co: / <br /> 14.GENERATOR'S CERT MATT M I ON*IN dateAalt descf%W aao,e m fits ma"ale nO wbjeOao Melt mguHpod,for Mporong Proper dispose)of Hazardous West. <br /> Generstor'"wes PmfediTyped Name SI{Re Month Day Year <br /> 1Ll <br /> 15,Interrudwal Shpments ❑lrnW to U.S. ❑F w hod U.S. Port of al"ie it <br /> Transporter Si nature Pere only)' <br /> 16.Transporter Aclmowledgment of Receipt of Materials <br /> �¢ TrarePorler 1 Prinledffyped Name Mond Day Year <br /> Is. L D I <br /> Us <br /> Sorlawle Month Day Year <br /> 17.Discrepancy _ <br /> "- 17a.Discrepancy Indcalbn Space ❑Orency ❑Type ❑Hesidue ❑Penial Rajecdc,� ❑Fell Rejection <br /> Manyesl Referenw Number <br /> 170.Altemale Faulty tOGanedtar) U.S.EPA ID Number <br /> _ u <br /> 'W Facility's Phone: <br /> 17c.Signature of Alternate Facility for Garen" Month Day Year <br /> tie.Desipraled Fainly Owner or Operator GMXloallonof MOM drlmpslM maedOyhaWAealaadplu MMIn Rem 170 <br /> Stredp _^ MOM Dry Year <br /> 14LL:PF low In—, YN11%1 TRANSPORTER#1 <br />