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MAY.15.2002 10:53AM CAL/FPA DTSC — HWMP
<br />Slate of C■111srnler—enNaenmmal Rdedhen Ao
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<br />APIs Nr. 7070-0009 fRepll■1"Clog)
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<br />hPA 0700-43
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<br />Wh:,an TSPP 50NDa THtO COPY TO DISC WITHIN DD DAYS,
<br />To, P,o, Dc. 0000, ;acr.mamu, CA 05019
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<br />1. On>•rmar4 U5 EPA ID No. Mnmfcrl po[umeol Nn. 9, rags I
<br />UNIFORM HAZARRO S
<br />InlnmeoPon In mooed Orem
<br />Il nor tequftsd by federal lar.
<br />WASTE MANIFEST J% y L / (J 3 0l1
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<br />9. Oe walwh Nam. and MNIir. A ahs 41A110A-0` a /?— -XA404
<br />A. ]lace Ma dlerr owumenl Number
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<br />A. gr■I. Omerarars ID
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<br />!. Trmiparsw 1 Ca,npn.r NOrrm 6, US CPA ID Number
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<br />EVERGREEN ENV(RONMEN'TALSERVICES
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<br />000012.5204
<br />CIA09Q2413262
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<br />T,ampoNr T Campaey Neon 1. US UFA ID Ndmher
<br />E. Slate Transports l lD
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<br />P, D•tNnaryd Pac44N Name and 511e,Addims 10, U5 EPA ID Number
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<br />EVERGREEN OIL, INC.rna
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<br />080D Smllh Avenue
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<br />Newark GA 44500 IC A 10 19 18 10 IS It 17 '4 11 0
<br />(51D) 795•4400
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<br />24 Hour Emergency ResPOMse TORP40ne No,: CHEMTREC 1.000-424-0300 Invoice 1
<br />DOT ERG 171 WEAR PROTECTIVE EOUIPWNT Sales Order 1
<br />16, OTNPRATORIC CIRTInGTIOph hagUy drrinl• Iha1 she ...loops of W PlIpnmenl an Polly and a..utaleh duglbed ohaee b► proper shippine name and ore darslf rd,
<br />po[k■d, mo,ked, and labeled, and use In o11 .arts. 1n Proper eondlllae for unnel,art by blah—T aaeardl,q to .pphmb'.Im•mativnal old nallvnol 0oenrvn.m mgal.flip,
<br />rf I am o Iergs gvoN: y osn•raro I ronllyy rhos I hors a p,aarom In place to reduce Ihs volume and lo.ldry of rolls ammand to the dip,.. I haw &.mn1ged 1. be
<br />acmamlCalllr pmglce ble anti shat haw eehatod Ill. Pranlco4b merited of lr■arnem. Umape, er 01hpaml currently orallabb 10 me which mimmhn Ihs prswm and furor.
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<br />Nmrsalrypsd Home glpvuluce - Maplh Pay Year
<br />OILC COVA 19/91/) '
<br />hPA 0700-43
<br />UO NOT WRITE BELOW THIS LINE,
<br />Wh:,an TSPP 50NDa THtO COPY TO DISC WITHIN DD DAYS,
<br />To, P,o, Dc. 0000, ;acr.mamu, CA 05019
<br />:u,G.1 u.11 w IC;p lel Ic,;II �;,n
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