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Please pant or type. Ma reyliFoml Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Gerammrlp Number 2.Page 1M 3. mPFmre 0.Manllep�regMn�NdMIb3T �& <br /> WASTE MANIFEST GBF ICJ•➢ <br /> 5,Cxrarotols Name and Mafling Aedrees comedown.SeAd M.lildrterenw Ban minor,emama" <br /> � TRACY, <br /> GeneroMSPhonYroa3'�'^0.� <br /> 6.Tr.n.p ter i Company NMa U.S.EPAIDNimbw <br /> A/rE1tN,Milhli . +!A5ZE 00..MC. CAHW02723P0 <br /> 7.Transporwr2Compa,Nm. U.S.EPA IO NumberSTtRIf.Y'R. - :Nvhnll +� ai;111CN5 ihN: 1.9450001 1004 <br /> 8.0Ndgnalee PooMy Name and SIN Address U.S.EMIL W.W <br /> wlwSrWFKt9S <br /> IV^ :4 YV!. <br /> I ERM_tl,M+ <br /> Fadtl .Ptmu: ""a <br /> ya, Mr.US,MT Ceannolon(homdrp Proper Shlpping Name,Hamm(ass,Ip Number, 10.Contdnar. 1t Tofd 12.Unit 13.M0de Cola' <br /> HM aMPaderg Gmup(ifeny)) No. Irma GnambtY *NG. <br /> 1. RO.NN3U;r. - . - 1 k <br /> m lalrc <br /> QO CW2CWIM <br /> C <br /> Z 2. <br /> W <br /> 3, <br /> a. <br /> t0. ROMHMltliry311686eam Atltl9mal Inlnmatipl <br /> F MERGIR Y COWD DA BII/MIII(i6 EMOR 171 <br /> FAAEROBICV cgRACT p9AVID <br /> 15, GENEMTGR'BIOFFERGkB LERTRICATIGN:IMreby tleGare Md Me inn@Ms dlM16 consgnmaMemlWlyentl acpumtdytlmMbed abovebylM1e plWveMPoirg Nine,9lH aradaNdfieq Paaka9Nd <br /> masked aM lahe'xYNersdded,aM ane In eR respells d pmpuwMition(w VenspodawwtlNg bePollable inkmeliondeM netlwal govemmenml npuMdwa.EnpeeshiWent end I am me Pmrary <br /> I om*o cereem,a Uan mnfradsofmo rent dnmeMron4 GF tiuk7N)(i IM1eallear,l-lmY Mebgmaor(bCS Ia.a <br /> I mndytdatmexesN minim®tion GammenlitlentiflM InaO GFR 262.27N)(El em a Mme Wentiy9elMratw)ar@)191 am a smell quentitygerandor)Istw. <br /> GenmabfNGEeroIS Prnmdnypatl Name Sgnawure MmN GaY Yxr <br /> (� <br /> IInbme9onel Ipmanb ❑Impntou.5. ❑bpolhom U.S. PoealweryleaiC — <br /> zTren.pona amrmw.gwnporoanly): Geta Maymg U.S: <br /> ad 17.TnansWftAdmmietlpmntdR ot&Wte h / <br /> �, imnspatw eine �/ sag <br /> 0 <br /> kY <br /> 6 <br /> TM Z4-- <br /> Ne. <br /> Ne.N.Wewy lMhs9m Spee ❑ unready ❑Typa ❑R eiee ❑PaNelligvZon ❑FWI Rebdbn <br /> Mereksl Rehnenm Num4r <br /> 16b.Aaemab Fedl9y les Genamlad U.S.EPA 10 Nlpnbw <br /> J <br /> u <br /> rQi Fatlliry'e Plwne: M.0 pay Year <br /> Maj 1&.SgreMreof Nbmete Fxfl9Y for Generales) <br /> 4. <br /> Q <br /> Z <br /> C= 19.Hamrtlous YYs.wN Rapod Man.gement Mewhotl Cotles(.e.,ammlw FamMous xxata haebnent tliNwml,aM dxydirq eyslems) <br /> G1 2 <br /> 2g.ped9namtl FeclRty GxnwesOpMemr:CaNflmtiondrendploNamMwu mabaaM comretl bywhe menu lameptas Meeh Xem tBe Man WY Y <br /> promodem,edNerve S9naMm <br /> EPA Form 8700-22(Rev.12.1 Previous ad%..are obsdeta. 1RXSPORTER COPY <br />