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J I <br /> 10 <br /> i <br /> NONHAZARDOUS 1.Generator ID Nar ger 2.Pagel c!.'3.Er:.srgsrey Fesponse Phxe7rc <br /> king Number s <br /> WASTE MANIFEST IC?'7-'1 t$- �3 ` . <br /> 5.Qeneraloi'sName and Ata Cng d-3 = 1 r Qsne atoYs S'te Addrasa(If atHaraal than.^aCfig adds a; <br /> f:7 1�'1 Cie i"A'C'[i UvS trU��a Yav�.Y 4. r <br /> r„�c�� `„•SJ•t+,,�n.5rtt�a�,��¢7 ',`�,"�'t`�.8-'�' ScJr�1t'�. f? <br /> Genera&s Phone: Q1 <br /> fi.Transporter 1 CompanyNarae' � U•S:kEPA[D-Number <br /> N AIRMCAML. <br /> 7.Transporter 2 Company'Name U.S.'EPA ID Numbei <br /> 8.Designated Faclllty Name and Slle Addreas U.S.EPR ID Number <br /> _ 'f=acii s Ptane: .. f3�'��''��•F'�rc� . <br /> 10.Contalne.re 1'1,Total. 1.2..Unfl <br /> 9.Waste Shippfng Name end Descdptbn , <br /> No.' Type nun .. Wt,Vol; <br /> 0 11�1do1 >� fir.. 0 oLj_S ? rem r..cl. (A) �3 C,t4 pfl <br /> W <br /> 2. <br /> I <br /> 4. <br /> 13.speoiW HodlIng inslrarotlons ed Addhlanal inforination 1. <br /> ...". :.r:...� ..,p."- .-. .- .. .. _ ....- _. .., _. ... , ... :ate..•,. . .. .-•.se .F' , <br /> 14.GENEFtAYox'S/OFFEROR'S CEFIRFICATION:I haraby daclara tna!thocortants of Ihls Cotia,g�man`,are fuLy.ard ac ri rata).descdl oda ve cy thgp`opsr shipp!rgrana,and=are o a sN?ed,pe raged, <br /> mark and labs lo.awded;and are In aH rase9 lla in props* ondition for transport accorcpmg to appPxbfe Intemallonal and nalibnaf go*,,'nertal aguleo.=s: <br /> Genera,ois'OHeroda'tintedTyped: AS <br /> Name Slgr.atu� kl&&. Day Ya . <br /> ? r 1 i .�.v 1�a A- <br /> 11 <br /> - <br /> to.lnteine6oral�•msnts - -y�-". "' -'"._ • <br /> 11 Import tc U.S. 0 Expo:;from tiA. Pott of erfyds t: <br /> Trans der S? aluM(tarexpofti. ':. Dats!eavtn1$ <br /> m .15.-Tsar r n c'o,Fg of Mat&rlaie <br /> Trersro er1(trJnted pea•N ne'. ai <br /> .:��. 1:: a*5 ?moi . Lk'' a�CL`rs-Daf Year <br /> 0 <br /> 'Tranapod's'2 Pantp:T,/Ped Name - I 8,19,el+ns !,lcntt' pa9 Yaar <br /> .I. <br /> 17:Diaaapancy <br /> 17a,ascrep xy lyd.b0on Spaca <br /> ❑Q^ft' El Ty s EIRe fdua ❑?art`s Rajscl:'oc ❑Feil?ajso90 <br /> Mar.:'feal Rsfaran^e,NuTber <br /> 17b.khmale Fac:l!:r%or Gers..Wr, U.S.EPA;D Number . <br /> ' 1•'c.Sly tait!c 3'Af ena'A Faa;lri,.r Gsnsra or; "Nor 1h Dt/ Yaar <br /> Uj <br /> i 8.Ge53nslad Fa/!y 0:vner or Jper£ton Car tics:f recaipt ct ins,*-,a s o-v'a.ad be;i s ma%j V sx'm`. <br /> P,,Jc,,ff"ed Name � A!on Cs Yea <br /> 169-BLS-C 6 1.1979(Rev.9/09) 'TRANSPORTER 0 <br />