|
. 1
<br /> %f' T . f. i' rt lSEf xg;? r / N art-}2a ; a .¢fi('ti i' �tx
<br /> t ER � ." FptNl Na pr$Cf4�8 (E3j13}
<br /> {7Fi4r��
<br /> ALL "
<br /> EIiIT,dL. RVt � pBA _ , , ,tt SRtI IpEt
<br /> t�iXr1 iFSBUFi EiV1RQ. f '° `
<br /> . t33 r< Xrt- a r r - `S T e } 3° ¢h}�{Ti.t 9.�. rI 1 t
<br /> yt rT rxa # E 1 };" ryg N.= $`* sY3.-x 'l°. i ` ' ! •� }, i Z 9Y-:.µ€yx#,.���.: iS' «'X' s sia k t s
<br /> t G C A.t L� is N$01
<br /> s� �j0 IN
<br /> (� /�
<br /> GON
<br /> Qryry r�3ylrZ}'yty.t} s-!1J*Ltj�'� 049A x y. .£', t - d . ✓s.,,.;xs i a ` i' s r ' • �' A # ,
<br /> JVG"GV I 1a5S7 �. INN N,
<br /> r t }+
<br /> ah;A IN +c"4ts w ,tatrzi 7 f . i '} :. ✓
<br /> If
<br /> ' E NMI
<br /> t ;? L SERtiltY. x �f
<br /> ;
<br /> x ! cr 730Q'" til16VR€3t)} WAS, t31XQSq;
<br /> IV
<br /> ` COMPANY ii napp� (t}} 7 n/rhe n� t � yjy!� ` ') j;i #� sit
<br /> t 1 .. E 1 . D � 4a bh,:4 l - r. = . .tri 'TYf 15 ^ �+ �t.-8t 1Y 7) A �i :, i . •4 'l ♦ �+` .
<br /> 2W, V 14 1
<br /> IRI
<br /> PAW
<br /> P ; ia }ttar$a ¢ tan ni>�� { Er ' q.urat nY iau *T4 'S z � . illy,
<br /> T�1APi5€'Qi Ft Ir ApgP'%C�k00282'�703 S #
<br /> T �
<br /> � � .
<br /> %
<br /> . ,.y � .J .. - - . < .•. fir P' . ±j< o;sf'+ < zc.. -),E ?. i t , . xx til r3•t v � 31 VI7 ye, � T G+
<br /> .t a:x:rjV.y . 4+'?rip?t.9J 'rAtra;? s+fiir+rti.Jwirtf Y'id. .;crsxsa itra:,xstTrr s -<: aXavff lia..s"':tiatr.t n # tatfi=r rst rd:tif + rfR'X lir t:i:lni ;•S xR :i lrtEE ..€!-' .k- .t. .'* i Y4F73 ; ,7
<br /> OSTalvf> R , `' .` , i iR 1 AgE `C3 14 R gC U T ';#` TRIiG f
<br /> CO�i'1�AC` NAME t7lipi~1�' 'CAK�N �Y
<br /> NnW111 ; # r , ,
<br /> VW
<br /> I IVtra -;i`ftr .x'k e iii ' a.-tfl ri111 int .#?4v3rs Mat 3 rzs , z vsVON It I III I
<br /> tP} .fxi• Rigf I r'E f ���
<br /> C3A t 1 t, U11 E13 , A ATE;ENT- F.REi1! < Pd
<br /> f t
<br /> r_ ? . JS#� : tri3>1X •ffi?` ITtsatl.ltxt tr ? ir'a'1lr r3 £ }!;.' egstK.t^ nti11 u{ 3D.< l ls : t •, t .a aY °may a • .-v. T«
<br /> _ t€ sT phi
<br /> e✓• 1B Q MN13'!'yly Y3s34!* }-bs< {S�3s ?t74 Y� Rn s' 3CiX ctrtr ,$ . ,d4 '�rM i s '.y` •� . .. �lll ! TH{+ '
<br /> p tC �P'f`i ' t 7a[ L7
<br /> ? s 51 y, J F '.' tfli+ s`s 1Y } h . R ,ra4 a t, t ttitA . k xJ r3! .l » Y <
<br /> jj 3kt }. <A3 1-# • t ?#> _t xTa 'r � sXsteff
<br /> :{u"3�f a �, s .t f s, —r s ,, ,:
<br /> w E' i t4 Rt § .<k:• �� � . . . 41 ':. >. c.. ,r arax i+ 7.iy3��`^, rtf 'x . :
<br /> t ri •fi x 3fr / x : f 1
<br /> f t t ,. . sAe
<br /> ok (:C )+ F 4 7 .Y.i= N7X tt
<br /> r ifN4yu U S > �€ kf" T J;la >t )'l f < i+ tx N. I 3I .a .:c'_' 7k ; „ Y}1.�. art ) »a4 f.s`a '7
<br /> X 5 i T 3 <{,`f i s.�t t 4t.. . < x Rp : *'=rb+.X §`F T .r l N=. . 'a Ft r3 5 5
<br /> .� %�11 .Mtsks# 1< Y.s }7 J.%Uc:.3 �. , x /
<br /> }11 . .f 1 . 1h4 , 1 l�E �( tr.I le, 'd1i $'y x
<br /> 5... r ijJ"tw
<br /> IN
<br /> vt+ tl} s 'S .•7"' r,' .Y(tr"q±, " Rrii ,et, ii ryra r ' it t rF .• hvc�` rl` ti iY7t� `tt�+3 <i s,T': r t +1 fIV fill 11 111 11 1111 1
<br /> F `
<br /> wfrx q., .xl4s xYl>, XYltfAta :d a tr L .: ?�rS'" t
<br /> (�'�ygsa'� Q m{`( u x 'K <. M � � 'F) 'Nr •�' il# } s �'a vs' t 1' �
<br /> 41
<br /> -liv�rl'-
<br /> 1'�'J"s ,'.. Ift Y I+. I sY ) J:' lYl i t t i<l :A/ Y r . INV
<br /> e r • }E tA)i ,irc Ah :r Cxx •i �t ' .lM t' :'r Jr k4s uu it ;( t
<br /> � ;. ,., 9'tt <��Ys r 1.: `"k7 - 7w'fY �1��,Giod'`�ftS. tt t
<br /> f �? I1 ° 1111f " Vt� f�IL�i�31�it71 nCi» tk :JS. s , lt„S S:nx3J. vlILI
<br /> .:a f...
<br /> s R
<br /> S si,^l - J .;. y �}jye Y' t <tttt` t 1l Ut .iL>I` ,l ?
<br /> 9t1 £ t , 's` If*
<br /> IN
<br /> t
<br /> s x7las to tfxtt € 53t9 it } !t< 7} `r . — t fIL r� : >
<br /> OIL r
<br /> it
<br /> 1 i11ik + PIt1 EMPTY ,D1 # sk
<br /> 53 it
<br /> z x33 la,ca# +S{t< f t R WF 3Yf l sx} r.4 '4:+i1 - .14 1)s'•
<br /> NL
<br /> Byalgrliifgbe#ovr h4robycet€3fgthat. d1� i' ” :
<br /> ( asfe cSli gerer>atorlcudi Ozer DUSThe> k Qin of theollowlr#g ##arae bi�xes}
<br /> a t tis p 4J� e fa-riYt
<br /> }
<br /> IV Ito
<br /> +I> ri � I Ph �y �tner hsr{Araqua Wsn m fl#tidttal��s (Aj V1
<br /> p#Ccs f+ ## o t uaad oil mntiepaP art� tc riiat7gns Pt$# � # 14rue. # ag t .t
<br /> ,rte p, ,) 1 ms ,x •r' '1Fr t * •'. 4a l
<br /> the # 4 � xPalt , oruxcct s ri w :
<br /> t �dditib�t #
<br /> a2 € h va not mlt 3 any of ti30 was o d 9cri Oil nbdillFnvinn3t nmiySatMcus tQ rebut ha prraumPt#o t iSt w Y sntxed With i )pmt
<br /> mrdaua waste # agibtheWastO u lo�ac�eP y VI
<br /> With
<br /> haus pt�y#dgd prop4r documentation
<br /> aharSes !or the disposal of this waste #t the inf rmaluoo i haus providod about this waste is Incorrect „
<br /> r•,t , x" ), ours #t j0#Y andforbotitthidnat#yexam atha## quansity� gdneratoi jCES 3t1)'&oUrcas Ta thn b�t at my
<br /> [� 8 ) 'iftswtfataivatetenktiYttltho#lactvtaataai#ifomfiDraatfatd �3ak•Y, )' x
<br /> kaon a; sbhi `vrnss'alnatzji3 in!siiy ClitOfM4t3'co?t±rpt3na ask #s ablsy fro #nforts3no1 'Pldi;s� t �fco ` 'tih isny Peer'#s3rxoua 4e orvtte alt
<br /> ftots# � t�arXoaiPilriri�cldHiorisii'ahadf0rdisposV1 I
<br /> e# of "thisovnsto # tl4
<br /> (Ali generators/ customers MUST read the following text
<br /> Program In lace to reduce the volume and tAX'Chy to waste gerinfat4d to the degree I r have determined tome which miniml�ea the preaaRt and tutute thrani to h manlife and he enmIcally vlroinmtht; i E3sJti selucisd the . 4
<br /> 1 certify that 1 have a P
<br /> practicable method of treatmsni storage, or, dlapoesl curtsnily avalt that th a IQ
<br /> Thin=#n - --sjuat�etSning In tho spsoa s st-torth below on twhbli 0 Cuotcmar repreaenta and warIon
<br /> in Accordance teas. the oppIlauthorityto AW6 "rid fsdssto blind nt rPputatlan�a nt tl that czf�stom����i�
<br /> and materials era fres and sot urata.es packaged, rngrkedx and taboled, Are mady for tranaPorWt#on Its aacordshc& wtth spp
<br /> 6y that 5tnndard TO and Cvndlttons ori the rause w aids of lhid 84rvico f3Mnr,
<br /> by thee 1a d ai With an asaxtalod hazardous waste msn#fsst (either site specific or conaoUdi led) era sub aci to an EPA Pae. These tees Dover the EPA paaadhrouflh tek and adM�letrat}on
<br /> at the eManiNst program. These lakes vary bated on Manitoat type< Applicable tees will appear on your biding Invoice. _
<br /> // o
<br /> river . ' gnaiure Date ,
<br /> ustom r ST nature Date f jj
<br />
|