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SENT BY.USPCI Customer Pervi:a: 5-25-94 : 3:21PM ; USPCI Cust Sprue 402 271 44614 2 <br />holodk e A <br />N& 2050.0039 (E*m 9• 41 See Instructions on bads of peg• 6. Dor gpg,�,, 94 Tam g„6,� cam„ <br />Awre *frilled lar Rha one 11790 �710w• soc omonm C.66m a <br />UNIFORM HAZAROO<1 I' Gawvoes US IPA/IID No. aMam6 f Da� mwrl No. Z, P,q, Ifdonnalkx in the Idl k arm <br />WASTE MANIFEST <br />Is rot nquind by Federal lar. <br />7. racer's Nana and,�� A t A. Shrte Abtifeae Daawrr Nuariar '.r. � <br />4, ; <br />9s3 I. Mie a <br />to <br />�. c.r»rarar t fM onr 1 s 1- •� <br />s. Tratepart.. I Company Name 6. US EPA ID Number Erfe Traneperwra to <br />F <br />CAM ` <br />7. Transparter 7 Company Nam• 9. US EPA ID Number �. sI <br />p <br />�d 1 <br />arta <br />Qeugn a<d) k5i9*01retic 0. US EPA ID Numwr if <br />a 101lLJf/11r . T" 7 <br />Ir 1r ,o 11739Bd <br />1 1. US OOT DoscnpMn (Including Pro r Shipping Name, Hacard Class, and 10 Number) 12. IortfaflaR 1 17, Tafel IA. Unit <br />Msa. Gua • "Nol 1. We" Number <br />/� 3 �% � • � � � L Stave <br />3,o F -r <br />N b. Slog <br />E .. <br />R I EPA/OIFwr t, <br />A _ <br />T c. Scar <br />0 „ <br />dA/f�flrr <br />R , <br />Lanai D.0 p6a^s f9f" L(W5 n - / A `, j K.'. Hw1!�a Cody {x Weare lived AMew-0111 <br />d. <br />1 Specral Handl�nq Imlructimt and ddinonol fnlerm n A+-• tk r <br />NJ <br />JJUPS t <br />16. GENERATOR'S CERTIFICATION: 11 hereby declare that the coaarMs of the romlanmme are fully, and accut&ety described above by proper shipping nom* and are Cknufi.d, <br />p«k•d. marked. and lohal*d, and are In ON respecn In proper conddlom for trunpan by highway according to appYcoble federal, state and into raadenal law. <br />If I am a large gvorK'tY generate , I cortify the" I have a progrom in plate ro reduce the volume and totkiy o) wave geewrated to the degrN I have dahetmineJ to be I <br />econa—.4y prarncoblo and Meat hove telened Mia practicable nil d of trea"Ant, "wage. or dhposal curre," available to me whldn minknlm the prewt and future <br />threat io human heath and the a Konmenfr OR. if I am a sell �nt7 g94111"4140f. I hate made a geed IaM effort H mlekViae MY waste terwdfen and alert the bee <br />wove maria *mem method that. . — m <br />noble ro me and that I can offord. <br />Pr 1*4�Vp.d Npm $I r © �Ooy Year <br />►j�1jE.EL� <br />T 17 Tran over I Acknowled *m•nt of Rn:n t of Materiah <br />� N M*d Tygd Name n M Day _Yea <br />c oK►.� 9 <br />0 1 Trane ert*r 2 Atk-4.4gqmerit of IRece.pt of mai—k <br />T ►rM d/Typed Name S:grw Month Day Year <br />e <br />o Q -r ✓ <br />10. Ditcrepeecy Indication Spaced <br />P ",4 <br />A <br />C <br />I 1 <br />L <br />I 70. Faed net or O v omiK e ec .non f recn t at ho v ed Ml m l t eros ll*m 19 <br />T ` .. d/Typed Name )(0 //'S7gAahr U) iKI ( r- I�M^onth/ D ;Y7�'� /earIL, <br />— DO NOT WRITE BELOW THIS LINE. <br />o7sc aoT�A +� e+• <br />4e 17•(L" <br />MAY 25 '94 16 05 8015953994 PAGE.002 <br />