|
Please p1 i of lygrt: (Fotm tivilliNueiJ for nsn of) elite (Vapilch) fypoertileil ) Form Appiovei).. 01013 No, 2050. 0039
<br /> UNIFORM HAZARDOUS 1 . Getiwator ID Number 2 p7ge 1 of n mm 4nry Response Phone 4. NdanllnsN Tra7ckl(n� t{lu.7}m(h+er /�
<br /> WASTE MANIFEST {, t. L 0 0 0 °r 0 5 :>_ tf10t) 7 r124J30�� 1 U U `i JJ K
<br /> 6C fi=ritlth'€ . 1 .ri �a1;itt , il . { :J+osa rw ? alir' . . tit AilVfoifill ! , Eterillarrr/+ +stinodlE4ts)
<br /> RCEVG TRUCKIPIG FiF. 1:G3 {713
<br /> 1-10iBOA52 tl ,
<br /> $T00\ I ON ( ; j :. t:JER RD
<br /> 209 940- 2623 � ' 10i Oh`
<br /> j1 TrnnsT�t+riz=r 1 �,timt uny ha���ri U ,G. CprA )U hU r Get
<br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6
<br /> 7, rIInsttidnr `rC inN,,ang' t;tur :, U.S Fill 101tAltiT
<br /> WORLDWIDE RECOVERY SlE: PFl IItIU . N is R Ns t ) O 'ill, 1 5 4 22
<br /> __ U:6. LPA 1ft tduntt �r
<br /> Y Ut _ 'inatt.'t1 F;,' �li i ) 8pt, n Jhk� ltt. �'rcg,
<br /> YLlfv)A YES LLC
<br /> 2730 E :13111 1
<br /> YUflil rit" 863615 A I R 0 0 0 6 1. 5 0 2 rl
<br /> FuHl
<br /> pa pb. U .S. DOT Descriplica (inc! ucing ft9pGr Slr ppir,g Name, Naz3rd Class , ID 4� mi;er, 10. Con'air;efs 11 , Will 121 Upil
<br /> 13 Cdasle Codes
<br /> HA1
<br /> and PaAajnpGroup (itany)) NO , Typo Quantity VAlvd,
<br /> 1 NON - RCRA LIPAROUS VIVAiSTE , SOLID ( OILY SOLID , PAPER FILTLRS ) 3G ?_
<br /> D fvi � P
<br /> w
<br /> CS
<br /> 1 -jlnll KiAAliIfitritlrn ,C'9r"6rt it Irchlittt6talt e r G� f �
<br /> t. fV1LRTaL (`lt, l' CTt )ti� 11iC1 (. 11Eh71TR1C 1 - 800 , 1194 93010 bVO 01Eftl lNA1 Cl: fdV, t;S PR01= iL1 1t ;iF .L . I ( , LCi , dfR�� Ftl E' (Tf) ti
<br /> OILY 01- I1), Pii,, if1 l ? FILTERS APPRO)" PlAwli Pf P 'a0 - QU11' PAL1vf
<br /> 1 !i. GUIERATOR'51OFFEROR'S CERTWICATION I hw: 1,1 fir, t tlDi V01 Iris r + ti of tp 01ii mm�r, tit ; ilr 7 r ,t ),I :rtg r e�tl8rr c Ir ,, F nirJ,
<br /> irsii C ( e dtst Ned)1tac. «.a_d, >, mints< 10a 'Im _putl twot ._lfct l ' -ttf4St , niitxj = 9 dtuJf., a,.; r n11 (1 � 1>t' tcaul, + et' s )Ie p rldig ,r .trrlenllaiul) P rr7r'r'
<br /> L) pito le+ llt 1lmltn ifiwl0tit fC aksn, titlNaowfrllt ( f " 4t Ott ;df r N'itxr );u t s I�risNt� ( rt art;
<br /> I v tbiy li l ll1 5 =str n nt r . !; (,tai <in1 a�„n �, t-�tn�a(ild h 4U UR 2Q '2110 til l trm i 1 1pii tb0fil ; ji a N rng) of(t) ,d l iill if) < quur,Gs' is lrup,
<br /> Cf, Of €' U`il I 't, Prr,h Nrisfa.rlNtairy lD ?7
<br /> 5
<br /> billv113k1S.
<br /> . ,
<br /> z-
<br /> XM
<br /> tr�., l.� ,tn' ,CL
<br /> F} tr. idnr
<br /> 10
<br /> Tt a . I3 . {Ns,r 2 pn �� 'iSp*'1 t, cr ti {f' olartlolo� ✓ t ✓ 1'� oiy Year
<br /> V3, t repair y _ �—y
<br /> r61 C �_ct< , . . r r�. =tai+: n ;'rcc t9o2n9�4y � Tt `n� �_� 9t .fins I if fF j� �.tk.i I . NFu'INu,;. cllnr
<br /> U.S. �Fill 1t; N,tiir _rt,r
<br /> U '
<br /> uQ r , tlySFh� � ci
<br /> � 4ac . . ? �rta� . r ° a �, . ntate t" at N,a (ctCsnt� tt dt; � ),'�ralt G)ny Y� dt
<br /> �L
<br /> � , a +�a_.a6dlslt ,,r„ p,�C I1 '",�, tnn. . 1u1,' ?;1� U�s � tty-. r-, a ` 51vrTaxb�ic � u, , r��leff. sl uhl� tl7,� v , r,ltiteus � , <, �rsh' =�
<br /> LU
<br /> C1( nit+' C . fl '. . i , , cl tat�l;,9 G' hGza
<br /> Ef',AForrnE7GC � � fji :'. :3 ' ` ? Lill .,laria. ntsa"� lc , Dl,i hICNATM FACILITYTO DC' STINATION sTau (IF REQUIRED)
<br />
|