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fe. Diumpanq <br />Igo. Disempency indication Space ❑ Quantity <br />10. <br />t lType ❑ Residue <br />Day ,YW <br />P89W Re)ereJat ❑ Full P jedlon <br />atlas of t of hazardous metetlais covered by Ore mantled empl as nded m Item Iea <br />e DESIGNATED FACIE I DESTINATION STATE (IF REQUIRE[ <br />Please rh or: orad " tId for use on elite 12 " C. Form ved. OMB No. 2050-M: <br />UNIFORM HAZARUOUS I. ► 2. PageT+acr� �+ p e� p ,r <br />ttt}(1 8 5 <br />w )F 19 3, 800) 326-1011 J U fl G JJK <br />B,,& C Painting Solutions <br />10.7 ,Val-Dervin Pkwy <br />. Stp ckton, .,CA . 9 ;20b, . ,. <br />GeneraWs Phone: 209-382-Q 4n <br />6: Tats tsy NAM U._$EFA!6NumG; <br />,General, Envy.ror-mental,Karrag n r Inc.. c 3B3.64988A. <br />?<1Cr ttyN U. EPAID <br />&. Nero ami U.. IPPA ID Wnto <br />no o Coar~dova,A , 1,LC <br />11865 .1lbit a Rock Roam <br />Rancho Cord pt, CA ISS- 42' <br />Ei Ptans. r 9848843.8 <br />8a, <br />3,t. U.B. DOT w #nducling Pmper SNppkV Name, Nmrd CbM tD Numlw, <br />10. Con <br />II. Tact <br />72, UnIf13. <br />Waste Codes <br />No. <br />IiM <br />end Pa (tr (tfanh) <br />UN111993, Waste l.amma5blp lir ida4_ <br />R._ NA30 . ,,Ij+'a iG��yty.,y&.dops <br />......� <br />yy�� {�y <br />�ll,VCr <br />i! is a� � 9R� .{.�.6 �i#���..L. �/a6: ii��RaM�.� <br />�•�. <br />'�y <br />.. Non-RCRA hazardoua: waste, li quj d,, ( ator <br />basedi ° point ) . <br />� <br />331 <br />@ y <br />4. <br />I4, a ni <br />ERG:. 128 JL x 55gal w/o 176797-203 <br />2) A6438 ERG :.171 j x ou yd, <br />3) R6? 32 . _L x .54v gal.:.. <br />16. M ERCIRI C QATIOt4, I hereby deelm OW ft mnlents of oft wWgnnwAm fuly, and oWX916ty dawAW AM iy theah , ad we <br />area , ares mkt as cts to p trru to a Wem a! t tagu ' . N and l am the ._ fy <br />I got V* =ftftofft consignment cwfonn to tolamis of me abehed MAdmowledgmt , <br />I cet6fyttt9l the we* minimiza0on statementldenlified In, 40 CFR 262.2r(a) (tf I am a targe quanttly gam) or ) (NIam a small quantity generator) Is true. <br />ma <br />6"*,- �CF7'7"�v,'60 <br />htUB. ® &pa it, U. Porlof : <br />T (fes ordy): Date U.B.« <br />V. TransparbrAd mowledpment of Receipt of Materlals <br />Trams r r Bq qsy Year <br />fe. Diumpanq <br />Igo. Disempency indication Space ❑ Quantity <br />10. <br />t lType ❑ Residue <br />Day ,YW <br />P89W Re)ereJat ❑ Full P jedlon <br />atlas of t of hazardous metetlais covered by Ore mantled empl as nded m Item Iea <br />e DESIGNATED FACIE I DESTINATION STATE (IF REQUIRE[ <br />