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Nov 1413 09:57a Julie Huber 200 R68-3880 p.1 <br /> 1Z <br /> c,-;At a•ype.;porn designed fcr use or elite(12-pihctl)reutiter.) Fo m.4pp oved.Q;,13 uti.20s�9tn3e <br /> rUINIFF�DRM�HAZARDOUS 1.Ga" hh��'�. Z Fage 1 of Emwcr.cy.3esp--nsa Fw-e 4 'tanifestYrWSTc MANIFEST W0Z49027 1 2119-83&7470 O0 8 3O'1 �}v14 G9Mr3MrS N + �L <br /> arrteand alai.ingPddrzss Gfits;clor'a S<a:.c'o•ass ii!'i4`orert:hssmari:nca!iesst r <br /> AL POWELL <br /> 23534 ARTH UR <br /> ESCALON,CA 95320 <br /> Gere-acnes phme:209-83&7470 <br /> 6,%arspoier t ConoanYNama � <br /> SHOP HA7ARDS SOLUTIONS,INC <br /> ! M00064WT <br /> 7-Trar>spa ler 2 Carrpary Nema <br /> U.S-EPR IDNamtar <br /> 8.Desigra:ed Facility Maras and Site Prioress <br /> 21S?'CENTURY ENVIRONM1AEN'fALMGT OFNEVEDA„LLC U.S.CPI:ICi�m;k: i <br /> 2095 NEWLANt7S DR.EAST NVD880895338 <br /> FERNLEY,NV 69408 i <br /> 775-�75-2763 _._ _ _......._ _ <br /> .........._ <br /> fa:3it�5 �OT <br /> a ab.UDesv*fctn Qrc!udin3 Proper Shipping Name,Hazard Crass,ID Number 10Container,�d f. 'e. inoral V G mp(rl any)) ! <br /> r ” T�rLC ! JJan ana,y ..".:p <br /> I NON-RCrRA HAZARDOUS WASTE SOLID I /r r DM / rA�tiTt 1 p: 352 i <br /> ABSORBENTS&OIL <br /> LU 2. <br /> 3. _) <br /> r <br /> 4. 'I 6 2013 <br /> (Spacia'N.ar-,- cru::_ s and adl:nna!Infumaion <br /> TLA9611-PROFILE iR3832-03,EGR#771 i44ENT <br /> EMERGENCY OONTACT:ROBERT <br /> 15, GENERAT0R5lCFFERCR•S CERT!FICAVCN: I tamby decwe tnal the carte is of!nie cau:gnrrenl are fu9r aid accuretety desdroec 2b'le oy the proper sh cm rc 03me-2:d are dammer.pa--k8 ;- <br /> rcarkedend iabeled'otaca-z!za,and a-e in aY re57edS in ptope'ccndifton tortrar;;,o arzord;ry U ON' be i 1E-na+lona;and patina!9cue.:-rant I rmiwa;Tom!"'import sl-'pmer?arw I am Z'e Pryraro <br /> F�crter,l ceraly Ctai a:e�r:eaL of oris:orrsigrmerll confirm to Che terns Of!he atLched E?1Adafw•,iedgmen�otCorer,;, <br /> I eertty that the waste n*-irnizabon s:z,etnent idertiW in GD CFR 2a227ia)is I arc a targe gJantRy geremo;)or(b(if;am a:mal Coarlity generahar,;s we. <br /> NercYs ,�nl3d:ypac 'me uratur: ..c:s 2v •ez: <br /> �+ 16.11te Ionaw1pnents <br /> F" ❑Impct:.U.S. IL I Export(ram U S. Fat of ed"'/ext. <br /> z <br /> T2nswrter signature(tore' crts ca'-: Dzta�eavh U S.: <br /> 17.Transputer Ad rowiedgsenl d RecaiA of�iebae's <br /> Trampler I Fninledi 4ped Na - gnaarra nr-nGl wtEy <br /> �o <br /> CL � r) <br /> G Traupo.n 2 eypedNems <br /> a <br /> IS.Disp ancy <br /> i <br /> 180.DsoepencytideatiorlSpace QL3t5'Y ❑T.;oe nRasldr !^Pct=Pte' a <br /> Uanih�l Ri:forerca\ubar <br /> 1811.AeRmate Fact iy(or Ge terata) U.S.EPA ID Yvr;�er <br /> Ji <br /> a <br /> LL Fa:ipt's Phone: 4 <br /> I Be-5ignzfL.-e of Allem ate Pec My(or Getwatorl <br /> t;onth 02p Ya- <br /> LU <br /> 1' z• '3. <br /> 4, <br /> 20.Designated Fcdkv C•Xlef Of Ogeraf=CertE:-ahon et mmc V,a hazardous maleraIs ra vzeo by:hs marlfast mepf 3s octad ir I:am 19a <br /> Prir>.ed•Typad r:�ms S:Cnsfurr x: <br /> rlh D'y Yea: <br /> EEPP,Form 8700-22;Rev.3-05) Previous edi','rons are obsolete. ;=a;3;a•l� ' : _ ;' :`: ': i`'..` ;�_' .. <br />