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<br /> UNIFORM HAZARDOUS 1 GenBrvtaYs US EPA ID Na, — $acromenro,California
<br /> WASTE MANIFEST Manilost Document No. 2. Page 1 In(crmtlhon in if-shaded crepe
<br /> 3, A 4 0 I 0 1 'T 0 Q V. � � is nos required 6y w
<br /> Federal la , '
<br /> erqatoi s Name and Mailing Address C" ,F of
<br /> 5 — 1 144 A. State Manifest Document Number
<br /> h ,..acJchone ♦F N 250579271
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<br /> 4. Gnorolor's phone LI CDQ 14,,.1,E 804 R, SmtB Generator's 10 -
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<br /> pT RI Recycling Service Inc 6. US E➢A ID Number C. Slots Tramponer'e IDI s ry ,j {
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<br /> 7. Transport.,2 Company Namv ��JL
<br /> B. US EPA ID Number 0— i
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<br /> F, Tranapprmr's Phone
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<br /> D Woodville, VI 54628 H. Facility"Ph.nno
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<br /> 3 11. US DOT Description linduding Proper Shipping Nome,Hazard Class,and ID Numbed 12. Container, 13 Total IA, Unit
<br /> Y a No. Type Ouanfi WI/Vol I. Wast.Number
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<br /> 1 tl itionol ri ion ed Above K. H dung Codes for Wastes Listed Above
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<br /> 11D.
<br /> j 15. Spociol Handling Instructions and Additional Information E. R. G. ✓!
<br /> 24 Hour Eaergency Contact: CRI / Ken Hatch 289-664-2698 11. A 171
<br /> Wear Protective Clothing and Eyewear 11.
<br /> 11. 0
<br /> i 16. GENERATOR'S CERTIFICATION: Ihmebydeclare Moltheconlenh of this consignmenlore fully and accurablydefcribedabove by proper Shipp ingnamoondoroclassifiad,pocked,
<br /> marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable lnlernalionol and nmionol gwernmenl rcgulalia+s.
<br /> i If I o large gvontity generator,I.01g that I hove o program in plat.to reduce the volume and toxicity of waste generated Fo the degree I hose determined to be oconomically
<br /> prooticable and that I hove oleeted the Practicable method of treatment,11,0109 or disposal currently available to me whkh minimizes Me proem and fuW,o rhrBat to humors IF,
<br /> and the environment;OR. If I am a wo I quantity generator,1 have made a good Faith effort to minimise my wade generation and select she bast waste ronogome"t method Mot is
<br /> s cuoiloble to me and that I can afford.
<br /> Mon+ a Day Year
<br /> Printed/ ome '� j Signature ..^•^``'ar // y
<br /> s N 17. Trans oMr 1 Ack wed emam of Rami t M Materials
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<br /> g 18. Trane nor 2 Ackrrowled orrwnl of Raei t of Materials Month Day Year
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<br /> I 20. facilit Ow-01-10 rabr Cordfication of recei sof ha:ordous mahrioh covered b 4h;,manifest exee t as nolo in Irom 19. Month Day Year
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<br /> DO NOT WRITE B THIS LINE.
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<br /> EPA 8700-22
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