Laserfiche WebLink
.4 <br />6 - <br />MINIMUM <br />0 0 5 2 4 5 4 5 3 S K S <br />C-- e„rr, —A CWR tan 2n5n-0039 <br />#case <br />print 0( aYPe. (Farm de heat fV U� art elite 1 1 pitch) ty anter 7 <br />UNIFORM NAZARtM}US 1. caaram Sfl Number 2. Pia t ui 9 E ne genu} Reapa ree Phoma 4. Man�}f®9jsjS(jjj /��j <br />SKS <br /><3 �, V,., „�'..W'T V <br />WjZe MANIFEST <br />Generatd+`s Sete Address 16 t6frarard dran ma4mg address} <br />6� Ga 0Z es Nance and Mat" AdMess <br />4F ,._d �. .. <br />Y, ..p, <br />Genwafro's Poo . ' 3 U S EPA la Pkardmr... <br />6 Trarmoner 1 ClImPory Nina <br />U.S. EPA tD Number <br />?. Transncvtar 2 Conryany Na*� ` <br />8, Desgnaled Fadi Name and Site"Address U.S. EPA ID Number <br />0 <br />FaWktys P cry <br />ga, 90. U..5. DOT Dev,,i ` on (Odudirtg PMW Shipping Nam, Hazaxl Clan, ID Number 10. Containe+s 11. Tow 12. Unit 13. Waste Codes <br />HM and Pectirg Grasp (iany)) No. Type kuoitity ihkt0i. <br />.,, <br />¢ <br />a <br />a- <br />3. <br />t <br />_ <br />ENVIRO <br />14. Specal. Handling Ins#vcti s and Additional In!annation TSM, <br />.,% Si <br />�} f rr.�« <br />q <br />T <br />A' <br />• . atwve7ay WaFeT nam. and we classfied, packaged. <br />1$ iaEi':E I 'soy de Utafaa.' WtltefEFe A14 (:OiFSl nfelli 32 TtdtJ 8nd ecsvratabl <br />8.4I(SdiPldC84CCd, and 8181n amfee Pods it, MW oerdiion V ftwgw acre dhi; !d appluxbe intern WWand national govammenta: vegUatmns. If exprNt M and i am the Primary <br />Exiewor. t :omfy that "' co nwnts of the oomignmsnt contain to"terms of the attached EPAAckwW*4nreot of Consent <br />I cartify Inas Ina waste minanizaHo statemort idenolied in 40 CFR 262,27(a)!# ! am auantdy generator) or ib) If i are a an'atl Witty generabai is he. <br />h t)fio Day Ya <br />Rio <br />! <br />il/1644,44 [ t <br />demuonai Sb"wis <br />❑ Int{nxt W U.S ❑ Expot from U.S. Port dferiity.'exk---..__.._............. �—....._. _.._.. <br />Transporter signore ;tor exerts oray): Date Ieavav U.S.: <br />17 TranBpxxlw Au4now9edgrnent M Ro-V of MaWWS <br />T PresloM'Typ� 53g15@''ilte <br />/^`j� <br />V 'Da <br />,V <br />Uf <br />Tsansponer 2 P=ed. yped Noma Suture Mond Day Year <br />me <br />r <br />18. Discrepancy <br />;� <br />I $a, Discrepancy indication S,�e Ouanlity LJ Type ;_i Residue El Perim Rejecdtor El Full Rood. <br />Y`' <br />blandest Retatence Number: <br />lgh_ kwmte Facility in, GwwatDr) US" EPA1D Number <br />v <br />W <br />PaaatysPhaie� <br />ice. SayrP=fAftemate Faab?y la tiene±aatlrJ <br />Mon[ia Day Year <br />a <br />a <br />19. Hazer&us Waste Repen Managemanl Me#rod Codes (::.o..men for twardous waste 4eatncenb divmL and mqdkq sysIms) <br />4 <br />1 <br />20. Desrcpnat faw9iy Owrsr w OperaUor. Cer5fica6on of recegl tit hataMous matedafsoaversd oY gcenfast expaPt octad n Idon 18a <br />Panted? Name Nh y Year <br />t9 <br />ton hINm dlsRl LC trcev s�o)neriuua neus a rwva,�s+s�w,+-l" _ *---*"--i <br />