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�. <br /> •o�;, Or <br /> ?"t Department of Health Serviaee <br /> Toric 6udeigneCf�mentor Oatifornla <br /> I, alsle of Calllofatn.—Hasllh and WellaA <br /> r gtrri t•30 0}? t"n <br /> 'I parpl Apgrdved OMB No.7050--MoD 2,Pae 1 c etlon in the shaded arae■ <br /> please print or type• {film dealonad(or ues ori N8e(tJi pHah t� s Mg set 9 Iql•(t uirsd by Federal law. <br /> tli�IFORM NAZARDOUS 1.Oemrel4r'R o1 ke wI rDq <br /> ! <br /> WA TE b1AP11FEST �r a � <br /> sSrr's Name and MSH ip Address <br /> , Oan(oy• ~_ s 4 r <br /> lip <br /> CA <br /> Im,ilioes Or t �Q �gmb :. <br /> q� e <br /> ta �0 Y:. <br /> 6.Tr .a peter 1 m <br /> Co_ Pi^tb[FJ ' <br /> :. U9 P.PA t9 Numbx <br /> +; 7.TrarnPon,Z oampaAl Name <br /> Vii: <br /> n�2 ,.• .,.'tp. _ U$EPA ID Ntxnbet � <br /> @.peeidnaled FaoYIIY Name fart♦Pnt? IA:■• - <br /> S' 0O'S06752 <br /> 12::C�IatMote la,Told unit Weg(�H9•. <br /> puanlllY WlIVa1 <br /> I.U$DDT DesclIPtlan(tncludlno Pieper Shipping Name,Hazard Clam,and kD Number) Ype Stele <br /> 'GA.;i iIA I My RCS <br /> 0 DT0 020 Y <br /> a $tat. <br /> ,t . <br /> d t £PAIOth¢( <br /> O I�Alhx <br /> R a. <br /> _ grate <br /> t �4- <br /> E <br /> d. .rs. <br /> U 1 LI( i Ka, i „t r t rya Y%40 <br /> °91:� <br /> Min# tf� <br /> COW <br /> tT�Sl� 't' <br /> tyf lr 1 <br /> . <br /> 7 " <br /> �I+ _- �t.:., :.s�+i n+r;.r..��9�,ij.�1 1�t...k!✓ d4� I <br /> , .-.., <br /> tE. pedal HandOn,T lnalruclidts and Additional IMormatlon <br /> P01 ,��.S 8 P1�OT�t I� EWIWff <br /> In name <br /> S6. <br /> 17JdNLtSATOR'$OrI1T�ICATION: and age le ag contents <br /> o In proper grimcandiea a transport dY highway aceordlng to appllcabla Inlernatlanal end <br /> I hereby declare that iM conNnts of thle conUpnmsa4 are Iu1lY end accurately deaerkbsd above by prePsr shipping <br /> end are o[asalged,packed,marked,and labeled, onerated to the degree l have determined <br /> national government reoulaUonI.. o g wtmlze mY wash <br /> Q II I srrt a Large quanSXY ganaraiaG I cartily that I have a program In pleas to reduce the volume and storage.o ly1l made a pond ialth ellon 1. <br /> ■generat and that 1 have satiated the Practicable melhod of treatment, Color,I pal`peel currently enAabN to ma which minlmiaea the <br /> uarLIKY 9 <br /> to be economically Pr ■n that=Color, <br /> aflo(d• DaY Yaar <br /> preannt and future threat to human is Mg and Iha emlronman t OSI,II I am a a M1t} 4 ` 1Nonlh., <br /> } Qaaoratlon and Select the beet waste manage+nent melhoa that le wal� lat o .�`•' _r 1 r <br /> e Pdntedr�yped NS l <br /> j7 i.'-.J rManld, AAV Year <br /> iedgamanl lleaarat csipl of Materials <br /> ti.Trane one!1 AeknI ,, <br /> I &ge ure <br /> A P dITHama/pad Hama <br /> b { Year <br /> Month day <br /> 61 6 5 te•Tranoportsr a Ao#nowledoemem o1 fisedpl of Mat+dale Signature <br /> 1 ' T PrkdedITyped Name <br /> E <br /> i f <br /> tp.DleoropancY Indlcallon space <br /> A <br /> asap[ea n411d 0 dam 1Q. <br /> 20•FaoltBy tTrrmr or Opnelcr Csnitlnatlan of(#ogyt of parardo. matariala con»d by Ch1#(n#nNay - - -- <br /> -Month--DSY-' air <br /> ,. SII}P4ture <br /> T rYde41TYP#d NerM <br /> };. <br /> Do Not Write Below This Lina <br /> Qjja 8022'k(I I") YELLOW: <br /> EFA e700-22 GENERATOR RETAINS <br /> tpl(Iv.g-Wd Pfaylnua edition*aro 0001616, <br /> I <br />