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Mar 14- Z U U 0 Z ;WM mtr<u-uum, Inu, na?naiu , vn <br /> 1 Cancra US PAW N., -- M-wfesl Docvnwnr No. 2. Page ( i Ic;�rx:!i�n in Rhe shaded areas <br /> iJ�tiiFORM IiAZARDOUS f <br /> WASTE MANIFEST <br /> r.guired by F.dero!k,w. <br /> LL I <br /> i $ Cerrdrrdor's.� Nr..so o.d A4aitins Mc! +A. St... .t .R:aiuisn Docvmm+nt Nunsbe: <br /> ieaera <br /> t •:. - <br /> • <br /> rcP55: <br /> yM5. Tixms pator 1 Compaq Named- US EPA 10 Num'onr a Luuspora 4ID tRAmrmd.) <br /> .n <br /> Phono - <br /> ,µ7 mnspro�nr. 2 Cosnlsany Naole S. US <br /> VA ID Nvmb.r !E. slow 7ransporM`a(0 Re<i.�.) <br /> f�� tt r T��-►'S��TtFi itpV! � t�� �• ',' �. <br /> .tnt]7;p}sdp+ i►aC (O{�II/j�J' r rel F. T, <br /> w <br /> S 2 an rorty, <br /> V 9. vi:ign<at.d Faclty Nome and Site.lddret IQ. US EVA W Nl J.r G. Sk-te focihTt's ID <br /> `f to t t�'q: Tz�_00 <br /> )2.Cau iean 1]_ faint 14. Unit <br /> 1 :1. R 5 RT 6escripton(inclod�,g'rope S::tri vd Name`Nsrwrd%ass and ID Nomb.rl <br /> J 1 � Na. T.yD� Glumrtiry `.V11`!d 1. Wos1i Nwnbc 4a— <br /> t -• _ - - ) jL— OAC/— 2..41Zr1 <br /> fIV D. :••ary . <br /> i A <br /> p <br /> W <br /> r <br /> zi <br /> +s kPA',14014icr <br /> U t ' <br /> t J_Arldtioad ccs r4wlans forMaleridt Lund Abw. W. trandl3no Codas for wow.tared AbD.« <br /> O� 1.`..$peciui:farWllog Inslruc4ons one.:vdiliand Inforrsohon Xs- <br /> 7 fi' _ _ _ 'r�'- _1 -fh 1iL -.1 .L' _i %i'`• __ <br /> J 16..00MAM15 CL•FTV;WIQN: 1 hereby drxkre/bol 8ta mai i of rFi:s censi�a srara rtAfy cad's�cvrale d�srribed ar5orr by pmpar sbipysng none and oic dot.lProd.padsd. <br /> JJQ r..orkod,•irsd lob•7ed,and m in an:.speNs fn proper cond'Abn for kamporl Sy a%.3;.7w'c'arding to opo'icoWu ialernaliond and nnfiw>•f�o�rn.n9n1 regrlofio+ss- <br /> If 1 om 7 large rpwntiry pendrpWr.I rernfy Ihot 11sa.'e a p1grasn in pines to red.-the vlolno smd toa:city of wash gtn wd to she ckg,re;hove deterrrrirted to be aerusomicag ) <br /> 1 f pr«licab{e o shot 1 have sekc4d the wocrtcobLe�c'kod of kealmenl,,storoyp Of disposd caRem}y mtiltabk b ma which.n:.wnius the f,—.i Mn11 yrs 4-w vin human Mrof11s <br /> 0"d rhe ert•'irmrmanr;OR,ii I am a_gra q"f;(y 9-1."1 have,none o good foiih.iforl to,sioinr�my wasp-'QGrvG::cr a._,:f sdact I test waste rnanog:r mll Ina..md Lha,i- <br /> -,-ad <br /> :m>and?hot 1<an o(fwd. _ { <br /> I Priafed/Typed t S,grwwr. <br /> T 17. T t 1 Ack mrnr d 1 of Mae'Is <br /> P Prt 1' Norse S, _. ©I Dqr' <br /> 1 Y-7 <br /> S <br /> e T8. Aciaawip l of tete.1pt of Atilt fo[s� <br /> 1 T Prin v Noma Stgnawrc Mowrh Da)' Ymr <br /> C s 19. Disacpop<Y Irtdica7ion SP«n �.i�t�• �f.^r9�L?=s'ro-� <br /> .i A - l�2•ih i��d2 T iJ`.=i��a�s ���'rGLn,+:t S $�-6t'2->�' <br /> c GN�cirlo L� ��f 2C, FgnGfy Owner cr O afar C.rll�icatioa o!raQ'r of boiopdoos oraler:o.s mvw..1 b t{.is r.wndosr or,poled in{Lem i 9. <br /> r T Pr;nrcd/TypoA Nan'° ) S cytaWr. Malrtt Goy Yew <br /> r �� �� ERA/lf 6Z �O/�l� - / D1� <br /> DO NOT WRrTEIELOW THIS LINU <br />