Laserfiche WebLink
»�,r �� 4�, �r Ty Y yr y r r �r r +xo � k'„'1rY, 9 • '"�+r�.1.r'�� , Y"•r�k" fi <br /> ,terseyt�t <br /> d' <br /> r•a!`'�.C.teE�.r1-•.}�+r»Y.xc�+�'�+.,.aw�'}�.=-n,-•.,�'s�,�+r,a+._Fy.iri.".sa�d..tk�..r�..7us#i�4 h�lt.r,:li..__.-...'..r.='+.]�»„.,�f-'^s�dh�*�tNw��-�,.ieC` 14 t'I•a`.,�„r�a �'�...,.�...T�r {S' <br /> Pi'T <br /> ' <br /> ,NO t s{" 1d^"+tj 1�pr 2�Page�17 ri3%DxUmer)tNl�mt <br /> i t „- '' RDOUS C Generato s US EPA ID Nom, d , + I v <br /> rr*fti! + <br /> Ll""k , e` ra 9�J <br /> } 'r�VI�ASTE MANIFE�+T� cjrNHr 3 , F � � :�` <br /> t.,r `�+r " r•i .a»r _-"r ' ', - ii -=2- <br /> I <br /> i' N.0 r'y'''+"�.T". �`„,r..r _1 <br /> +T-:+swa -,-3'� t , �r ,7x.f.a <br /> of „�l 1''�f <br /> 4"Generato�e Name and Malling�lddreasr <br /> �.q-s� r M -y lk sf-r� , „-: C y � ,iy�jf��•L!:'�rvs�,,Y rC�l:�rw" "r' ,�~w J J q? Y, .r�i` 3"a j1r r <br /> k„ y �� / r{�Y1 y q i,•a i•' f"^r'rf. �" � r i,{ .� ' i" 5Ss ,'-r>. �r " 't <br /> gyp^1 l <br /> j -1 �S :s�,• , L , (//� I ! �"'`/r` r 1C:�.nr�_.p� V s ql -'yl}1 "'q 7,, Ftr: '`�` r s i ..r�.. a <br /> .+_ ,, <br /> A <br /> - P ��++�r �C` t r ° 5 1 ..• + s•, 4 �Yr 1`;+ 1�� <br /> 'rr4� J4 rr a Fr'1 q y '� ei"y " .�1 .r �y F A ' >oa r r,r.. r r};.F J& .'�� i^° i r�rr rF ' <br /> ,G]� (�_ 'S <br /> (nrI€ '...1 r3�enrtesirca,«ior.:'s_`P,,vhiow�nejr.•`_ ' + i, 4 <br /> t <br /> iia <br /> xUs€T porte�Comparry Name3+ '� �, �f,� ` , ' 8'. „fr, , US EPA 1�N't nber yti t! m 7 Transporter Phone , , rlvrr <br /> + rr � t 9r r �I y,r�u �{ r- 3 � ,"'.d c + �„a re �n •" t <br /> � �` i �,u r• + � r K I"r ". ,x E x fa y rt • 'r+. a roM'M`Yr r s rig' �� a d M ra � �ie <br /> CLEARIIVATrd n J ^J_ � �`� +'r . •j• '�' �°� ; `�(51'a0�r7i9� 7t-851�,1x1CER ENVIRONMETL CARD06OQ7013; p S ��rs�rf'wr <br /> is a <br /> D.•+-e.s-.s.pas�d�r 'lli+riy-'N m�rti` a.nwd Sita'Ad.^d`Zw�ess9Afif?Js US,.zaEtP�AD rNc�am.3berr' s r 11..D,aw'F{Pa.?rc'TTilTitpa'.s,fPh=ao"rney <br /> � � <br /> irNs 4 d3Y Li{yr!t<'�}{.tC'��i•y n,,tc�'`�s�, :Mrme`r`f*r i 4'^'Te�t'';t�K'r! $} <br /> et <br /> r <br /> .ALM SO�rat INrtDwEr P�'E=N:wD-.ELiNT5°OILif;r- -�Y _ 4 .={..v F�e <br /> `-1 <br /> +Gxw xs s. r .Y , <br /> S02ARCHER STREET <br /> t <br /> �fF., <br /> wcrr{js y. �w4 ,r.4 ._`r"{, +Vs" * n 'o r 'ta. v r4 tr ,V r. a qr r« .Y t- y <br /> AL111S0„CA 95002r ., ,r R �s7„ w�„L 1 r ^;A.�,CALO 161743 51() k797m$51�1.,,_= <br /> w w c r r y. a r- ^J T r Y- * s j s 4 # r s m <br /> Waste Shipping NarnB and Description 6 A� a + r i ' � r r < r , �T'�,'12 Confainena”T , 1134'" ��y,14:j0- <br /> N A «^t R ,"P-s i rx �v s i 5 ° k 2 t 6 =Total' d r i lJrOt t r <br /> f P»F by L c k+ + {, R r iw 3�t 1 n s+ , � wr <br /> E� �k-, w e 3. r".! fr] . +dkk W" r r+- Molt_a X _R r .,. rxl� a. i__r_xk," 1 I3_...n_ PNO T Qllan r Wvv*1t� <br /> r R � ^Fra ,pr S r..-. �, +w�-�r y w !k 6 <br /> •, . a. ,sWti r ~.rm �t V .eb . "7vr5`- , 1'� F t��.t a'q-*rt f `t-r a h��, 'k rF 7,r} <br /> F Al '7 f+r sq r�, a{rI r)_ r t 7,r n Yrt r r !, 4 t a y� IC E o qtr r aJ¢» + j.l r 4� «K"#S� °' <br /> r i r '"3Non-f;,lazardous waste, �IgI�ILi f}=a l 'u` Air} »i " i J+f <br /> s 'f'4 1� d• -i �sw..--v ..,.[q xa- , -rr.r.'_{r• *•v„ r.'..' t `,v+3 s ,k i'++ r°r 6 9 t �y,,,, i, r FVA <br /> 4n <br /> /� �c r` , <br /> 001�s_.°TTL <br /> r ... . #, scss.s...._......n.. -F_.rrsa.r <br /> 3""`i t 3G•• ] — ter-.,@ ^r'+it <br /> v ,".- +''t' 4 <br /> I rib r - + M'r -'�t �o <br /> r F M1,yrr4 J. �, r`�"' 3 z a r'•,..r«."`%"rl{ .. � ;." !, r .q• ,'i fir y a r '! r�` a f, `" <br /> r `rr « ,k .• q 1'r ', 'k " °�„ "'a '� ' `i ..,,x<k x r >,r z, , ii "'o I u t' sr f F=a c rS y ! 6k <br /> 's w+ t = k <br /> si}..,,: <br /> e Mer rwu- a .+rte.-'Ad <br /> r^ <..,r.. w,rl' °7:iht`•"env ew ym^rte-r-��,�-�{V rV..e+': wr. a--"_+r' a' --7 <br /> E 15 Spedal Handling Instructions and Addl�onal Inlonnation r- r ,!,,c r , - Handing Codas for Wastes tlstedAbove l T <br /> 2 kP ' r,•., i y S o „- ,.. 1 a t «r•"„^i"' r kFr `T tF:.l s 7 1 <br /> 7 .�Yrr r „ „ rr r»'1" ,r3F i ,r hr F <br /> y�� r • i �,'r` , ' i r 119`!t ,rt 11br 4i f `•,,�! <br /> a,Wear PwPE� fq 'A d f' k,^' r i�'' cf 'l "' v+ Ya ns rt: S w- <br /> to :.."' `r t" ks,..ti.t<Fr� " ` ' ' ,r S , r M +•. - r ,. .. ..r"r _ .._..,r G a <br /> ,r" i x J P �, �'� � � fir",..� �. w '"•-S`r J' I_ <br /> Em{e�r`geP'�ajYAGontact> 'r 4 a� �'. �"`,i �_}; rr� sr r5' i,f_ y r = <br /> ''° 5479f 'U511� ' ' n• • y F ;t+= ;r Y" ' '' '} 3 ,..a.,,¢' l'�3 d., 'r-s + L`. <br /> i 5 s y lz k. s} i ' ,f�, i F a ,.,v.^,�a ., .t .. 7 s ..... <br /> r 3 },r� 'sK l �$ r^` 'fr. +� i.e� r" r�-srse -;� r• <br /> y *d 31, , "i. y?,. tit, F � �r~r �. 5, �'a� }a ��`.y .'� »'`s k + r� . <br /> % rAttn Kir' Ayw-ard}:;�� -:�� fr°?4 jy ^�a', � t�4"k4 "f�'r* -+�, "r �" _ , r y r; AAs, ' fi ti 11 <br /> r p rn x„ria rp r• 't`-• �' Z a'r a ' r'j ," "v o7",y ;�: a � l `?r',J`ori r`w,�w,r :, b, ��' V s �'- <br /> 741 w s t• <br /> y, <br /> r <br /> [ r r f F1 <br /> + 4s r 3 ''r �,orw� „''_ "n , , r _ '`u"7 ,r �' r_ `�; 1�+ : 'C ^s' u5 ij=n` t �"'•��' 'fir.+ � I <br /> .p� r � r1r ,w ,. r .�,r 4)�4'1;`-{'''� � `"�r a r y, t4.J,,,•,�r x•(x f r { <br /> ,< !�" R K;•+ ,�,; t r.�� A � t „i5' 'ls, � .,, - � rr a d '�-�`4"k-�,r {' z�1 ti' i�....+4,a+ k -h�'� kf .�e..� at��d <br /> '16 GENERATOR'S CERTIFICATION'I certify the materials described shove on this mandest are not subject to state or federal regulations for reporting proper dfspas`al of Hazardous Wastes _ <br /> s =wtx esPyr"inhte,-drfr+y.p S, ignatures <br /> wr.w <br /> l." ! h <br /> T a�rSx-.�r�-,_�,"'r'a,,n v-LrT-i r".s", x}'?_;Jfi.erri -ar'7i1,s. i,.:aYa4.rtz°frir 4"^•'" w''i�=„k v..,'ssR1f.°'i "J's <br /> a, <br /> i <br /> .4-OMont11_ Day`jYBBr ' <br /> li�A. � 'r •+j4�,n fir/ <br /> ,.;�-�,wr ar.a y w .3^ x, w^H'�' '",k"r( -,jk rn r"•, ,.a.y � ^ T„-.-.�,..,,,.4.,.•_ ti:.�"'y J 7.7''•� <br /> 17 Tran Rer Aeknowied ement of Recel of Materials <br /> S � g Pt <br /> Prin <br /> „ I W� ^A <br /> 'C x.,r+q } ,. tyro <br /> O , 'YP "s +t» ,. t. jai.?a° ,"r{ $IgnatUre�, I- , 0.' , <br /> R r > ✓ _ ' +r ,.+ c�.i�, ! j5 "'�- <br /> r a tom, <br /> +o, T a� ' a°� 1/ �i�Y ' i$�r^'Sr= t��' n}1- , k ' e a^Y ?4 a f`'�h' =3J'J S �' + ,`_ rF YBarta M <br /> +r �'J �a5 f }*�>n�_ 'i�F� +" Y'•M 4 ��s• r R Y tY✓ !, F =�i <br /> 1S R " aws a + aw �. w✓ ^ .t`1T r: nom + YrK:+ tur` � ! Yn <br /> w 18 DiscrepancytlndEcation�Spacer�tr�At � -I.��: .����I�'*`�� r`r�` ^J L;'�• r �,r y�N i�`s,'�';4 r3� r I,�-rE� �Y���!°:, i"'t � !� <br /> z T"' _ nit _,.. tit ns. t t a , •d.. <br /> `4C +r r `Ty'^ r+?�,,€ rs`r r{, , ,+ h',�,p-h k}i�� <br /> a,`? <br /> �y'r4i� �,•.rH3C t rr ,r �,,, n r.. rt-y� , � ��s}�r,c-err,, c n. fir `z, t .fsn.r♦ I' rtz � t� �,�», <br /> F <br /> A <br /> 1 ^ Nr� <br /> V $"` a: M'ifi yz i ,hS 1 �„ sr a'•,s Fq F ti P �+�r,„ '!:r *�'i� <br /> .L`, a F r��� d �y,t s! y r,��. y=, 4 rr� �,j•` r'°' �a r�,Z<i" <br /> .,Ati«,1:, fir-4 �q'v,�,� tv , ••+a�A'e!,f` �� tri +,,, , t'+ �'i4» .0 ,r,°.�r,^.,,�." f iM rr+r' <br /> r ' +t'r _�r <br /> L <br /> S +r `x5 "+.�L•+ 7 rf r- 4 1' �'Fr �. i r,r�=`=a r' ti , � +wT <br /> r u a . � Ila: <br /> � + 1 <br /> T d 4 -a-1 <br /> r ,, <br /> v' -19 FaclfEty Owner or Operator Certification of receipt of waste materials covered by this mardfeat except aWnoted In Hem 1a <br /> lLF 3 ,_.V. r-n7`�'r vc w <br /> Prilt�Yped Nameryr <br /> - <br /> rr <br /> . <br /> rr <br /> y " r`=[ur ., u d' •ti,.3 <br /> "t,� r" r't , C a ✓+.ta r e'FLs,, y �f', r ry3F"'+ y s s 1C,a a t MORth Da ti Y98r d fir• <br /> Y� y S ti;�{Yr'Ly "k Sr t }' » 1` Y" Y x "1 q <br /> "+ "" dry, } SH,11 dA fzr 4.11" 'i..�.bl ' ••t ^� t Wy4r'I'e "}r'' ,sr +n r" 7'a'S ! i r 5 <br /> k, 'rY�A.rq+r^,i,r s,�i"..eir*.frtr_]��.f Mrr"�`.�W rd•arl' T'-:��.x Tiot�j .L ��'`:` y ,nt..`^""rq-�.w,,'ir <br /> # ,JY+ ] ,+"WT q+��;C�rr7, , iceq, <br /> WHITE-ORIGINAL(genta Ganaa . ) dr, YELOW 1SDF(Reain Copy) PINTRANSPNO,»u`Rt"1•�TWrn.E+,1.R r,'-"CO^kiP».Y- y+y,`,w'Gi O,iL-t'0._EN:'R0.4F-V{*-.,..G_EN;ErRAr rT�Of'aaR'„S�C'rOkY"*d1Tr5 r ~G , T, � rur <br /> ; <br /> f <br /> '1'ir',rTMM'77 sr'* y 7 <br />