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:print or type. Form Approved,OMB No.20511-0039 <br /> UNIFORM HAZARDOUS 1.Generator iD Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number nnp <br /> WASTE MANIFEST © <br /> ).ilClli. [�tff3f ! :rI i i` i 7; .'a_i F _ : <br /> 5.Generators Name and Mailing Address Generators Site Address(if different than mailing'adffress) " <br /> }1a,r PINEEI l U- 11 DR "it'll t-,mo <br /> 6N14 4�1._f'`IN7_YREf 4telH it I' <br /> Generators PhonB f f,."+4E£E't??Lr' -<n:v,14'(`iu. 4,CA 9WuCI <br /> 6.Transporter i Company Name U.S.EPA ID Number <br /> 7.Transporter 2 Company Name U,S,EPA ID Number <br /> Itr11+1:1QC109'1"9..24 <br /> 8,Designated Facility Name and Site Address U.S.EPA ID Number <br /> I1i6 S VVI 1TEF R0 C Kftr), <br /> RANCHO f;:Oi"if,3OVA,CA Orj-je4 2 <br /> Facility's Phond1flL-:3bl-(kiff11 <br /> ga, 1 r9b.U.S.DOT Descripllon(including Proper Shipping Name,Hazard Class.ID Number 10.Containers 11.Total 12.Unit <br /> HM and Packing Group(if any)) 13.Waste Codes <br /> No. Type Quantity Wt.Nol. <br /> yy 1. <br /> '4 tt1R1Y� <br /> 1,AVIATION,TtIR:FINF-♦� 114� i� f1� <br />