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NON-HAZARDOUS WASTE MANIFEST <br /> Please print or type Iflmmeamgnee forweanelib112 gide tycewrilaQ <br /> - NON-HAZARDOUS f.Panarerora us EPA mrvo. Menile6l APa9e+ <br /> WASTE MANIFEST OOLeNp of I <br /> a.GenealName and hi Address lbILr OFSIYCKroN <br /> 5fak ,SCn.��520A-ViL <br /> a.Gaad"i Phone( p <br /> An Tbnmildrder l Canpam Name 6, us EPA lD rvunUr A.Sble TnnappneYs ID <br /> A uanCec) Ckic l �QYIS Y`r OOOD 0 B.rmngrMer I drooa <br /> 9.Transpaax 2 Coral Name e. US EPA ID NmNrer c.Sale Transporters to <br /> D.Tarragona,2 Nadal <br /> 9.Deagreted Facility Nam9 and Sile ACd.. 10 US EPA 1D Number E.Sark Fa6fi+ys 10 <br /> Ad a aced Che rr L Trap�l- A 514 <br /> 2b5 F.Forth Plrone <br /> 11.WASTE DESCRIPIIDN 12. Canal 1S 10. <br /> Tow Unit <br /> No, Type Guarl YNYd. <br /> 00✓ 10ZAtZD0U5 wlSo�z� 2 3a � P <br /> O b. <br /> E <br /> N <br /> E <br /> R on <br /> A <br /> T <br /> O <br /> W p a. <br /> F <br /> N <br /> G.ADGIiriul oeweryWns for Materials moral PLrvo K Hal Cedes far Pool Melina Ab d, <br /> y <br /> 0 <br /> a <br /> G <br /> cca <br /> a ,6 Spacial farcGilmand.and Araitipnal mbmbeon <br /> o �po �bs3p6 201 - ZO2 rZxssw <br /> 16.GENEHATOWS LEHTIFILATION:I hereby verlity lM1et lM1e Cnnknk pl Nis aliipmenl are lolly rM acmralely tlescepetl and are In all respects <br /> m proper cmMflron for ranspor TM1e maletlala easeripee on It, mad are not Ab�ae mIeaaal hazardous waste dealanons. <br /> % Dale <br /> PAntedi'Ni l41 slid b Apnp pay Y., <br /> E kl,,d i1c) IZ211 <br /> T 17.Trenygner t A4MVMedgmal of Anal of MaadNe pgb <br /> R <br /> A Periktl/Iypee Nama Sgieture MmM Yav <br /> ,9.TreMpaf.rz AdMwIB69emenlal Fill rl Maoeak <br /> wro <br /> TMn161Typed Nemo 91gand" AbnN Dii, vial <br /> E <br /> R <br /> 19.DieaMa,uy lM oraim Spse <br /> F <br /> A <br /> C <br /> LW.Fetlllty Ownaror Operation CenYkadon INecelplal No waNe mabeakwwonEy Nk manilae[eeceplanobani¢m 19. <br /> I 00k <br /> 7 ln..nea Wmasiprelpb Adai Day r <br /> F1A0'XA2 LAYLAISMO(800)0t1$ ..l9belmmkrsmm V .aa ormnmauasrzT.v.._..._n Pev.y95 <br /> mr�axas $OYINKN.K. <br />