Laserfiche WebLink
1116 16 7 12 18 <br />12. Containers S. Total 14 <br />US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number) Quantity Unit <br />No. Type ` wt/vol . <br />Hazardous Waste Liquid NDS 0RX-Z VA 9189 <br />s <br />,0 N" <br />E FL' <br />R 's <br />2 t , <br />t � <br />Z <br />t <br />Y <br />s <br />t <br />z - <br />rX s �'• 4 � z �? J l' s <br />Special Handling 'lnatructiona an Additional Information <br />ENVPONAL I <br />PErMItf <br />GENERATOR'S CERTIFICATION: f hereby declare thatAhe contents of this consignment are fully and accurately describedabove by proper shipping <br />and are classified, packed, marked, and labeled, and are` in all respects in proper condition for transport by highway according to applicable internalioi <br />national government regulations. <br />If I amla large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have de' <br />to be economically practicable and that I have selected i the practicable method of treatment, storage, or disposal currently available tri me which minin <br />present and future threat to human health and the environment; OR, if I am a small quantity, generator, i have made a good faith effort to minimize my 1 <br />generation and select the best waste management method that is available i to me and that I can afford. <br />rated/Typed Name Slgnatur Month <br />a <br />COO J0 5' A0 <br />Transporter 1 Acknowledgement of Receipt o aterials <br />nted/Typed Na n a Month <br />Tran , r(ar 2 Acknowledgement ce of, Materials, <br />anted/Typed Name I store Month <br />Y <br />Discrepancy Indication Space <br />Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br />nted/Typed Name Signature Month <br />/88) Do Not Write Below This line <br />w1ous editions are obsolete. Blue. GENERATOR SENDS THIS COPY TO DOHS Wl <br />To: P.O. Box 400, Sacramento, CA 95812 <br />