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<br /> Hill���1IIIIIj lh
<br /> For"'I Ap ravW.Oh,18,No.2050-0039
<br /> P I c as e pi�i i k c, For;-,-I designed-,Oj us, =-JO _p
<br /> '_�e r, , � I " - I -,P �,
<br /> ID N;_rr�)si Page of Respons, nr�Tle 14.N
<br /> UNIFORiO,HAZARDOUS
<br /> :7'. I FLE
<br /> INA E PAAN F E ST 012120099
<br /> add-
<br /> GeneiaQ,s snekimrnss(I- T�Rtert�n�
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<br /> Garierat&'s Pnnu7
<br /> 6 Transl)o,',ar 1 Company Nime iJ S.EPA ID N;t.rftle,
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<br /> U.S.�PA'D Will
<br /> be,
<br /> 22,aTzl
<br /> U-S.EPA ID Number
<br /> DesIgnFted F,3cIIity77amo j-e olet I'loss
<br /> y E MN L
<br /> 2095 U-., E a. t
<br /> F e�-Tlr i e N v 89408
<br /> Fad ty's"--,7_ I
<br /> 7 t,L7 E Ol
<br /> -1 1 L Unit
<br /> LIS,DO CescNIJb,�-ij_."gpr coritameFs Ill 11t,
<br /> 113.l-'V�isle Code-
<br /> Group
<br /> a r,d P F.c No
<br /> M34 P 2
<br /> x Li 17q"., Wa=te Hypochlorite SuIlJt Tri 5
<br /> 0 T ERG#154
<br /> UJI p 0
<br /> ve Liquid, ',�4 C,i d i c' CF 01300
<br /> Z: X �U 22f-�A, W:-t
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<br /> I norgartic, 'N. v d r o ch e ir i _H_C i 0,
<br /> Ph o s oh o-.i c Ac, cl
<br /> �LIN 1950, W,--k;t e A erO S 0 1 i, m'I e 2"' 00005 p
<br /> 1JN 19912'. Wst e I ammable 1 00003 .31 DO@ 1
<br /> 4
<br /> PS 11t ERG#126
<br /> t, il@51?�Bieach, Liquid) 2. 111051` Lik.P:IC
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<br /> D s e ci a c Y�I'. 4. 11051801 �11,-_ammabke Licuids LoosePak*
<br /> his rid d al�ovs bv the proDer sh.poing name,an-,ar_� pcaged,
<br /> GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby decare 11 ai e con.ents 04 t ,c- -eydescroe,
<br /> 'r c plicabla rt ternatjona ano raliona; vari-Onenta',quistions export slipment and!a:p Fie Prr-,.aiy
<br /> and and are In all rees jec�51M De; FiJi,:ur,lo,ransport acmding iO apF I l
<br /> 0,1 is Collsign, e, i -,-he at,ched EPA Ac;k.!Iovllecgm&rI�of ant
<br /> xoo r. Lif,,(haith8corierLs ..h -t
<br /> ininiminatIon statemeni deniifieallljO OPR262,27(i)illf 1 aT.a (b)'fl arria sm"O quin" gcnerator)isbue.
<br /> VI
<br /> Me T-177-77—j Year
<br /> I o 02 12LA t,
<br /> Poit of Pntr&xit�
<br /> Ex:vt
<br /> F_ U's, fom U.S_
<br /> imp to
<br /> T-qnscorter aqn.@1 re:for exports only;: Da Uate I eavitiq U.S..
<br /> Si uj� Morn- Day Year
<br /> T'—',Popw I pr:7 ped Name
<br /> /
<br /> DO- Jeff Hamilton
<br /> 0) — M. 02 2@1
<br /> nmri Day Year
<br /> Trarricuner 2 1'; N
<br /> �Ij"Rejecticn
<br /> lndic�uun Spce .0 Residue partia�Re;
<br /> i L_J Type F .
<br /> Manifest RefiarerceNUlnber:
<br /> U.S _PA,Q-Numbe,
<br /> I Bin,Me.maz�-_acility(or Generator;
<br /> Y
<br /> acl'i' 'a ay ear
<br /> UO 1EIr-ft .r..IfAjte.fr8l3 Fabib!lor Gennratcr)
<br /> j
<br /> tR I I I
<br /> Z
<br /> (D 19 Hzzardc-js,Nastc codes fo:hazar cls,,asi,etreatmem clsposai.qn,", systems?
<br /> 14-
<br /> d by the 7.nand-s-�exc;ep,7 as noted in Itern 18a
<br /> 20, 0,;`,In�'r cr.Oqeiattar�Cedliicai;.,r of 'f haZardou -is Nicnth DaY Year
<br /> Signature if - I t
<br /> RPA Fo8_100-22 lRev.M)E) PrevtK,,us editiors we rDSQQn�.
<br /> I." I e532" 00a
<br />
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