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SENT BY;USPCI Customer Service: 5-25-94 3;22PM ; USPCI Gust Seri 402 271 44614 3 <br />i <br />Form A ovod OMB N0.20b0.0039 Ez fires 9 30 92 <br />21, Generator's US EPA ID No. Modest 22. Page Information in the shaded oreos is not <br />RM HAZARDOUS Document No, requi <br />(JltiiFOred by federal low. <br />t WAStE MANIF T,5�� <br />r (Continu'Ition Shoe <br />1. <br />23 Ab <br />ane�;lor'! Na a lSf <br />,V 7— r <br />I M. Stale Gtnerqtaes Ip <br />24. Tronsponer /C/'�+o+m any N me 25. US EPA ID Number 1 � N. State Trans orter s ID <br />u5 i_ SJ, d, , �• T• O. Trani orter's Phone <br />26. Transporter Company N me 27, US EPA ID Number P. State Tram orter's 10 <br />Q. Trans orter'& Phone <br />29. Containers30. 31. R <br />23 -US DOT Description (1­1d;ne P.opr shipping Nam., Narmd Cl—, and 10 Na bol I Total Unit Waste No. <br />No 7YPB Quantity WUY04 <br />a <br />I b, <br />S. Additional Descriptions for Materia s fined Above T. Handling Codes for Wastes Listed Above <br />132. Special Handling Instructlons and �clditionol Information <br />T 33. Transporter Atknc—letclotiient of A cai t of Materials Date <br />RA Printed/Type ame Signature .r Mont Doy year <br />' s of � .s� <br />Q 34, transporter Ac owledoe ant of Receipt of Materlak Date <br />TTr PrlMed/Typed Name I Signature Month Des, yea. <br />35. Discrepancy Indication Space <br />C <br />1L <br />1 :T <br />pR1a1NA4P";.''RN M GENRrRATBR <br />MAY 25 '94 1b:106 8015953994 PAGE. 00' <br />