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_dare of Cd 60'r E howMqW Ap�rc/ <br /> .40 Foe 2e <br /> , 6aopa� ""41 � See Instructionson 6otk of page 6. Dewe,"mr of To-k Subst� <br /> P1eaV prim or typo. Fees dw ApW for use an eflb(12pdd)kvwwrler $ocramerdo Callforn <br /> HAZARDOUS 1 Caw oora US EPA ID No Marleir DOWWWtm No. Z Page 1 Informwlnrr n sha <br /> *o ded are <br /> UJNWORM rs nor requited by Federal!w <br /> WASTE MANIMSTof <br />' 3 " raftes Not"and Matto Addrrsm <br /> � S zc�d <br /> �rrera,ae. 4" <br /> Wrz 'L <br /> S TrarrsP' <br /> po W 1 C*Ma+'1 6 US EPA ID Nurnbar <br /> r• r r• lChbla141410101-31-51516-5 <br /> Y Troneponor 2 Cowpony Nana US EPA ID Number <br /> �d 9 Daslgnaipd Fvatrly Nan.e and Sda Address 10. US EPA ID Number <br /> (W)U 1515 5^,JET 4 RIM RM, W'M IACOW"RYM, tk 95691 <br /> A a 1 315151-5 <br /> Ura <br /> 11 US 007 ison Includb q Proper 9uppna Nano NdwJ Clot%and ID SWM6*r) 12 Cori I-vF 12 Total 14 Vql <br /> Deetnp � No. T Quanfl wr/vvI <br />' f4 E OF <br /> � N <br /> E <br /> R <br /> A <br /> Y < <br /> Q <br /> R � � <br /> 1 z + <br /> Cl y i <br /> V � ' <br /> LU <br /> 4 � <br /> {,c <br /> ZO 1S SpeKral liandpno instrrkitams and Add'r 60011 tnfors+ralion <br /> a s 7 l ra Lu 4-1 to —15 t(oG3 <br /> z '1,VM��l �l=i AWMA!IA ;*;1?�YL.�, Ire <br /> to ALM USIC ;rMC= �Ja SIL;� TAS L' /� 9s,.c <br /> .. 7. <br /> r 16 dkk&ATOR'S CERTIACATI0?d I kareby dadmv 01411"tomes of of+.a coeslpnmarh aro Fully and occornidy d.xnbed ober.by P-Par shrppurg eror+re orrd are clasuf,ed <br /> pocked,mwked and lobated,and ore on all mpecss to proper coftth-Iar hompon by 6gh`+oy ocaordlep to opplicoble errernatkrrcrl and natroaal go,WrMM"T regvlat+orrr <br /> a <br /> U <br /> IF I am a large quorsrty ganerator I cerirfy Iisaf I hors a prowom n place to roduca the `clwea and toxicity of waste gam-rated to the degree I ha-a determined to L, <br /> --j econea.rcaMy practkable and ilei I haw selectrd the P"W&C661e meAed of+rl+rtwern,vamp@,ew disposal currsntiy ovofiab6 to me`.hKh rrrrrr&nlzeS the prOserf oral fufur <br /> Hthreal to kun,an hwbh and flra err-*arr++enli OR d I ern a sterol qv*"goneralar,I have roads a good 1ar01 sFforf b r+rgymrif wry waste yenerohon and sclC[t 1I+e be <br /> .rano esalhod rhar k awlbbla to era end thot I can gflord <br /> 0 Prr�fed/Typed Nome , Sgralura ,I Month Day t <br /> * i Tram 1 nranf of Racal len <br /> of Mao6 r <br /> w : PrkNsd/Typed None S.�ex+lsy t / AAoreh Day s <br /> (7 M <br /> � a <br /> 0 18 2 Racer of hSorarlob <br /> u.s i Premed/Typed Name Srgrarury tAe,rth Day ti <br />' 0 it <br /> U 0 19 Dlroapaney ksdiartto+r Space <br /> < <br /> U C <br /> ZI <br /> _ <br /> 1 owner ar alar Cem c&km of recce of hazordM mx+Fenais ooverod b Chit eeo,elrn! as noted n Nae+19 <br /> T Prirmed/Typed Name .• Srgn41Rna ,V1amt1 Day Y <br /> ell <br /> DO NOT WR ffE BaOW THIS LINE. <br /> DISC 8022A (9/93) <br />