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slatcor L -0ct ' 2. 2003'x111 :00ARe, ecolngY control industries I � No • 0407 P - 6
<br /> & VM11 No.20!,"M9(Fxpirea 9-38-991 i Joe I11STrUCTiOT15 on iback of ' '�e b- Department of roxic Substances Contra
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<br /> Genet US EPA ID No. Nwnifest Document hlq, 2. Papa 1 Informulion in the shodcd areas
<br /> UNIFORM HAZARDOUS 1"
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<br /> WASTE MANIFEST - �* I OF
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<br /> 3. Generalor's Name rind Mailing AddressStale Manifest Document NrtmEs(r
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<br /> CV 5. Transporter I Company Name 6 US EPA ID Number �a..1 .1v ,� tI IJ'r~''
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<br /> 7�TranSportar 2 Company Name 8. US EPA 10 Number t. _ _
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<br /> 9. Dcsignared Facility Nama bnd Site Address 10 US EPA(D Number
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<br /> = i 1, US DOT Duscripgon(including Proper Shipping Name,Hazard Glass,and ID Number) 12- Containam 13. Total l4. Unit +"F
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<br /> Special Handling instructions and 6ddisibc{pl InformaHan :L�. 'r-7 ht Mile
<br /> WEAR PROPER PRGT=C f IVE F=QUIPME NT)WHILE I-AND'L?NG.WEIC- s]S OR VOL�i�F�L� �4t?i;�fii�ROXIIM;i S.
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<br /> 16. GENERATOR'S CERTIFICATION;' l hereby derJare that the contents of Chia cansi nmens aro h(1 and oeevrakly�dexribed!a
<br /> marked;and labeled.and ora in II g h I'' Ewe t!r'proper shipping name and ora classih`ed,packed
<br /> a fespec6 in praparcortdllion far transport tsy highway accoedirtg ro app icable interhotional and notional government regulations, l
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<br /> If I atrr a forge quanriy gmrorator,t certify dsat F have a program,in plain to reduce the volume and ewdciryty of waala'Benerased to th¢d ren!hove determined to o
<br /> V) Practieah[a and Iftat I have selected the practicable method of haatmens,staroge,ar disposal carrenll avaifdble To tna;whieh minimizes theme rose t e: nornieally
<br /> and the enviranmdnh,OR, i1 I am a sena 1 uanei Y p n and future threat to human health
<br /> ry q y generator,I have made a good faith bf{or,to minimise MY wank genoration atsd sated the best wash inaaagemunt melhod that Is
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<br /> DO N WRITE BELOW THIS IiNE. ?
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<br /> 'SC 8022q(7/99) while: _'pTSDF SENT-q f191S COPY TO DTSC WITHIN 30 DAYS
<br /> t1 8700 22 I To: :P O Hex 3000, Sge:,amanio, CA 95312
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