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IliiiigilNl alnrm >flfufm <br /> art �K cIgIlro11 ?? E1 ' 341f4 _ti o o 7 0 4 D '3 Z T S K $ <br /> Ftx0m, ed, OMB No. 20500039 <br /> Pie sse l of type. _ - - q, Tru kl/n�p M(w�cr6er 7 �1f S <br /> Generator to Number 1. Papa ] of 3. Etre _Z:4 " <br /> UNIFORMHAWDOUS C�AD9AP33F, 1 �r1 fG'��'1`� 1 prow <br /> WASTE MANIFEST _ txeratAr s 5�te (� derentn marne edd assj <br /> 5. Generale a N;mTe an4 M0rg Address Alcj (' r, of Hogan Mfg . , <br /> MarraTrailoTrailers dI nC <br /> GA 95205 -7790 <br /> STOCKTON ��R9- 6"aa - 7 �23 <br /> f�akx's Philter - • _ U,S. EPAtf) Nemoer TX RQIQI171QIa 1 ^�t5 <br /> r:, T` . 1 . <br /> TYm L�F.tA SYSTEMS TNG Us EPA �ONumber <br /> 7 Transporter 2 Company Name MAn0�93i_�r^..Cit1 <br /> rl _EAN HARBORS ENVIRONMENTAL S � _ . _ U.S. EPA WNumber _ <br /> B DesignawdFad tyNanaend $ taAddross CLEAN HARBORS ARAGONITE , <br /> 116 0 NORTH OPTUS ROA!"" LIT 840PQ <br /> ARAGONITE , i IT59815 ��= l77 <br /> 415 - 804-8100 <br /> Fade s Ptwne.and Pecldn4l GmP f+1 ") 19 Containers lit To'ar 12, Um 13. Waste Codes <br /> Des <br /> 9a. <br /> 90 U S DOT 001"0 (iPrOW Still NamNo Type e, Hazard Cass ID 1111 Qu&*y t4Y1Voi. <br /> HM _ - __ �M � � A tis <br /> NON -•RCRA HAZARDOUS WASTE , SOLID , � — <br /> 0 SriAIbT BOOTH FILTER ) , <br /> � - 2 <br /> w <br /> 3 <br /> III It <br /> C(S�G <br /> 14 Speciat Hand►na trials drm A It auu ►nxm +gin TSD *0AG 79BO9664 MU 17758 � 10d o �� y <br /> t <br /> 248 I=MI~ RGENCY # a00-kf�8- 760-CH / SK / TFI --Contract retained by generator confers a envy aVtori Y <br /> 1 • - <br /> 15. GENERATOR'SIOFFi :0 CERTIFfCAT10N: 1 ttaroby dedere that iiia wntents d tris arrs�nmem aro hfJy and axuralely aosrxioed aCove by be Pr oowr sshpppmazg mmol and � <br /> nw ked Md fabeted Ocarded a:td are in all respects n proper wrxYoort for trarspal acrbrd og to aP abo ud mdow t of Consennd national ONMw �ttal reg: p� ft"M <br /> Exporter, I certi'y @rat the wntents d thn cunsig rro It contam to the terra d the akadvd EPA Ask vA4w3'rten <br /> t cer@fy that fhe wasto mnkturnt ort sAiternenl kfentlfied 'n 40 CFR 26227(a) {J 1 am a urge quantity goneratorj a lb► Gf I am a s/rna�# q antiry !�' tm) rs true J_ Da � e ar <br /> C tntsJpflerors ffinlediTyped Nana r^°''�r�j" `ryJ <br /> F .t8. fntematlonal hipments Q Export from U S, Pore d enwex l <br /> frtpori b U. 5 Date tcayrtg U.S.; Will ME! t <br /> TrartsDalor sr}talu a i�+ exPat9 as>fY'r: WOMEN m <br /> 17. Transpate� Aduiowle W*N of Receipt Of fdake+tals )Awl y Y � <br /> a T e 1 PiirLod/1 Name 4 <br /> O Itortth Day tear <br /> a _ Sgvture _ <br /> Trarl 7P �tat'J1 <br /> 18. Dsaepa� Residue <br /> due L Pail Rejection C1 Raiection <br /> i8a. Diwepancy lnatan dr Spax Ouantiry Type <br /> Maaitsatatetemme Number <br /> U.S FPA ID NII <br /> 18b Memale Fadily (Or C ata) <br /> i di. Faalil/s Phma. _ _.�.�..-•—". _ 4anth Day Yea <br /> 1tk, s m1ure of Attema% Fadlty (x Genereddl <br /> 2 19. Harardovs ylasle Report Management Rledw Cods Pet, wiles fa hazardous was`s treatrranl, d sposal, xrd racycb p systems) OPINIONI IMMUNE <br /> 4 <br /> LU 21 <br /> 2t1 Des'gnatod Facility Owner or Operator Ceroiedtiat of reoaipt of hazardous materials wvI by dxr mantasl ? as ria fn Itom 18a, MINNOW <br /> th Day Yew . <br /> PM IL4 <br /> _-t2 r' �,ou3 editions ore obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> EP9 )o���3B�% <br /> 1 _ <br /> j <br />