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5"d of Cmler7r `� �w`" -� -l�ril l ��__ <br /> n�--raM MnmeMdt PrefeefrenAp*ery ! �r�r+l L <br /> Fane Apprau.d CME Na.2=-ocsvf�srres wc>961 See Instructions on bcifk of page 6, Peporbn.nt of losr_subsranoes Camra, <br /> Flaw peer er grps fern d..pn.d l+r u.wn.le.(T7preh)"—m, Sacramento,Cairfamie <br /> UNIFORM HAZARDOUS <br /> 1 Getrerotars US EPA ID No Ma fear Document No 2. Pape t Infarmadan m lire shaded arras <br /> WASTE MANIFEST � �/J� �� , 1 tt n�rsyulrsd b/Redual lav <br /> of <br /> 0 3, O610elar'e Naps vnd I.lollry Addrts+ <br /> 7 <br /> 5r'�o+�N� <br /> ill C lW,' `r '1`'1� `tti Pf a �jci3` �OQ <br /> Sr0 27?2t3l E p p� <br /> + [3artensrars Anel 1 SA-. <br /> d Trot porter l Company Naate 6 US EPA iR Number k <br /> ;- Trident Truck Lina ICIAID19181214181 131710 <br /> 7 Troatporer 2 Company Marne a US EPA ID dumber <br /> V � <br /> LO I I <br /> LO z 4 Destarrd Facility Name end Srte Addrers 10 US EPA 16 Nurnb.r <br /> pnt 1 r <br /> T <br /> 00 <br /> I1 115 12 Cenfemert 13'Total 14 Unit <br /> DOT De14nj;flw(Mlyding Proper 5hrepinq Name,Hazard Guar and ID Number) quantlly wt/vol <br /> a <br /> 1E " - o o 2 1112 51210 <br /> N b <br /> � f <br /> C'i R <br /> At 1 <br /> m T e <br /> O <br /> ce Lj R I I <br /> z d <br /> LU01 <br /> { I I <br /> r s ! r r Y Fiandhnb +xi.s f, tat <br /> + <br /> Q 13 Speclal ffandluto lnrrrvcian. and Aadltianal lnfart Mon <br /> H <br /> s <br /> T <br /> r <br /> 16 GENEEATOR S CERTIFICATION I heraby declare that the eantenrs of this eanctgnment are my and eccunatey ae.erlbsd ebave by prowihlppbsg norm and we rWgRad I <br /> packed,marked and labeled and are in all rasped;in sxaper ormdutan far Iranspor'by Nghwoy aceardi-+o To applicable Inrerngnond and notuartal aovomme:m reaulorlans. <br /> J IF I cm a large quanl0y venercwr I cwtRy That I have a program In place To reduce the volume and toxiciry of waste aor6rored fe?ho aeoree I hove damtminrd to be <br /> p• ecanomlealiy procrcable 'wd rlsat I have xlcttcd me aracdcablc method of Treatment,rto(age or dsparaf currantly avollabfc to mo"Jch minimizer the present and future <br /> Ln thNeA la kuwan hdom and Ih. onrro—ij Gk rf I am a small quarthry gen.rafor,I have modo a gear faith effort to nil-lntlze my waste peneeaflor and sateet As Lest <br /> pC waft mane emenf melhod tsar h omlahle la me and thal I can afford <br /> (� �Artnd d Flame r F6t �� �j S,pr.ahrre Moak Day Year <br /> I e � r✓ Z)I <br /> LU + 17 Tr r I AdmevuAd ement of rtocr r at rlaterials <br /> N pflrvad/Typ•d Munei Sip> sere Mo.ff�I Day Yew <br /> e 1V� I fLi�r ---— 'C I vi17 <br /> LU ` 7A trans onm 7 A^knurled ement of AMcehst of Mcaerlafs <br /> Lt. y °irshd/TypedNteme Srosarurc Moreh Day Year <br /> E <br /> r <br /> _J + <br /> 1F Dlsenpe Isdkerrert Spaee <br /> x P <br /> zl C <br /> IL <br /> I i2a Faeyl Otmer Or raMr Ceri,$cohan of r.eo a hacca au=M*4004 cawrw b this marHstt oxer r es wedIr Nem IV , <br /> T Ped/ Name Stgnolu M°Ni Day Year <br /> Y I �l 0 <br /> DO NOT WRITE BELOW THIS UNE <br /> r Cr•'vc -fig COm TO bTSC W,''tslN 30 ❑k7S <br /> OTSC <br /> EPA nm---7OD—z2{1J4S) N Sti' Snoumet a CA 9-561; <br />