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r I l (lam-i�L! r--I-J— — --Xi to L — e-l " v <br /> 144asq print Or IYIO# (FP+rr1(taeronod hrr Vete urr ptife(f7prteN("Wrlyot) infm ApoWovad OMD Nn -%1eV111l1$ l,rrrArsa p kraN <br /> UNIFORM HAZARDOUS 1 Generator a US CPA 10 No Man11 t 2 Page �Jnforrnaton In Ihp nrlriea 41887 <br /> WASTE M+4NIFE5T �Jj {�� � -j ��_��p not reyuirpd byecera+uw <br /> 3 Generalor a Nnrnft and Malltnp AddrAaa A. 04 wroin1 411qmilliP; <br /> Wickland Pxapestfee (Rugal 604) <br />. <br /> P.O. Dox 13G48 , 5acrantento r CA 95853-4648 !341 <br /> d Grno.ator's Phone 916 971-110 4 �„�, 360b <br /> 6 ranKfr rte(, Company N�amne� f� 6 y} US EPA 10 Number � L', iris ID <br /> o- �[I D��13 <br /> D Tr <br /> 7 Tr a rtar 2 Company Nam 6 U9 FPA ID Nunnher E t <br /> ff Oesignated F ity Nam&and 8lto Address 10 US EPA l0 Number O >bfti1111 w` lety's 10 <br /> Came.ton-Yakitna, Inc. 7175 <br /> 1414 1.3. FIt at< Stx r et t It.IMt NI +r Fl mw <br /> ;ti <br /> Yakt1mct V&- 909 <br /> 17 Qmlelnars 13 14 <br /> 11 tJS DOT DelCrlplian(fnclu(#Ing Proper Shlpping Narrre, Hazwd Class, and 10 Numbiro Total Unit <br /> NqType Quantlt rte. 11Ygi W %4 <br /> C4 a Hdza:E dous Waste Solid tIe00$ <br /> N.O.S. oRrM NA 9198 / <br /> P <br /> tJ V a y, <br /> t, <br /> A <br /> __ ._- ...._. ..�. I L—L <br /> a , <br /> j Addlllonel DoKrlptions fOr MAMISls L1e14d Atm 'f rr I` K "04% lot WGMW <br /> • Spent retrbarti c:Gt'33 attars tisk ,PCS- 'le► � ti�ri `�� �r i , <br /> with unlooded fueol. <br /> Emvrrgency contact: Georga omvvrs 1 <br /> SS Spee.lat 11r+ndlinq In3trucliene pad AddAlonal Information <br /> Stand- d fox pset;x oalum x ange hydr-ova):bons <br /> 16 GENERATOR'S CERTIFICATION t hareby declare that the contents of thta conalpnment are fully and accurttely deacrlbed above by prover stopping <br /> name and are clasalfled packed,marked, and labeled.and are to all respects in proper condition for transport by highway according to appllcablp <br /> ' international and nallonai govamment repulellons <br /> If 1 am a iarpw quantity veneralor,i certify that I have a program In place to reduce the volume And toxicity of waste gonarated to Cho degfoe t have <br /> detern)rnad , tic et onomicallypractitnbla and that I hove selected the ppracticabie mythod of lreafinent,Ittoraye or(68150481 Cu(nntiy wallable to <br /> me which rr, lee the present and future threat to human haMth and the environment,OR,If t urn a small 44uen1hy genermor,I have made ra gnod <br /> faith allort Io n,rnimlza my waste generation and SOWCt 11114 beat waete rnanagenYtent Mothod flint In ovaltebte to rnA end that I can atford <br /> PrintedrTyped Name Agent_ for Wickland 8ipnafura � �Month Dry Year <br /> 17 Transporter 1 Acknowledgement of Raced of Materials <br /> M InIR TYpeC v month Day Year <br /> r <br /> 1B Transporler 2 AcknowladBemnnt of R6001 01 of Materials <br /> E PrI�IlOdll y Name $Igllatu ~I#) ow row <br /> R //f <br /> 119 Plscrapancy Indication Spooe - <br /> C i <br /> 1 <br /> 1. <br /> 1 20 faculty Owner or Operator Certlticatlort of calpI Of hazardous molertaia covered by thl snlfesf except ted 14 Item 161 <br /> T P(IntedlTyp4d NAmtl -- <br /> Y 8lpnrlurt Itlorlfli Wr Year <br /> �V —a' 11� <br /> EPA Farm 8700 22 (Rey 9 86) P lour e(Illions are PDaolate Radwoof No 860 Lab Safety Supply Co <br /> �. �� �6L-RETURN 70 GENERATOR <br />