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Please..p'iiu( or.Cy(i9+1 .L_ _ . . . . - <br /> Form Approved, OMB No. 20SM039 <br /> 2 Page 1 of 3. Emergency Response Phare 4 ao j T ng <br /> 1 4 <br /> ' UNIFORM HAZARDOUS liftbor <br /> t • Generator ID N6mber1 . <br /> ' ' ' B9 • p CJ} O r <br /> wAsre MANIFEST CAL0002758O0 : ,, '[ ° 8I 25fr828 - � . QQ i.I K <br /> �• N �1 rpY <br /> "—GeF>arata{SSitO ' diess�if:�tNeentl�agmailfr0,addLa? ti I <br /> I S catoc�rusr.CiCQI � G:QS ; 3� .. • -. <br /> _ ° <br /> o7%..do+)<yi ►e' Stocidon , CA 95206 <br /> 'l;ontana, CA92337 l <br /> .:.. . . .. . (209) 3'53- 190Q..,::. � _ <br /> od Genera sd3Fio»e: -- EPAID <br /> • aL•�'pnsPorcer•.ttea'npe�kNa'�: ,; .. _. • ..._• . Number' •. _ :_ <br /> 'US; . <br /> P>b ,der'E vlr�r3 liii(MGorvices, Inc 3 , <br /> CAR000 � 07:37 ; <br /> 7 77a!�apw m It <br /> - w._iLinv Names, - US:F$AfIDNU!ritle <br /> i <br /> w. <br /> t too, <br /> . ts;:�Prlo:Nu+nbon; . . r <br /> E <br /> Hwy'951:19 VIS of Beatty. <br /> Bt�atty, Kv_e9003 Q7 1) 553-22Q3 .-. - - <br /> _.. _ <br /> NVT�30010(10a,. <br /> :Fea7tysAhone:_ off. <br /> _ ._ .. _ <br /> Is gat r ! 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, : . 19, Containers _ ti: Total 12, Unit II& Waste Codes <br /> FIM i : and Packing Group (If any)) _. . . .... . No. Type Quantity WlNd,l ! <br /> ' <br /> +y+y <br /> 1. '— .. — __ .. _ . 0000.:. •-- . ' • ' <br /> .. .. . <br /> i n i X UN1 $23 , Waste Sodium Hydroxide , Solid , A iI -s.:' DFi fX3 ' :, p ) low <br /> .� <br /> � . <br /> so <br /> �. <br /> .. . r <br /> Off It <br /> i • � <br /> t'4�; _ _ . <br /> , : Hti'' , ' daut,cira,s: . . - Ittroritiago»j _ <br /> soft <br /> a,tota <br /> t <br /> t6.GENEAATDR'SIOFFEROR'S'CERrIE1CATlON, thereby declare Ihat the contents of this consignment are fuly and accurately described above by dre proper ehw1ng nemej and are dassffled packagrd, <br /> 44 marked end labeled!placarded, and are In all respects in proper condition for transport according to applicable lntematlonaland national governmental reguiations. N export shipment and l am the Primary <br /> Exporters I certify That the s crrlenls of this consignment conform to the terms of the attached FPAA0wfi1ed mant of Consent <br /> 9 <br /> igtgfY.rhat the waste minin! zaUon statemrnt Iderr4fied In 40 CFR 282,27(a) (N I am a large.:quamllKgenaraturj cr•(b) {ffl aIf <br /> m s strap gir¢611ty generator) la rue. <br /> 1pon = p Yeen j <br /> wP i <br /> oj'sPnn <br /> i .aLmofsr • floy o 10 <br /> Im <br /> r�� <br /> a' <br /> of iw� <br /> U <br /> �—T - - <br /> Q& @i1€ma '•. .', Shrpniegts•. S xportfromU.S. Potofen6Y <br /> �. "! - 4 <br /> - 10ImporttoU. 4 — _ <br /> r Dafelayfog U. i _ ti <br /> ? ;Ttair3potterssigflatura'lfa'e$p?rt3on?Yji - _ _ <br /> __.. ,..- _ <br /> T7. TrenspoderAdmos.44meni ofRecalpToflitaterials. - - <br /> 7ransPa�YeG'1 P.rtntad(Fppetl:Nama " 1 .8- - "` —IV <br /> - MbnIR'r D.ay; `'Year ' E <br /> 4 1.4 1t. 1*0 so <br /> fooss. s r ! t R i <br /> TiatislFalar2Pttntedtiy edtrI& oft is <br /> ; dpplh' ,to Year` <br /> PIT <br /> tB. Disrrapanc _ . ` 9 _ .. . <br /> to <br /> _ . . . <br /> y T . .. _ <br /> 1 Ba. D(saepancy Indieatien Space Quantity IJ type -n42eskfue — Partial Rejection ❑ Full Rejection ; <br /> . . _ ._. .7nli>sstRefuenee'Nimiher umber — -- <br /> _ t <br /> . � 18b:AiFt'<nate EadlBp;(apGararator�: '— . ""— . ,"'-. - .. . •. R • . <br /> �. to <br /> 1EPAForm8700w22 <br /> ' sPhone: , r ":.yeaz f9itaiWe4T'Nof <br /> (( {;... ti. ._ _:0 .?r'dous4JagMethodCodes (Le.tcodesforhazardouswastoheatmant, disposal, Gridt cyr� trip'sg }ems}•: :_ .3. <br /> •r.LLJ i <br /> r , . ;�..: '' iWl_'wf F2q yion of rece$!1 h9?drdous materials ooy°rrd!?y the manifest except as octad In item_. t8a_.61 -:r ? 41edFfy�adName: -' '_ _ so <br /> ,—IL <br /> .,.._. . _ _ -, — DESIGNATED 'tr C U: YIC EPA`s WANiEESTS. � EIW87181-22 (Rev. f2' . ; :i:Pf¢VloFta editions eio�isafel8: ' . - : . . <br /> • t <br />