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htQN-HAZARDOUS 1. oenarstot's V$IPA'D No. hu ni+oat 012 a. Poo* <br /> MANIFEST 9.` " " x 4/22!2004 <br /> WASUE 3. Opneratorls,"Pme and Mailing Addrwci <br /> F.0 0903 <br /> 13DRR>JGO SPRINGS CA 9�2s004 <br /> !�. C3eRRra_ia�rs_PllOne( � ) 701-6600 <br /> 7, rra! mpofmr 1 Componr Name a. U&EPA IU?umber A. 7"anspansr't vFK,n♦ <br /> �FIL7U RECYMING SVS, INC.-NO C,A,K.0.0.0 •1 .2 .9 .3 .0 .4 (510)670-9901 <br /> i 7 Trameporw 2 Company Name a, U$EPS.rC Number 6, Trdntpertrr's Phone <br /> 'Filter Recycling Services, Inc. C,A.D.9.8 .2 .4 .4 .4 _4 {909)873-4141 <br /> 4. �es:pnafad Fadity Narue and$its Address lq, JS IPA IO Nymoor C. Facihty'x Phone <br /> Filter R-_6ycling`•Services, .Inc. (909)421-2012 <br /> 180 W. Monte AVOMe <br /> Rialto, CA 92316 C.A,D.9.8 ,2 .4 .4 <br /> 12T.JoC,aMai7nrt)ret <br /> 11. wash swPP neNamr and Dwwriptior, Total Unit <br /> Qw*ntl <br /> Wt Vol <br /> r�.NON..,lig\�AGtil!t]L IS.1Ye�,5TE._SGU..1 L3..-------..._. .._r....-- -•--�__._ -. _.-..___.__....-..-..�.—_-.. ....,. ... / �} <br /> ID M, P <br /> �� E <br /> A <br /> I <br /> Ti - <br /> Q. Audltlona4 peecriplidne fcrµa+trials L sted Abvya E. yan&-79 to dei for Wastas listed Altiave <br /> IlA)SOI1 <br /> 5 <br /> 1 Sp 4 tool Hondlin ins" a.d Addi+iann!'nformatiun <br /> l EO <br /> !Wear appropriate protective clothing ADVANCED GENV(1"ISCO WAREHOUSE) <br /> 1648 SHAW RD- <br /> 124 Flour Emergency Re$Porlse # (409) 721-2038 STQCKT N, CA.95215 - <br /> I RILL SLAY SALES <br /> i <br /> 7A 6iNG$ATOR'S CLRTI !CATION: :crib,Ia henreit drenhed aba.s o� rnK n,anUM are oat ,object m federer renulefMAf ,w •sporting proper d'npoeal et Haer✓daus Wos+e. <br /> Printedi Typed Homs I ytpnatu Month per seer <br /> T 17.Tronmporter 1 Adcnvwir smant of Recei +o+Moferials <br /> nth Gar • <br /> A Typed r `Sipn <br /> le,Tru <br /> r— us Aer 2 Acltnowlsd�sm anf e+Recei 1 04 totrrioi. __ _ _ .r r— <br /> Tg Printed/TYpsd Name <br /> Ylonm Our vs., <br /> R! i <br /> 10.Di+treaanCT!nd,cotion Spate <br /> n! <br /> GZO.Faoim/OwrtOY or Ooerow;Corsl+fcotlOn of rfcripi of.wale materials corerOd br this mani+raf-60f ai noird in Item 19- <br /> I <br /> T FAeMA DrY Yee! <br /> r � PrinndlTYv� !9ipnoture <br /> i Pi1r+'r+ S <br /> I c._ <br /> ' ORIGINAL RL67tJRN 1'O GENERATOR <br />