Laserfiche WebLink
f <br /> cn.�•aaaanm:nm.cnoo--wcy <br /> wed OMB No.2050-00391Eapins.9-30.991 See Instructions on back of a 6. D.parrm.n,aE Ta.i,s.b.;an<..cannel <br /> or type. Farm duignid Far..an din f11-pitch) iM. - Socrwaenb,Califs n <br /> UNIFORM HAZARDOUS 1. Giewcaor's US EPA ID No. Manifee Cimeemni No. 2. Page 1 taFanaanan i.the shaded area, <br /> i.m req.ird by Federal Iw, <br /> WASTE MANIFEST <br /> y ld n n 1c , - n I 11 CG rlVb.l <br /> 3. Gn.retw'.Nome ad Melling Add. ?.CC.'.: A Stale MaMFW Dn ..t unhr <br /> e , 22117370 <br /> J ''�- -.. �_-. ..la:�t-, -.._-._ _�:•r w;t i'a�11:, _ ���i't B. Star Germmr/s B7 <br /> n <br /> n A. Cwtmrator's Phone I cT,:1 -'- <br /> .V1 5. TnanspaMr 1 Com any Name 6. US EPA ID Number C 51ata Tine mm/s t01limwed.) <br /> D <br /> C I.- v: _ ILL <br /> D. 3 941—+;955 <br /> _ 7. TransporCom <br /> any 2 Coany Nam B. US EPA ID NambeState,r E. State, le <br /> T.warr's ID IRe r .) <br /> _ 1�..�i cx l EL/ <br /> �% c Lr <br /> 9Designated Facility DesigFacility Name and Site Add.. 10. US EPA ID N J G. Stale facility"ID <br /> Q :: ^_._s—i�V+ z :�•'E.^=.Cf':�S ^GT:P %l:i:'� lc:c a Tt <br /> - r <br /> x H. FaaGy's Pfe— . <br /> _ , <br /> J 1 I. US DOT D.wriptiw liwldirq Proper Shipme <br /> Shipping No ,Hamrd Cbm,and ID Numb.l 12. C"no mer 13. Total 14. UnitNo. T ch a ly Wt/Val I. Waite. <br /> N.mfm <br /> G - _ 1 AIOhq <br /> E b. Star <br /> n N 13.-8^ Ccle iiast: u�ri,n.oes.,_,C^v19°3,? _II, Yst. 3343 <br /> a E ,- o T d��h- n .•+ rrt l r ®RJUI <br /> v R C e G. <br /> a A <br /> T s ar <br /> a O <br /> R EPA/C*6w <br /> Y <br /> M d. Stole <br /> z <br /> u <br /> J EPA/gher <br /> u <br /> t 1. Addifawl D.wripfaes Ion Momriob Usted Ab. K. Handling Cad.For Wom.Usled Above <br /> u .b. Haste AT:r]r .l <br /> Y (Gasoline/dater/Debris/Filter) d. <br /> i <br /> z <br /> C. <br /> J 15. Special Handling Inwn ions and Additional Infos aliw <br /> Q iezr ea^:c.riat` safety gea Ener. Y"G_ <br /> z 24 Ecus L'`ae--�,ercy (406) 942-8955 2705Count_v club ^lvc. <br /> = 294139—:S SLIA.IIII$l, Li", <br /> Id. GENR/,TOtrS fD?11I1RDAT10N: Ihseeby dsYkn that the,m„1mMsdBa mmtl en tally andaeeuarlrr dnerib.d above by proper sli, pnonce and an clvvifid, ked, <br /> Jmaned,and lobeld,and are in.II resp.h in proper condition,Fa haps oorl�high. ,ucord;.g r applica6l.intemmia.1 and omianal pwernmm,t npoklian". �c <br /> J IF I am a longe q..fi �eneroW, I cMify that I hnw a rem in place to redw the volume and raiciy of.e,r gemamd to Ihe d.grao I have dmrmined to be ecor icoIt <br /> npacticoble and Ina I fa.e se4crd the rwcfcabl.methodd7 treamwt,stomp.,a dispowl c.,.ti,moib64 r m..htd mmi ra,IM Pr s.•,and 61.rn rhreot to hams. healt� <br /> Y and,he..,anti OR,if I am a ova 1 quantity gewatw,1 how mode a goad Faith effort to minimim my wsr go Ovation and select the 6mt w ee monogement m.thod thot.s <br /> awJ ble to me and that Icon afford. <br /> P.inmd/Typed Na. Sig." .�-7- Month Day Y., <br /> ' f 17. Trans 1 Acv 1 of Recd sof Hamsters <br /> u A Pri tdm. no <br /> B/Typd Na � Si <br /> , I 11�-F ! Vit{! J f. IDo <br /> Azo <br /> 1 1 B. Tranpooner 2 Ackniinviedment of Re.eopt of Mmertah y <br /> 1 ITf <br /> Prinmd/Typd Nue. Signors., — N ont" <br /> onth y r <br /> J 19. Diur.pancy Ind'aation Space <br /> F <br /> A <br /> C <br /> I <br /> L <br /> 120. Foal' 0.w CvBtimlian of ace p .f hoavdm, %",We omw.dby this miva nard.iddk.m 19. <br /> T Ph /Typed Naim Shl"I'vn. <br /> Y .. <br /> y Ma.h . oo-i rem <br /> r' � r ✓ '.i _ <br /> DO NOT WRITE BELOW THIS UNE. <br /> DISC 8022A (I/99) <br /> EPA 8700-22 Gre.n TRANSPORTER RETAINS <br />