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%&M at-vov f 1 17 M W VI i <br /> 12, Containers 13 Total 14, Unit <br /> ,.w V 1 1 US OOT Detcrlptten(Inuudlnq Proper Shipping Noma,Boland Class,and ID Nvmberl Ne. Quantify WT/Vol <br /> WASTE EMPTYSTORAGE4A41 <br /> NON RC€ A HAZARDOUS WASTE SOLID 0 • 6 DI P <br /> o N b <br /> 013 E <br /> v R <br /> e A <br /> g a <br /> R � <br /> d I <br /> U I <br /> W <br /> z <br /> Ouj <br /> i <br /> ae <br /> 0 15. Spacial Handling instructions and Addiiianaf Information <br /> a Wear proper protective equipment while handling. Weights or volumes are approximate. <br /> z 24 Hour emergency telephone number: <br /> 24 Hour emerigency contact: R;tK DOLT ERG#171 <br /> 16. 3ENEGT0g'S CIITIpKAiIONr I hereby declare that rho canunh of this mnd eet <br /> consignment ore fully auran ser had chew proper <br /> by snipping q norm oral an efastifled,peaked, <br /> marked,and lahaiad,and are m all respect&In proper cendit—iar trontport by highway according to Opp( ucable International and nations government regulations, <br /> N If I am a large quantiy generator,I certify that I have o progran,In plass to reduce the velums artd tautly of wafts generated ro the degree I hove determined ro be ecanomleoilrr <br /> practicable Ord that•have selected the Qracticable maned a treatment,,enrage,or di+peal currently available to me which minimizes the present and future threat ro human hecto+ <br /> Ad the environment;OR,If t am a tmolI quantity generator,'haw+lade a geed folth effort�e nimise my-cite generation and.slat!the best wits managenunl rr,efhod char b <br /> 0 awllobio ro me and'hat I con afford <br /> r Prlm Typed Name J Signature Month Day year <br /> Z f <br /> t 7.14-ii-'P-A,1 kne d m }of Real t o aronals <br /> Prin / • 51 natyre Month Dap Year <br /> W OSc�z f:, ,�' 6 <br /> Op 18. Tr s rtar 2 Acknowl emenr of Rad t of Mate-16 <br /> Rprint d/Typed Name S.gnoture Month Day year <br /> T <br /> w F <br /> Q R <br /> U 9 discrepancy Ind cot on Soon <br /> z F <br /> — A <br /> C <br /> f <br /> t <br /> I 20 Facttity Owner or 0 r for C-01COdon of rens t of nozor0out materials co-arse by this manifest except at noted I-n rem 19. <br /> T Printed/T ped Neme Signahn Month Day year <br /> Yv <br /> 00 NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A :1!991 . :Ss 7r-'v <br /> C ,.,YS. <br /> EPA 8700-22 <br /> 6000 0ti6-60Z Wdti0 6 6661 AiA nv <br />