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Pke:e moor Form weed.OAIB No.2050.0039 <br /> -. - UNIFORM HAZARDOUS I.C mor ID 2.Pap e a a` d R.cuteph" l ra g Nulroer <br /> MME MANIFEST ' <br /> -tY:Nome ma Wfliv* annex:ale`---11 Wn-11-2 as—I <br /> Disposal • Recycle <br /> f naYihIC <br /> irangaM am er <br /> Records <br /> , n <br /> ,rm,:wrxr r N.. �.. <br /> c r-7 al retro a_eA n— <br /> • Manifests <br /> 9e. 9a.U.G WTDmUp1m(MgWn9^Wn.Slnrprg Name,r_yUe::Jf,vvw 11.7'111 1Z17.aM9 Ca0ec <br /> Rh1 agPKWgCsaq(Amyl) ^I.wry+ e-.-rw Ormb YAfVaA <br /> ¢ <br /> • Land disposal restriction <br /> forms <br /> • Consolidated manifests <br /> 14 <br /> • Maintained for three years �e91mm� 90m <br /> from date of shipment 5 GIMRA1DRS'OITSMSCUffCATIM Ine ey urnsrtl avx msansavGmaa nuramKaae nrratta uaeey mecwcn n�asname saaroaK�eaPayed <br /> nunaA amleenm,pevaee.ammo a,v myna npapermisembsreaanama'vy maaiBUMeagmuao-ema rooms aaemmnas reaaxma ueacm:Remmlem 1 max R+msr <br /> Eamua.l aaoh ms oe mama a aic m memo m ea amrc at me aroyled BAAdoemxpnml a CcnarA <br /> 1 mogsulnewmemnm�rl:olmlenlane8mn aO OaR 2B7-lal @ 1 m a waeavasn gsnatb)a R)In1 am a Ina;9amrtor znaalal=ow <br /> ae e.-aF. ypxNm M." DOT Year <br /> f e..rzmee -� �anGmmUS ❑6maasom US Patdergtct <br /> Trmcaaxrd7nwelkreapan oreyl' Datkm US_ <br /> li.Trxporb Aanaa:aTemC RK4taIRLYeAna: <br /> —W. are Y <br /> Day 7Mg <br /> rmymn. a agxaae umm <br /> ♦1 18 Omepncr <br /> 1 IBd Dim"—Y In.Spam ❑Cun��ri ❑''r➢e ❑nei0u: ❑PaNd RNa:cn ❑=wRej— <br /> llr t.:l Geer.-'e f,uniDeY <br /> Cttme¢r iy(a�mnvrnl >.o.A. Nur�.� <br /> LL FyJIRr:Ghon': <br /> 8 oa ayaaw er n ^- - <br /> 6 <br /> 2 <br /> A19.namnU.e v4Re FeW Mr" MRADaCosts 11e-m1Ke>rrbyaae vlzre enamor mraowl,am ieW'ng arcmcl <br /> t. a. <br /> 20.Deuyy F."0—wOp.—Gmewem 0—..1Ift <br /> r,eno YPaa ;.�ymuro wr <br /> 22 CCR 66262.40 & 66268.7; HSC 25160.2 om ev - 1 wvmacemo--b.te. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />