Laserfiche WebLink
"1 "t 4P <br />Plasma ndnf ru fvnP rFmm _ • hu a" - m r17-niMhi 1 <br />Fmm AMR Nn 7fL&M'A9 <br />Form 8700-22 (Rev. ►tis are <br />UNIFORM HAZARDOUS <br />i. Generator ID Number +� <br />; w , $0-A1 <br />2 Par 1 of <br />) <br />3. Phone <br />� .. ' �> -~ eta <br />14. T <br />00371 <br />WASTE MANIFEST <br />L_ <br />5. Generates Name arsf " Ste' (if than ) - <br />gg ;�y� <br />Pr <br />40 <br />S DA'E O5`'Sri DAVIS <br />5 0! U r <br />PfT-,PD-NT` <br />1A 9.5205 <br />GeneraWs Ptnme: s ' t ` 42i-.5900 <br />6. Transporter1 U.S. EPA ID Number <br />,�'AFE)' ,. c f.. $° YST 3, INC. <br />7. Transporter 2 Company Name U.S. EPA ID Number <br />8. Designated Facirdy Name and Site Address i.)r 0 )3 ? U.S. EPA ID Number <br />r <br />b F -.AT , 4� , N MOO' <br />�) <br />Faca'tity's Phone: <br />9a. <br />9b• U.S. DOT ( Proper Shipping Name, Hazard Cass. ID Numbt� <br />10. <br />11. TOW <br />12 Unit <br />13. Waste Codes <br />No. <br />Type <br />HM <br />and Padit Group (d any)) <br />WtJVoi. <br />1 <br />50—M, , t O. <br />��ht`' <br />)gym <br />r <br />( t <br />5a, <br />qO <br />t <br />01—HR MI U ) .� NAM' � a <br />'u <br />W <br />ui <br />2. ){ ;a} res'^ `t4fl I`_ A'UEs a ei P S (LEAD, <br />4. 1 <br />i° <br />P <br />ra�4L�03 <br />D ZA'z <br />ii IM -1, <br />cHfall" 1. . 9 x�1 _ Ti <br />:i a <br />16.1 1, <br />3. <br />4. <br />14. Spedal and <br />T. � f, 1 ) �: 6� 711 <br />r-' 4 R € a i`E „ C,— 464' 1 arz'a# aT ) 3.: %"`.ha <br />WHORIZED— A CARRIERS f4�:,,. f"i:s <br />15. GENERATM S CEPt1FICATM 1 the tro of tris areb* atM abm+e by the proper ' nam, aml are <br />marked acrd " carded, and are inat in fwand t export arm l am the Pn mary <br />Everter, I certify t ft of ft ° . to the m the EPA nerd of <br />I cerl3jrtl�at the waste m . in 40GFR 26227(a) (d t am a large quantity or (b) (di am a snag quantitygenerator) is tare: <br />Year <br />o � r <br />- <br />F— <br />16. International S <br />❑ Import b U.S. ❑Export from U.S. Pat of enhy/exib <br />z <br />. <br />Tran for '- ---, Date U.S.: <br />W <br />17. Transporter,rem Receipt of _ <br />M� <br />T 1 yped Name _- Month y Year <br />' .sem far >r s ry <br />ZZ <br />Transporter 2 Printed/f me` ay Year <br />18. Discrepancy <br />18a. Discrepancy ' Space ❑ [—]Type ❑ ❑ Partial . ❑ Fhb Rejection <br />Manifest Reference Nhumbec. <br />18b. Alternate Facey (or ) U.S. EPA ID Number <br />V <br />Q <br />;I <br />F s Phone: <br />W <br />18c. Signature of Faci ty (or ) Month Day Year <br />Q <br />Z <br />19. Hazardous Waste Report Godes (e e., codes for and ) <br />1. <br />2 <br />3. <br />4, <br />20 Facility Owner or m . of byte except as noted in iron i8a <br />PrintedlTyped Month Day Year <br />EPA <br />' .3-05 Prevased" _ r_cahc®arno9c,nrrrra, r•nov <br />Form 8700-22 (Rev. ►tis are <br />