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C— b W W <br /> CCn CD <br /> O fV CD <br /> O o D <br /> G) N <br /> iv ~ c) .c-F <br /> 0 <br /> - 00 <br /> r,xm A tnYnn.aMfl No/,i'o,u 5" (� N <br /> 0•r' alllo Sl YpVtch MK^t°t.) Plwm • •r Tr•�•ntq umber <br /> "" roNw Dn x page 1 N 3 F:,no,VenvY P?eW^•• 4 7 2 4 5 JJK N <br /> CAL000351183 0 0 3 5 1 1 9 3 1 {8 00}424-9300 v <br /> Gennr• ea•Mtlnw 6l alrtarenl then tnanlnn,Mdra•ap <br /> ST CJt `G <br /> Adae•s <br /> -TRO-2^31695 <br /> r` LAZA Wx <br /> "'r-)PLAZA P G.n 3530M1 <br /> 209 89'.5 4821 LLs.EPA1D <br /> Nre+• CAD8277Oar; <br /> nR10 pf1 ENVIRONMEN I AL r;ERV1C ES <br /> ^^ O <br /> U.S.EPA IA Ntin,b,.v <br /> NONINC <br /> E�LVTHB YLEAVENUE <br /> 90058 CAD097030993 ID <br /> L37 SOELES CA N <br /> x unt <br /> F. I Priaw lino ftncluding Pope,Shipping Name.Huard Cl—.ID Nntnbcr, N.Cantwners yP" t t.CVlal 13.WaSta G�MI= <br /> T ormn4ity Wk NO <br /> I ,u �yptp arryll 1 O <br /> J 131 CA <br /> "' ,NO*R[RA HAZARD��US WASTE.SOLID(BRAKE LATHE SHAVINGS) 0 PCA <br /> DM <br /> CSD <br /> 1 � <br /> CSD <br /> O <br /> cr <br /> rn <br /> CD <br /> t Handling lriswchuns and Additional lnlormalipn <br /> EMERGENCY CONTACT CHEMTREC 1-800-424 8300 WOES TERMINAL:CERES CS NAERG#9811:1 PRO FSE#9131: CD <br /> 61 00079117*APPROPRIATE PPE EQUIPMENT <br /> 0816 BRAHE LATHE SHAVINGS *P5D� <br /> ° t5 GEIIERATOR'alOFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fuhy and accurately described above by the proper shipping name.ardare Ctassirled.packaged, t! <br /> Ar myw"labeledrplacarded,and are'rn all respects in proper condition for transport awarding to applicable ell and national governmental regulations.11 export shipment and V am he Pdrnary <br /> 5� <br /> ty that the conlenls of I <br /> E,gorter.l ceYM1tis cons9nmenl conform to the terms of the attached EPAAcknowiedgment of Consent, rator}is true.. O <br /> I oerary that rhe waste minimization statement identified in 40 CFR 262 271a of I am a large quantity generator)or{td(if i am a Small quantity geneMonth Day `fear <br /> Signature e�-r <br /> ypedName b <br /> 1E,k*maaona!Shipments Import to U.S. L1 E.10 I—U.S. Port of entrylexit._ — — --- CD <br /> Dale leaving U.S.: ¢, <br /> TrAroarw-,4gr Wmu Lor erpwts ODM: <br /> Ix !7 TrdrrsyalterAdaawledgmenl of Receipt cf Materials Monih Day Yeat CD <br /> •,nsporter r Pnrttedrfyped Name Signature .�-r <br /> r� -�..-v 0 7 CJ cro' <br /> a Menlh Day Yea <br /> Transporter 2 Pneled/typed Name Signature Z <br /> a <D <br /> 18.Dwrepancy <br /> taa.Dscrepari yl4dlption Space ❑Quantity ❑Type ❑Residue ❑Partial Rejection Cl Full Rejectiun <br /> Manifest Reference Number n <br /> U.S.EPAID Number O <br /> t86,Memo Fa lfify{a Ceneralo) -O <br /> J <br /> U <br /> ua Familys Phone: Mol* Day Yti <br /> Lu <br /> t&S gnature of Wternale Facility(or Generator) ,1 l <br /> d O (D <br /> Z cn C) <br /> 0 <br /> }9.Hazardous Waste Report Managemenl Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) Cv 0- <br /> W f 2 3. 4. <br /> 20.oesignafed FaCifily Owner or Operator.Certification of receipt of hazardous materials Covered by the manifest except a5 noted in item 193 p <br /> PrintedTYPedNameSignature Month Day Cn <br /> v � <br /> CD Cb <br /> _ EPA Form 8700-72(Rev.3.05) Previous edilions are obsolete. -1:10 DESIGNATED FACILITY TO DESTINATION STATE(IF REGI <br /> o ' <br />