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05/22;'95 10:51 FAX 714. 520 -3570 _ -_ SHELL HAZ WASTE <br /> r Swtr 4f Galifa..ro--Fiw�•ew�....d P.e�earen wq.r,q <br /> Farm Apprcr r QM9 Na-205D-a03D(Expires 9 349/I Sft Ii1S$uClkni an bcdL fm9a 6.� r �Dq—-j Two.Subs----- C. <br /> Pternte p•kM 61 type- 1' despwud!ee•n•r eiiv(T?p.i,,�yl b� Swrvna.na.CellFentia <br /> • 1_ Grr.ar afs U5 FPA ID Nup M—fmi DOiVMW Ne_ 2- Page 1 Inf—c6ot:'tfie shaded proal <br /> UNIFORM HA7ARD4US n out required by Faderol dor,. <br /> WASTE MANIFEST <br /> 3- t.,eryt*Wfi Marro and mcw6iq Add— ltl <br /> ; J` '• a-Slalsa119611 � <br /> �. r I^G_sY <br /> 92044 <br /> Tti 6.DI <br /> ',41eoa taedsf><1I1"- - •. <br /> u�i 4- Cre(tetvlai 5 Pfrorta {i ( r;; _ L- <br /> Uu -9. TrmmpwW 1 CoerpWu ma _-- 4.t15 EPA fG NYnlbtr t_ darp- a <br /> ..t r1 �-rrw1 - -i:o.apartelt. <br /> 7. Trareporter 2 Corrwom Name 8_ LLS EPA ID Irit.r�sw F..Srewr T�f..".c.1D <br /> q au <br /> F_T.mgpgrrarrT Row - ttyrr <br /> zY. Ooagatrd Fmilily Noma and Sik Address III US EPA 10 NvffAw *[Dr.. <br /> {�1 <br /> ES,;` rf+��e=t_.r1'• :tr % - # - { _.5� <br /> 1.1 <br /> -- -"-- -' - - - +'•ick`-.ae. - <br /> 12. 'n&m 13_ Tidal 14. Unif r ' <br /> 11. US DOT Dowprbrr(lrcfwt:bn Proper 5hippinq Name,Hanaud Cc=,and 10 r4wpbw) Fb. TYP. Qwc"hty Wt/Vol !•wwta <br /> %Z�� 4.._ _ r', }[ ."icy= L:'�L'�. t':{<;3T_ =�•L._�t �'. - r( <br /> CD N h. <br /> OP <br /> b A T <br /> O 1 C. Sirb_is f?i'7YG <br /> 00 0 <br /> W <br /> ~ d <br /> !,Adtiyywd Desc*f.ai far Monmik liar!Ab amftl6edrall #ll ON.Liiid.Abaww ;;f <br /> a ia:E,MPTY iPAK(5) MV FIBERELrOS.'sTEEL PIPELU <br /> Qc <br /> � L•s� �w r �. <br /> (} 15. 5pseicl Hotsding helkudioro cod Additional Infwmaiim <br /> ,F ICEL63 <br /> _ ti -MG 'a.L n.e.•ryC k,l .q�.- - f G TE Pt2 r. <br /> I& C NERATWS CERTIFICATION: f hereby dedwe that the cnmtwis of*a wadrynmov one fully and eccurabeiy dever;bed�orw by prapsr Kipp rrg name and�dac frd, <br /> „[ pocked,morirs.d,add lab#4cL and oa in elf respect/in proper txaddioa for tra-pnrt by 6L*—Y a—ra[irg to appfidsla ied.ral,stat.end+nveetio.d Lgw <br /> If 1 mr o large q—ky ge—d-,I certify Hue I Fore a program in pLeus to redues Ilia.01ume reed tm:idfy of wm gmse,oted to thr degree I bare deters mad to L- <br /> 4 4conomimlip proctica6le m.rl fl s r have A.pruds-6ie rnet',ad of trap.rat,oorago,or ditpowl cerrorvfy cvc3able to me r.hich mitimhm the present and future <br /> 69 threat tp human heatth and the Mwo mwd;OR, if I ora a smolt quovity gaoarotor,1 hove madC a good fauit•hart tC mitimiyu my trope aataraliarr tied 641110 All E 49 <br /> w '•raffia mma amour meN.Dd that 4 erailehfe to e'm .d#..A Icon afford <br /> Primed/Typed Name 5igroture ;-J _ �Jj .u- I-1-0, Laar your <br /> U <br /> Z T 17_ T •rtcr 1 A' of - aF FALaeriak <br /> e <br /> � • Pturte4lTYPed Nataa 5igtmeay �' - .wonlfi Day rYtwr <br /> u4s 0." } c. 7 f { <br /> 0 18_ T—porW 2 Aqkrw-d9dgwwM of RKelpt of Mof iak <br /> w <br /> T Frittled/Typrrd Name Sryratum Morph Day Year <br /> � T <br /> 0 e <br /> Lu19- D'ea yoncy 4,ararian SPocr <br /> d p <br /> U A <br /> Z C <br /> I <br /> L <br /> f 20. FwjMv Grater or Cpn=w CertiFcar;on of Fara/pt of hrgerdeuc matariNe ST7tMMd br this manifest except a5 NOW ie IMm 19_ <br /> T Printed/Typed Naam, Norrdr Dry Yerr <br /> y Div, <br /> DO NOT WRITE BBQW THIS UNE. <br /> ._IS ;:CFY 70 aEN_P.A MR WITHIN 10 DA6, <br /> UrTSC 6022A (W91) ors -ro crate ia=ardprs- cvc ;or--cnrcr. out•of-Ircye, <br /> &PA IY70U--22 _'=u.c: erre`. too. 9i •;i,F¢00y;Jta ;anr1 ro ]TSG urchin 30 days.. <br />