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.z sr-. .sar -r, � �" n`�:� �..r �h.� ,.�„` �'�" �' a 3�a' .,t. -�� :r,• :rEa,s <br /> +�. r <br /> t,,i� IIx 4 €3 G 1.1 <br /> waste <br /> �� <br /> stems r'" -HAZARDOUS SPECIAL WASTE MANIFES1 <br /> P NON - r <br /> RnOWNl KRIS 111GUSTMES c S °A ° t...' ^� ' x ,-•-� <br /> ! 1 <br /> 1 - <br /> Gent.ratintl Lncn i <br /> Address - r f <br /> PTxono Pio. <br /> - <br /> 1 _ <br /> �---� - <br /> _ _ - - �nrrta ,e S <br /> _.�_I. Z n o G_ nito <br /> l t]nantity tar,tr5 I_r <br /> RFI Waste Code l__-t__J j <br /> Description of Waslo __ I ' � ��_ T ,Truck <br /> l _3 'Y' <br /> Pa13 ursd�� <br /> p.[tutor <br /> _; L._D M1U CFFt f aN 260.10 or any npplicablo ' <br /> 44 GFR Pall 201 or any applicable state la:v, has been properly describrc. <br /> I <br /> Iteraby certify that the above named material does not contain tree Ior ar as d©!'rte licable regufatiorts. <br /> stale 1ar+, is not a hazardous Waste as defined by <br /> classified and packaged,and is in proper condition for lrans0otlation according to app <br /> f /� i•�:"r�/'' i /ri, J,� f � _ - 1—�- —4_-�.-ShlprnerH P alo <br /> w ; ''ii <br /> �c� •3r.'!� <br /> _ Sk9naluro <br /> ----� n Nimsr.. W <br /> ratul M SI a nd Ita 1 <br /> Genf +'i'..- a I!•44 <br /> f& <br /> phone No. <br /> Truck Me.. ;t , <br /> Driver Name(Prins) <br /> Transporter Name Vehicle License NO,/State <br /> Address �sr' >r' <br /> i <br /> i'�• 1- vehicle Cestificalien--- - <br /> _,—.-----�— 't r � p hereby certify that the at,ove named mtlleriat v+as delivered vrith• <br /> I hereby o the destination listed beiov+. 7.�E�� <br /> certify that Ute above Wanted mateout incident t <br /> rial was picked up <br /> _ <br /> m the generator site fisted.tbove. _i -- <br /> S I 1J��`- �. prlvel Slgna4ure <br /> t _— <br /> .1}'�. <br /> .yt--OUT" <br /> OU <br /> Urn erS,pntum <br /> mak'2.: .. x` y1 <br /> Phone No. <br /> Site Nante - <br /> _ -—� d cacct3 ai . <br /> _�------- true a <br /> Address_ ----- - - <br /> n <br /> rtily that the above named rnatertai has been ar:ce [ed and to the best of my knowied�e the <br /> foregoing }� - <br /> t hereby ce . �'';.'•f; 1 l nail,= <br /> - <br /> 3'laE.ldarputhetlre6A ent - <br /> bAS5 r:onF ---'— _ <br /> E4rnia rza <br /> 1171:& It+ril Ivifllr Diff{ p*lit <br /> r��7� <br />