Laserfiche WebLink
SENT BY:USPCI Customer ervica: 5-25-94 : 3:22PM USPCI Gust Ser-* 402 271 44614 3 <br />'ram A Drovoa OMB NO. 206D.0039. Expires 9.30.92 <br />i 21, Gererofor's US EPA ID No. Monifest 22. Page ( Information in the shaded areas is not <br />UNIFORM HAZAROQUS Document No. required by Federal low. <br />- �J <br />WAST.E MA IFES U 17.iv <br />i 5 �J � <br />(Cont' <br />�.ja � �tor'a No . e <br />sf a / <br />P'V , 7 <br />W Stoa nsr our's ID <br />c <br />,3 �• <br />24. Tronsponee C�+oany No a 2^5, US EPA ID Number N, Stare Tronfporter's ID <br />U5 r n / y O. Tran. arses', Phone <br />26. Transporter Company No a 27. US EPA ID Number P. State Transporter's ID <br />Q. Tronsorter's Phone <br />` 29. Container. 30, 31. R, <br />28. US DOT Description r�r1 d p hop.. bepvine N..., H—d Clog, end 10 h%u i—1 Total Unit Waste N0. <br />No I Type Quontity Wt/vol <br />a <br />b. <br />9 <br />h <br />S. Additional Descriptions for Material} Listed Above <br />32. Special Handling Instructions and 4dditienof information <br />33. Transporter —L Acknowle <br />Printed/type ante <br />34. transporter AG awl. <br />Printed/Typed Name <br />35. Discrepancy Indication Specs <br />no of Ailocelpi of <br />!r S <br />nt of Receipt of <br />Signature <br />Signature <br />T. Handling Codes for Wastes listed A6ore <br />Date <br />Date <br />Ma.M a1' ywr <br />. I . I . <br />ORMUNAtrRr`f `-'RN TO OiNNIRATOR <br />MAY 25 '94 16 06 8015953994 PAGE.003 <br />