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L -0 (P <br /> D ZTj 0 <br /> cCl) O w o <br /> O o N <br /> Z mo o . <br /> G1 No < <br /> D p a <br /> > (D 0. <br /> z / "� 3 <br /> M �., WMrEyr f <br /> v <br /> 2 " —h U) <br /> Cn peasep t hon. — — (D CD <br /> UNIFASAy ARDous * .eras io+uumaa _ C <br /> Te Alah'IFfST <br /> AlAe <br /> �C`�'ne�aWa Name alp Mayirq 9tlMeav—�'T�V1B �f'°vetm pence aeeMmeeni..e a. N,t F�Nnmew <br /> ' 020444963 ,Sy, <br /> INOIr�iRUCIc i T1ialER'$o� CSI)cPea ator,sa,.aeuin,z to nmereni than maii,q aanrceai �J K <br /> usrRML r aA Y y O <br /> �Nbnm,,,s H'aool.anro.ca <br /> 6 Traeaarnnar Garalsany rvrme VI <br /> reanzwner2 fonyy�Y Name RAh109 ENVIRONMENTAL SERVICES 1Nc- s epp to wzmtsr <br /> BLpr� <br /> agnatrb t•av Noma and u.s EpHtO NtmperG� Q <br /> Mr stmaaa,naa <br /> PACIpIC RESOtJRCE RECOVERY <br /> 3150"S7 PILO HLVO- u.s.sPn tP Number O <br /> Faan7's PM1.e: <br /> 8004199-7145S.ANGELES.CA 90025 Cr`57006+-,.52405 -0 <br /> u 5.❑OF Qesupnon(�duE;rtp proper Snipping Name,Hazard Glazs.Ib Number, <br /> 1rM grid vad,Mq Gmuo nranvn ta.Gontainey � <br /> uN1 070. <br /> Nv <br /> 0 a'-Tout ti.enit O <br /> WASTE ACE-T[1NE,3,PG11 Tvpo vanLN wt Iva sa.waste Coats <br /> O �I <br /> DO Dr" <br /> S 331 0� Foo {P Q <br /> rD <br /> N <br /> 04 <br /> 3 <br /> Q <br /> 3. <br /> IV � <br /> o n <br /> to — <br /> 14.Speaar kfandf gInslnrch'orls aneAdtlltiohal Inforrnalion �G� <br /> 98f)PROF11ENt ERGYP72a O <br /> HRNCr_ERS TO 8E'rRrVNED AND USE APPROVER PPE. <br /> E.R. CONTRACTOR:RAMOS ENMROMMENrA.SERVICES <br /> I5. GENERATOR'SfOFFEAOR'S LERTIFlCA71ON: <br /> .,--y..are that the ountents,of This consignment.are fully and acc>,ratel'�tihed anove 4 the rotes O <br /> marked arse labeled/placarded.ands.in all res ets in Y Y fr per shipping name,atd aredaasitied.packagetl, „ Q <br /> pproper mndit7on far hansport according to apPlirable intemail rnal and national governmental regutatitms.If export shipmemarW 1 am the 4nmary <br /> Exporter,f mrary Mat the mntents of this consignment mnfemr to the terms of the attached EPR Rcknowledgment of ConsentQ <br /> , _ <br /> l Thal the waste minimiza5on statement idenfifietl in 40 CFq 262.27(al fit I am a Targe quantity genera[ori o b) am a s II q nYi4y general )Is Vue. OL)Gener p s/Ofrer is Primed/ eOName Signatur MOM Day Year :3/ Q <br /> I .lnlgmalionai Shipments 2 n <br /> ❑Import to U.S. ❑Export tram 5. art of an leKiC Ol <br /> Transporter signature(far 0,pons Only): <br /> Data leaving U.S.. <br /> W 17 TransporterAcknowfedgment of Receipt of Materials <br /> Transporter 1 Phn(ed?yped Name !L <br /> O / Signature Month Day 'fear r••H <br /> y A.j <br /> kyrle f'!s Ik <br /> 2 Transporler2 Pnnredlryped Name <br /> -917SignaNre Month gay Year <br /> 18.0rsa-epancy <br /> (D <br /> 18a.0iscrepancy indication Space Quanti <br /> ty ❑Type ❑Resldue ❑Partial Refec4Un ❑Full ftetaction O <br /> 0 <br /> Manifest Reference Number: O <br /> F 18b,Alternate Facility{or Generator) U.S.EPAIf)Number O <br /> _J rF <br /> U � <br /> If Facility's phone: Q <br /> w 78C.Signature offAllemate Facility{or Generator) Mantkr uay '(ear 0 <br /> Z (DD <br /> v <br /> 19,Hazardous Waste Report Management Me(hod Codes(i.e.,codes for hazardous waste Ireatment,disposal,and recycling systems) <br /> of <br /> 4. 71 p n <br /> � O <br /> v Q <br /> 20.Designated Facility Owner or Operator:Cer4fcation of receipt cf hazardous materials covered by the manifest except as noted In Item tris <br /> PrintedlTyped Name Signature NK1Dlh Day teat = 4t <br /> 'A Form 8700-22(Rev. Previous editions are obsolete. DESIGNATED f ACILITY TO EMS e•MANIFEST SYST' o <br /> v <br /> (D N <br /> 00 <br /> CO - 00 <br /> O <br /> r9 r <br /> y.wd <br />