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<br /> �M61'lo 2050-0039(Esprres 9 30 991 See Instructions on back age 6. Gparlme st of Ta,rrc ubsIonper cot
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<br /> UNIFORM HAZARDOUS I&
<br /> Generator a US EPA ID No Morideat Document No 2 Page 1 Infornaauwn to*4 shaded orm"
<br /> q not required br Federal law
<br /> WASTE MANIFEST A .'Z 9 I $ S I 1 9 °� f
<br /> 3 Gensrclar'1 None and"litsg Add cess A, I f7ocrlsMrtlr sr",'J �
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<br /> N S TronrparW 1 Company Nome 6 US EPA lD Number ,alr0"o lJ i 1p+tf N; t
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<br /> LN RAMOS vNyTgnNmEmt. SERVICES 1A ID 10 ]-/A 14 10 10 1-1 1-1 Ir, 1r,
<br /> 7 Itanspormr 2 Company Nome 11 US EPA ID Number f(a tSMp}! ftNtap�►r�ef"i Ip, h I
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<br /> 9 Designated facility NNameuand
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<br /> Address �p'fr/��+ 10 US EPA ID Number �i. ShIft �I� �� � ;ir• 1 ?r +-+r i F
<br /> nZ RAMS rill l IROJeKEN!AL1 SERVICES
<br /> 7?at 1515 SOM RIVER ROAD, '6TSiT SACRAKENTO, CA 95691 ;+, , ll >*� q�q , e .�•t�wr i'�t' ` ' t •,
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<br /> IC ID 10 414 1010 L3 r IrIT k �jlpKa
<br /> It US DOT Description{including proper Shipping Name Hatard Class and ID Numbed I? Conrarm No wt/vol1] Total 14 Untl -{,
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<br /> 0 1 S Spat wl Flatsdltng Inthwettans and ftdd,ttonal Information 5 V 4 U'
<br /> Z HANDLERS BE 40 HOUR OSI[A/SARA TRAZHFD V
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<br /> AND USE NIOSH APPROVED PPF..
<br /> FJiEttGHICY O0-91AL T: I 1-5747
<br /> Q I4.GENEIATOk'S cunpicAnoN 1hereby declare that the canNn[s of this consignment are fully and occuralsly descrsbed above by proper shipping name and are classified,paced
<br /> U iwrfed,and labeled,and ore in all respects in proper condition for transport y highway according Ia applicable aHernot,onal and nolional government regulations
<br /> If I am o large quantity generator I cerhly that I hors a pr tom in place to reduce the ralumr and toxicity of wane generated to rhe degree 1 have dsuranmed to be ecanan,coll
<br /> H practicable and dtw I home ssfec the procncabls rnetho4 of treahnent,storage or disposal curreNly awrlobte la py which minrmues the presets and lutwre threat to human health
<br /> and as me
<br /> Good! ao I tl I am�small%wanly generator I have made a goad faith effort to rn,numiss my waste ge"ralion and select the best.osis monagemsrw meshod Heat,s
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<br /> available to ete ottd Iho+1 wa afford
<br /> Z tMtnwd d��nK.rr /.4�fir,/ Srgnah+r / �� Month Day Ye
<br /> su T 17 Trop ter I Acknowledgement of Receipt of Mosionals
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<br /> P+r riled name Signature Month Day Y.
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<br /> LJ- ti i 8 Tions ter?Acknawl amen!of Rece, r o)Motu,als
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<br /> riled Narita S,gnmure Month Day Yr
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<br /> Fl9 Dwilop,NCy"cation Space
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<br /> 1 20 feciloy Owner or talo!Qrttltcahan of rete! t of hatardous molerwls covered by thismarmdest except at noted,n Item 19
<br /> 1 ►ruriedlTyped Plums Signature Month Dar Ir
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<br /> DO NOT WRITE BELOW THIS LINE.
<br /> DISC 0022A(41971
<br /> Yellow GENERATOR RETA11
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