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eelt �� t t �r �_� fir ust n �,3tu {t aP f t} t � valid Fenn FraVdif C7hf6 No , 2 60 t1t 3P <br /> UNIFORM f A7ARP U i , � a,cr ED Nurni 2 Pie l of , f 3 YR P 4, btarefost, raekinti Number <br /> yA5iEf rl l CAL000301916 1 m ' JJK <br /> T a ra r=p Add;i Uenaretoes Site Address tit d=Meront ( a 5 hm fng address) <br /> AMEX READYMIX <br /> 23604 IRON POINT Me SUITE 120 IM M ENVIROWMEN <br /> 889 r, h WAD <br /> LINMENTAL <br /> Ze" <br /> vvanl <br /> rive <br /> U.S. EPAiDhrmt # <br /> U.S. EPA ID Number <br /> I H BOYLE AVENLI <br /> II ut # 39 <3 <br /> 91, U D0 @ t tc . ;1 irevp r S. . mg Arno, Hazel t4ass, ID Numt�r, 10. Conlatnors 17 . Total 12 Unit 13. da>ta Codes <br /> s No, '� Typo tly Wt�.hr&� <br /> r r_ <br /> "a.Ws <br /> N1 <br /> x <br /> elel <br /> EM" IFFrGE C 0NtTA € . s HEPi4,TREC '?-R£ 93W WO T FSM : CERc S C r"RL) FIC jk 981, : 2F- r € .. Ii <br /> 15 GENERATOR EROR'S CERTIFt MON: t heTby declare that the contents of this consignment are fully and accurately described above by Ine p' r sh pp ii nam, alirl xe Pec eagi <br /> rna-tea _nd r S d p a 3, end a-e n alt respects o proper condi)ian for transport according io applicable k tarnet oval and nit reef govemm ! a 4Ee: . ;i t � y „tart;l ari t ani f it F e ma^t <br /> a cxrtar`s of this cons gn-ri conform to the terms of the attached EPAAcknowtedgment of Consent. <br /> 1 cre�y that the Waste ., . v x tion stt"_mr. nt ICan9`fed in 40 CFR 262.27(a) (if i am a large quantity generator) or (b) Cif I am a sinal tF andty gonars oz) Is tri <br /> � , .U' 'tac.� �sjtyF�dNa:rx S"gnatura � �' 9txits Lmam ;`; sr <br /> ti t Ilem <br /> - ..� m e <br /> to ,'2t6mc?anEt 8'z,� ts <br /> Import to U.S. ❑ Export from U.S. r Pott of entryll _ <br /> TransTOrtes <p ratal ((or cn-ol cery): Date laarrrg U.S,; <br /> 17. Ta a erA s 7nu tafRexpfoft".arena's <br /> TraYr ater lPrnf 3yjNameei t leleS nnturo ffg w <br /> 0 Ile <br /> eii el ele ex <br /> (J) rCL <br /> !S <br /> TranspPnm,e pad game Signature <br /> ay <br /> orter 2a <br /> t� <br /> r <br /> 18 Decrell <br /> 88a. Discrepancy Wici len Space t��—} El <br /> Quantifytypo t__t Res � „ � ¢-q ,S R 6wlafilloRwolli <br /> W— est R.Nezel cv_,r v� <br /> 18b Aitei FadGty for Generator) <br /> US Iek f ilill <br /> �t <br /> v ` <br /> r¢J. Facility's Now <br /> 987Stgnahlte otAltarnalo Fai (or Canaratar) <br /> Ile <br /> Uri £ate <br /> 1% Naeordouo 'Aeste Report Manngemanf MAI Cortex (In" fod�"x, Iitl aithi tiyasEa Ireaim€en 0:sIle <br /> crr ( o} al, androzr . gats3ar l <br /> 1 • k 2 1 T <br /> 20. De slgnaied Facility Oel or cfporitCt, Corililcatioe of ra(VI of hotardouy pt,rtsna s ittar l b}� dma n st ras m-till kMI <br /> Few Vf YJ filisiffi'mile '/ <br /> 'i Ile Ism - tlee May <br /> " IW <br /> m <br /> ei <br /> LI <br /> rill Form 8700%,22 (Rev, 105) Previous etllthatts rtrrr trttl ire � rt f rel <br /> ¢ u € z , <br />