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c\I <br /> cy) <br /> 00 <br /> r- r- <br /> c') <br /> LO <br /> CD <br /> ry- co <br /> n <br /> O <br /> ly <br /> rr <br /> FU-App,lad rPAS Ni,,205 <br /> ,­, pno,or biceFoll,ne'-gh.111,use on che - <br /> (10,11, Vega 1 n' 3 Emerge—R--Peon. A.M11 felt— " <br /> I hum ' <br /> UNIFORM HAZARDOUS SKS <br /> WASTE MANIFEST <br /> eizl'rs p", U S EPA 10 N-~ <br /> U.S EPA 10 Numse, <br /> It— S'L <br /> FII I Panne qo U.S. H-110tiss ON-bar i I C.M."er5 11 Total 12 Ur 13 AI Cldes <br /> and pa, <br /> ",,4 NLc T_ <br /> 0 <br /> 14 SosCmi HaJl,,g hoMinom,and A461slad Infohnal- <br /> 15 GENERATOR'SIOFFEROR'S CERTIFICATION:I bendy dejare that the contell"ths mosignmem are hAny and amurnalely desolload III by the pr ame.arroi are dassified,lyawgeo <br /> the'sol and lawed;p",anded,and inem all resumstsm properconsew for,hempor acoondmg h,appi.blemnernso-oilamij national So.momorml <br /> &we, that contends of Thl;oonsughmem,,mfon to Me terms of Me aftsorma EPA Acknowledgment of Consent. <br /> ,"I that the nism mirenrossoon staiermol denlifiedo 40 CFR 262 27(a)Id I am a large quantity generator)m lot fit I am a small cloambIty generator)is we <br /> .."alse.0flem's Pnntsd,7,p.Name "Uhr, D" yoo, <br /> P-1 16 irtemabonal Sh pmerfs — I I <br /> tJ J S =1 boon Irom US Pat of sol,em <br /> Transformer signature('v e.pors nye Dole me'Ing L <br /> IJ`Transx? <br /> T—P.-I Prim,d"rysed N8,1- Signature --7-h Day fear <br /> 0 <br /> uled,-Iy*Name Signature <br /> Month Day Year <br /> i 16 D <br /> 18a Doorso.r.cy norcatum Spa. <br /> T,,.. Residue ❑Purnal Relti EJ Full Rejection <br /> Itht All Faclliryfor Generalal MandeSt Reference Numbs, <br /> U S EPA il)Number <br /> jai FaUly's Phone <br /> 1 <br /> I Ific.Signal m0fAfternater"difo,GehsmM,j <br /> ti <br /> 19,Hazardous Warns Rloo'.Management Mempd Cedes <br /> LV w <br /> 4 6.,sorI for hanrj­wahle[met <br /> ........Ursposal,an,-,,I,n, <br /> < E r 0-o'gooled FaIlIny Nn,, <br /> c) 2 "ohmelffoped Name <br /> 0 �A Forth 8700-22(Rev 3-@E.,p.pyiods edifons are obsolete <br /> -0 <br /> 0DESIGNATED FACILITY TO GENERATOR <br /> 0 <br /> L <br /> 76 >' (Z <br /> E <br /> -Fo N -T <br /> LU <br /> E 0 0 <br /> 0 00 F-- <br /> 0 <br /> c\I <br /> cy) LL n <br />