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Sete aE f+w.ese.Apnsy Soo Instructions on bacl�pago 6. Dopm mare of Toric Substances Codrol <br /> Tena Ap rwd owls tie 2050-00"OWW"9�4) �� // sawom.do,caffonia <br /> Fleow 0"or type. Fane datmod for ire an ane ff?•p+l�pea+'wsr. <br /> 1. Ciernerola/s US EPA ID W. Madfedt Doo mw*No. 2. Pope I Mforrnratiar in dear deeded areal <br /> is not-Wkl ed by Fedw law. <br /> WASTE. MANIFEST Q-QPQ2V4S <br /> x Sao gyst3 3775IMACY.ZAVD <br /> S. Trarr`pater 1,Company Nome Q US EPA ID Number <br /> CAi h C3r"<9 7. Tvummjp r 2 Campargr Naas S. US EPA ID Mwnbw <br /> U <br /> 10. U5 EPA ID Number <br /> p earl/ Ail RbAb <br /> EAST-PA.t!V A,tL,0 Orf• 9 3u3 <br /> 11. US DOT Des-Wien Cmdudkv�pPPbqna,w SliNoHoeord dte,aand ID Number) 12. Containers 13. Total 14. Ur*�. No. T Wf/Vo1 <br /> '�'3 � �GASO�:�►nt) 3 , u1r��4 9 3 � '�001 �'. ` i <br /> E "'• 001 iTr / <br /> b. <br /> E <br /> R <br /> T C. <br /> O <br /> � R <br /> Z d. <br /> W <br /> U <br /> r <br /> t <br /> 11 Special 1larrdig bovC* orrt mid Addllic brfommoon D7 rAiEwy <br /> � V / <br /> Z <br /> Cll�erira� 7,&eY- k00- 231-o6-U <br /> I& G&MATOR'S CRTS9CATK)% t haroby dadare that tla contains of rias car kmmw*am K*and duu-I*described above by proper dripping name and aro absstiCied, <br /> Podmdmarked.and labeled,and ore it al respecfs in proper candilion for transport by highway according to apphomble iedernakm and rnotiorrd gwmmnwm regukgkm. <br /> J N-to :alwpe quo ". 90"Np m-I ewllfy,the I haw FIN.,ram.IIn place to rodLi etre e900 ofrrerare to the dagrea I fid"-ditermimW to b•^ <br /> acarorricapy pradiooble and that I bore saleerad the practicable method of materna*,rTorage,or disposal currently avoik"to me which minimizes the prawn*and funure <br /> a. tlweae to h-bealb and she ansiranrarM1 OR,9 1 an a small Wm*penarawr.I how made a good faille effort to minimize my wash gwwalion and salad Yea Bost <br /> wale nraMred that is araalable to era and shat I eon afford. <br /> lTyPd ` <br /> Z i 7. T 1 of of Mawr" <br /> A Name <br /> M <br /> s <br /> lwtA 07 <br /> P id.T 2 , of of Matnfds oe <br /> r PrbMad/Typad Name Siprxrtura mot" Day Year <br /> 1� a <br /> (� R <br /> ty 19, m creporcy bsdiedion Space <br /> F <br /> u C i <br /> Z' I <br /> L <br /> 120 t CaroPmo of of harrardom nraNriab covered this manifest as noted in Item 19. <br /> Y PrirMedfTyPd Nona Sigrralun IModlr <br /> Day Yaw <br /> DO NOT WRITE BELOW THIS LINE. <br /> OW S=A (9/" Yellow: GENERATOR RETAINS <br /> EPA 8700-22 <br />