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Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1'Generator IDNumber 2.Pogo 1 W 3.Emergency Response Plw o t Tru1J^�N <br /> WASTE MANIFEST CAL 000 786 540 1 510-641 2128 13 4 8 O 9 FLE <br /> 5. al�es To L4=Address Gencratoes Soo Address(d 6laren,than mallrg address) <br /> 3093 S.Alf"It W�Meef� <br /> Si"onSAGenera,afs Phana: 208-234-7700 <br /> 6,Trarhspedet I Company Name U.S.EPA tD Numbar <br /> Bb SkyE avirunmeniat Solaftris CALO00346O10 <br /> 7.Transperux 2 Ctxnparry Name U.S.EPA ID Nnmbdt <br /> ER harslrial StrAce MK 435 642 747 <br /> 8.DpyiMrWs�FE�ry Name end S fe Address U.S.EPA ID Number <br /> t11�MM 9512 ni t9S Sum Of <br /> edam NvINoog <br /> FaoWs Ptgrre: 775-653-2203 NVT330010040 <br /> 93 9b.U.S.OOT Dasa ption(mdWirgg Pmper SAizpxg Name,Huard Class,ID Number, 10.Cathtax ers 11.Tcttf 12.Uret 13.Wasto Codes <br /> H u and ung Group(d T)) No. Type Q"trry ffljw. <br /> cc 1. <br /> 362 <br /> R Non-RCRA Hazardous V4aate.Salfd (Debris) 0o l <br /> z 2 <br /> W <br /> 4 <br /> VVgWM!rnlru�and CI'O T(1 <br /> Protlte#r O7O1283OO2fi181 <br /> SSS OGE NCY CONTACT JEFF RHODES <br /> 15. G EhERATWSMFFEROR'S CERTIFICAT=:IHereby Qecarethat the oorderuts o1 llris aonslgrsnent are tlr7y and aow2tey Oescrlped above by Oa props shlpp�g name,and av cess testi,padagod <br /> marked and labeled para tied.arid are in al respects in proper mndtcn for transport amadng to appftabto intvnnartaland natwd 90rerrawatal rogrdabons.O e KPW atdpment and 1 am the Pmnary <br /> Exporter.I certfy that The mn4enty of Oris oonsignment conform to ft terms of"attached EPA Adrnc%;1x tjmerd of Canso" <br /> I cercfy that Ohs vrasta m:mmiracon statement identied in 40 CFR 26227(a)(d I am a large quantity genemlor)or(b)(dl am a smau qLw"generator)is tree. <br /> Generatr"slOFtroYs PnntedfTyped Name tree Day Year <br /> n�s � <br /> � 1 17 <br /> ❑Import to U.S. ❑Ezport tram U.S. Pon a en,ryrexn. <br /> Tr4pater sgnatrue(tor exports oory): Data Wvmg U.S.: <br /> 17.TraWartzrAdmPA*maM 0 Rtoco of Mat Ws <br /> oTransaortsr 1 Prntedliyped Na re f ` ` Sgna6 ra + ! ./) M-/ /Day , Y <br /> [L ` /Litt• (f JT <br /> xTralsponer 2 Printeortyped Name / Solat re f G month Day Year <br /> I&Dwep-ty <br /> lu Disaepancy w cation Space ❑ouanty ❑Type ❑Residua a ❑P8u Rej d. ❑Fug Reje=n I <br /> MwAsl Refeterte Mrnnber. <br /> r 18b.Altermie Fealty(or Gerrerafor) U.S.EPA ID Number <br /> J_ <br /> V <br /> O Fad4s frfow <br /> W <br /> 18c.Si WLnofAliaznaieFadcy(orGenerata) kanOu pay Yeu <br /> Q <br /> 2 <br /> N19.Hazardous Wasta Report Management Me7hod Codas(i.e.,codes fcr hazardous waste treatment disposal,and=Yam systems) <br /> C 1. 2. 3. 4. <br /> 20.DesGmW Faatity Owner or Operator.Cerfificabon of teatipt of harardarrs m&nats covered by 1Ao maNtasl axmpt m nrtad to Imm 18a <br /> Pres yped Name 1db hN Day Yoa <br /> EPAForm 8700.22(Rev,12-17) Previatrs edtions are obsolete. GENERATOR'S INITIAL COPY <br />