Laserfiche WebLink
lVEDS;IP 11 13 09:34a Panella Tru k - 2 -942-4680 P.1 <br /> u 11 1"��'�CUt�'1ov~w <br /> Pteasuprote type iFo I rm desipnedforuseoneNte{ �; Tef� � ��` <br /> • �� Pio � � Fora A-opravec•.OkdB h�.7J50-�3� <br /> UNIFORM HAZAPDOtl3 7.G rzraku 14u xb. � e ��p L. atsa Plxxe 4-Manifest Tracking umber t <br /> waSrc R11A�lfFEST ��t T :3*�`. g 1— - - <br /> 006-1785207 LE <br /> B.Geoeraforstdsmeand E" IrsgA.Cdra Gene^ator'sSleAdclrow crt• erltl mzi;irgaAcrss.t <br /> SMO E.Frms <br /> .... f,CA. <br /> OM <br /> Gararata a Peon= <br /> "dnsp6rtart rtpp-ri,+area U.S.EPA 16Afumbe- <br /> ncac9 Chmmkd Tianagni Ile. ( <br /> 7.'r ransprate:2 Camoarry rtia:re Vs. PA f-)Himbor <br /> t;.fesip-to FaaGtp Naar;axf SIS A.ddres€ U.S.EPA C Nuntier <br /> SIN Ed�Bkd Twonm <br /> NMOOD22ON27 <br /> IM"mrqw. NM 87107 <br /> Faciftys ire; <br /> 9b.U.S DOT DestripkA tirr~Wding Prr:or Shin:ng Mark-,Razed Cass, <br /> ID Number, tt.Contairw r, f 1.7caaE 12.Unit <br /> HEP and?awung Gr;aF(ff?ny i � . 13.;Vcsh:Caries <br /> f+b. 'f}rr:e Cyiarl q t'1t..roo1 <br /> j RA l lDin p <br /> 1 <br /> ,-- l 3e, I <br /> b <br /> c <br /> I 1 <br /> i, <br /> a t i ..._.......,..... <br /> 1<.5oecia!!-;errltnglnstracGoasandAcsS>3cninovmatk�n ! <br /> Prct 12D 3Dminwit 9.Dwas <br /> 21IMM211: Ar Ar <br /> ,r a' ,°X0.3'OR'SK3FFERoft'SCEkTIFIOATt✓�:mare:ride:�aeN'r:3iee�.i�rtea(!iu's:,^s�.',.hipan:�'e(ut;;rfar:acc�aafar�descr8acztoveG;tnsG�opttsrsippfcr�w.anon'r-c4:sslikx'._�.k:,�e. <br /> rnarheda-xiabeled'placulm,an,are+aa&respn.;iri rooerrnrviftionfurtrnEFcr:st=Vtngtoa5pfieabkuluarn• :aorta&r i �rlpovernren!atr vu=da zii Xpo#shim ia-Vl --;h7:,r'srrey <br /> I Expix:er,i ceriify that f��•�?ants of�i=_�n�gnnan:ccrdcrn take tdrms of Ure aRtachea E°�.�:nov� .f o!Cd,rsen:. <br /> t ceTPy t. i e erste T.in[m¢oi ca eta[anen,identified fq a4 CFR 262.27(:,)(:flan-a isrga or 000 1 ar,a:mai'deu;fry geixra:or s fr,.c. <br /> "en�t3r3tri.t' @•S.finie?Y��ed :aie? �r� (/�•� :.ifr g°Av a <br /> s 1E.IrdamationalE^iprren[s <br /> f l npa t to U.S. t_J Exxrl from J.S. fir.cl ar&y!ex t: <br /> 7ansorsrters:sr rre'Taitex=sxdy): Gate leaving�J:S.: <br /> 1;.7 Finspa erAck�rrlsi.�e ft of aece�rt of R7aL r <br /> Tr a s(ora 9 bn yp�edName t t <br /> � ! P F te.{r tjr (( kr I 4 <br /> I <br /> r <br /> 7ransprte:'2Pftetilypedrva:ne Signature Pdolh Day Year <br /> i .Dlscrgmnc{ <br /> fee.DiscTewanq Indication Spac. <br /> �u�nffty I_aT}pr; NtaiRk,,,,, Oki?enf-An <br /> P,'an&s;Reference N M DK: <br /> (or G3�erat�; U.:. =PA ID frrualia-. <br /> J <br /> U <br /> 4 ' <br /> r"J�j 98c..5k�{te},yU2rrE 'rxaY.s(ar G.nerari <br /> p-, - A:scrd; Day year <br /> t Piazardotm Waste Report Nian<xerrert Method Codes;ie.,codr~for tazardarswasle treatireni,diiosaa and rEtkdi^g sysxms; <br /> o f• 2 3. a <br /> 241.Designated Fee1By Owner a Oµsrxar.Cerllimiior,ol iecel+:a haaw wads materaiscovared by rise man i£%ceant as noted rc I;Ern IU <br /> f'ra"ovSypad kdnasua �'.Cifl a}' YE2F <br /> EFF Form&7Dir22(Rev.3 O�i PrfMws ed:torss are obsolete. DESIGNATED FACILITY TO DESTIddAMN STATE(IF REQUIRED) <br />