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M cn -101 o 00 <br /> m = M G. <br /> (DN <br /> -0 -q UT r <br /> 7 - — O <br /> v C O NO cn <br /> —n <br /> M. U' ' CSl <br /> IIlIIIIiI1111B1g1111111111111 v <br /> 0 p��Pnnf656.78 {f I fNr�`IIr I I��py�+I+II+1p'�1II +ww+IIII � N <br /> M :a ea UNIP0F?jW iFonn designed rcr III�IINIIIIN111l INIIIO M <br /> WACOD <br /> STEIMgR00u5 1 GenarN'm�lZ-ptchl - r) ol)1NR-,4sF'SC: CD <br /> (n `- nerds s Ndma„ST CAt0003y7073 a r On <br /> 333172 <br /> r BIO L075 Oq+.larmP nmes� w ax�h„n��nu: r eemr „ �".-, Z <br /> 57 wm,.hkrT ra�4.r 1rka.y w ?r.S- r�_� <br /> 300 PMILLfp RD.A 1 n /877)577-2880 �1 9�. <br /> COLUM ATTN:DENA FERARU �'""-1.11 erta,�.:r.d..mm,.r.-£.maa,..,l....... <br /> S PSG � <br /> �neralo,6 BUS,ON 43228(614 BIG LOTS 04457 <br /> 1 278-g61d n <br /> `a"Sporler 1�,,mn,arr dmr 2687 M,TRACY BLVD, � <br /> STERMYC TRACY,CA 953782088308312 <br /> LE SPECIALTY <br /> Trdnspone,2�'maany Name WASTE SOL UT)ONS fNC <br /> MNS000110924 Q' <br /> 27St Cent�x�Ipy Naim and Srls>SaRrees <br /> Century En,ro <br /> ment <br /> 2095 Newlands Dr, nmentBl Manageof Nevada LLC <br /> Fernley NV 8 East. <br /> Ka"fY'S Rnene 9d0s (775)575.2760 NVD990895338 `G <br /> I M I d pwk n9 G o p I��anr7lnL'VURinq Proper Sh,pP�^9 Nama,Ha�artl CI86s.I�Number <br /> x UNIT q,WASTE Cpgldmers <br /> NYPOCNLORITE SOL <br /> 30. <br /> VTIONS B PGiI I TDI, <br /> Nn Tyne <br /> UN251"WASTE 70 1 OF 10 P <br /> X <br /> XIC.LIOUIOS,ORGANIC.N.O.S.(2.4-0)6-1 PGII <br /> X UN1950 WAS TE AEROSOLS 2.1 1 OF a P <br /> OF <br /> 2 <br /> 1.(:'penal Handirn MSlrnct <br /> r11 WMGTBLEgcH- rons and Additional infprmahon <br /> 04 E IG(151)BLEACN(2)BLTOXIC-03-ERG(153)ULTOXIC-03-TOXIC LIOUIOS LOOSEPACK3 <br /> I I B LAEROSOL5-04-ERG(126)BLAEROSOLS-04-gEROSOLS <br /> 16. GENERATOR-S; I EROR' <br /> markfy S CCATIONS l herehv <br /> I'd s declare that the contents of this consignment are fully and accurate) <br /> abeletl'placartled.anndd are <br /> rn all re5pecls m AroPercondlllpn for bang <br /> Exponc r i certify Thal the npnlents of this const n Y des6dbed ahove by the pro er shi in n <br /> I cen pod according to applicable inlemali0naf and national governmental regulations�f eXg Mand are gyur �,.k�� <br /> 9 mend Conform ro the terms of the anached EPA Acknowledgment at Consent. <br /> Thad the waste In, z" <br /> statement ItlenlBed m 40 CFR 262 27 a <br /> t-,EnerafOr's,r erors dint YAe a� Pr' pmenl and am the primary <br /> O(if I am a large quanliry genaralorl m(p)Of�n <br /> a small quantity generaloCj rs frue <br /> Igna ure <br /> 16.fnlernalronai Shipments <br /> On al' P,3r <br /> Trans Iter S,nature Lorex 1lmport to U.S 10 1 18 <br /> 17 Trans ns on) �Exporl from U.5 Fart of antry'exrt <br /> L, ponerACXnowl"MentofReceipl of Materials -- -- - <br /> O Transporter I Prrnled,T - <br /> yped Name <br /> C CL An Winkler gnalre <br /> < Transporter 2 PNnledRyped Name til <br /> qr a7 ea; <br /> 18 <br /> Ignatd e —��---- I 10 1 18 <br /> ✓Jlscrepaney Mont ay ear <br /> 78a DwreDancy Indication Space <br /> ❑OaaNdq <br /> Di, ❑Residue <br /> -- Partial Relectron _ <br /> Fagllly{or Generale') `I'Idetern;, <br /> Manifest Reference Numbe,. <br /> U.S-EPA IU Number <br /> r. <br /> Fa it ty for Generator) <br /> Ada"agement Method"wes(r a codes for h Wglh Pay Year n 'U <br /> azardouS Waste treatment disposal and recyr,ling systems) C (D <br /> 2 n <br /> N141 3- D O <br /> :xdlCicaiion of receipt of hazardous materialsH141 <br /> covered by thea <br /> "I except a = <br /> A 5 noted In item 18e <br /> v <br /> Sgnature N <br /> S Year o <br /> are obsolete Month 6a CD <br /> tv w <br /> v cn 00 <br /> cQ m co <br /> m , . o <br /> 0 <br /> CD <br />