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Treated Wood Waste Generator Farm (TWWGF) <br /> • Generator Name: <br /> CO <br /> • Generator EPA ID Number: <br /> • Generator Contact: <br /> • Generator Mailing Address: <br /> .. 1 <br /> • Generator Contact Phone: <br /> ,i& S%C( 3 <br /> • Generator Contact Email: <br /> • location of Material Generation: <br /> • Total Annual Quantity (Lbs or Tons) of TWW that Generator <br /> Anticipates Sending For Disposal in Current Calendar Year: <br /> • Generator Certification that Total Quantity Generated for Current <br /> Calendar Year is Anticipated to be less than 10,000 lbs, (if <br /> appiicabl, 'gnature: <br /> For Internal Use <br /> Disposal Facility: <br /> Profile/Approval Number: <br />