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r - <br />I <br />Statst of Coliforryo-Environment.) Protection Agency <br />Form Approved OMB No. 2050-M9 (Expires 9-3494)See'flstruetions on back of 6. Department of Toxic Substances Contral <br />Pleose print or type. Form designed for use on elite (I itch) yo <br />r. Sacramento, Calitfomia <br />AL UNIFORM .HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br />is not required by Federal law. <br />11 <br />WASTE MANIFEST C AL (� Q I f_1 1 C7 I Pl-% � of � <br />33.. Generator's Name and Mailing Address ONa�C1 <br />;. VJC► <br />h <br />Description fmproper Shi zaClass, and ID Number) <br />US ardDeuri <br />4. Generator s Phone (QC) Vto 1 <br />5. Transporter 1 Company Narnef US EPA ID Number <br />No. .; <br />3 O -PC• <br />rM <br />.r <br />Co 8. US EPA ID Number <br />7. Transporter 2 , Company Name <br />E <br />N ' <br />b: <br />Q14.'US <br />44—Z <br />9. Designated Facility Name and Site Address £PA ID Number <br />.', <br />1 <br />U. <br />5. <br />//AGI1.2 <br />f <br />�lf r i M ©.• '; A0 <br />PAIWSA TION _hereby tie fare 4hat $Ire ontents +fit }I+e ton3ngnmeM are fully -and acs <br />A marked: and I�eled and are 1n irk respecls.l , per eonddron 4or transport 4ry.highway atccor <br />m a Inrgequadiy' ,Y'cerdfy,thaF Iaweraln_m plaee;`fo radars the volume an <br />77 <br />t' <br />I9., Discrepancy Indication Space - <br />20 Facility Owner or Operator Ceriifificcation of receibt of hazardous materials covered by this manifest except as i <br />6700-22 <br />Description fmproper Shi zaClass, and ID Number) <br />US ardDeuri <br />. Cordon <br />No. .; <br />a <br />tUaN`Cf�f�u3a�dros <br />G <br />® �. <br />E <br />N ' <br />b: <br />E <br />V, <br />5. <br />T <br />c <br />d <br />f <br />�lf r i M ©.• '; A0 <br />PAIWSA TION _hereby tie fare 4hat $Ire ontents +fit }I+e ton3ngnmeM are fully -and acs <br />A marked: and I�eled and are 1n irk respecls.l , per eonddron 4or transport 4ry.highway atccor <br />m a Inrgequadiy' ,Y'cerdfy,thaF Iaweraln_m plaee;`fo radars the volume an <br />77 <br />t' <br />I9., Discrepancy Indication Space - <br />20 Facility Owner or Operator Ceriifificcation of receibt of hazardous materials covered by this manifest except as i <br />6700-22 <br />