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SENT BY:USPCI Customer Service; 5-25-94 ; 3:21PM ; USPCI Cust Ser- 402 271 44514 2 <br />IPrafet:llafl � <br />W. ZW-09 (�, oA) See Initrudws on bcki of page 6. Depat,lmord of tam sisal Cw,, <br />r ml � + for w• oa aAM (12pMdt) types. Sae>rvnede, c wa„4a <br />UNIFQRM IiAIARDOUS ' CtlnaptoF'4 US EPA ID Ng, Menlfast DminsO Ng 2. Pop I Infamwkn in to kdlld anm <br />WASTE MANIFESTAR 0�b / Is not "Ired by Fa&ral 6. <br />al <br />a. rafars Nam. and rte, q�, A. State Y7 `L tr �W M$, i� t�+ A �Aaniiw Daa...d Mnr.4.r <br />h 933 '9YA VI; S Ic° 'U <br />n L, a 1D <br />on �� ,uaMrvtar't PT+aee ) � s� <br />F `9916 <br />S. transporter I Compnty Noma d. US EPA ID NumberSTate T <br />wrapart*r. ro <br />+, ,,,. <br />7. Tion"rier 7 Company Noma t, S EPA ID Number T !!D <br />alwaAro, «»Z71- VV -0 49 <br />Z Qeugn ♦ tdhy�. and Si Ad rest 0. u5 FPA ID Number <br />f�J % r7 A` S ,A DI/s r'', 7 <br />V 1-9 0V A rib 174 1 AN ) A. <br />1 I. US DOT Douriphon (iarluding P pe, Shipping Name, Hazard Clots, and ID Number) 12. Carrfalrwrs 19. Total IA. Unit <br />Z Na. Tvao Quantity "/Vel 1. waft* Number <br />/Z -A x(14 � t slaw <br />3 Q F� ► J EPA/ON»r. <br />N In State <br />N i A Mwr <br />EPA/C t, <br />_ T c T Stara <br />tY R BPA/!Aber <br />W <br />W i d. Stat* <br />V <br />N and Abo�. <br />J. b�4tb w pliant f[9r,,lrfr ice! , A K, Hendnrq Cod.f }a. W.V. aged Abos <br />� G7 �• �j a. `O� b. <br />i <br />d. <br />I Spatial Nendl�nq Instructions and Additional Informj�'Pn 1 <br />W r // <br />UPS ►� c3C) �+� <br />16. GMERATOR'S CF*T1FICATIO: I hereby declare that the contents of the comlgnmerx are fully and accurately descrllted above by proper shipping name and are clauified, <br />Q <br />pocked, marked, and labeled, :d me In all respect In proper condiaon for transport by highway according to applicable federal, stare and Wernatlonal laws. <br />l.i <br />It I am a large avomiry general r, I cerlify the" I have a program in place to reduce Me volume and Toxicity of waste generated to the degree I have determined to be I <br />CL economlcolfy p,ocncable and M I hove ieleeed the practicable methad of trearment, vintage, or dlsposal currently wadable to me which minimizes Mes <br />e present and future <br />N Mraot 1a human health end Me nvvonmentr OR. it I am a small quantity generator, I held made o goodIeIM 010" to minimize my waste aeneration and selse the best <br />n <br />waste man emenn method Mat i aYailoble to me and that I can offord. <br />P e ped Npm $i afu t ©Onth Oay YWr <br />/ i ` / <br />Z t 17. Traos orter t Acknowlad emml f Recri t of Materials <br />`L aA <br />MDay YforPnntyW Nom��I� C <br />WTrans orfs, 2 Aeknewlr mens a l ser of Marl -i 1,/ <br />r P, d/Typed Nome Signa Month Day <br />year <br />r <br />19. Discrrp"cy Indlcalion Space <br />V -� Cr,Q 9 JVD –,102 d 7 �1L-e �rt-�.-it.►K.Q.t. PslB S�? �+—�, <br />Z I <br />L <br />I 20. Fae I C" or O e srtili anon I ,ecu t rl ho r I v ed b Mit mon lest exec In Item 19 <br />T n d/Typfd Nome Slgratur <br />Month 0 Year <br />DO NOT WRITE BEL46W THIS LINT. <br />DTSC9077. 17 01• . <br />rP4 l7rlt <br />MAY 25 '94 16: 05 e0159-113994 FAIGE. 302 <br />