Laserfiche WebLink
M cn M — cn <br /> m = o3 <br /> ON <br /> -0 O <br /> N CDD 0 o go <br /> O <br /> — 1l <br /> O <br /> Q (n (n v <br /> O 0O *k <br /> ZJ 3 C�4 <br /> M 3 w <br /> _ m <br /> c N <br /> aeasepnno, lvem «e � �Ift, �d�Iy''�Ip+III IIp' m <br /> se on ell t 72-pltchl typewriter y 1 pl1 <br /> 'uw STEI FtAZAROWS 'cxnxrator to Nember YYYHHHHIIII tltltltlRMMM� WW r <br /> WASTE MAN7FESi Y Pagx I of 3 Emergence Response Ana�e Form Approved 7MA rb 2p'JJ- �:; <br /> rcramry Name any Medrng Aedn:ss Q <br /> GFneralnrs 5i>e AdNeeS til d6Prenl than ma!Irnq addreps: FLE D <br /> w Ft.. m <br /> 'err Do'�r ompany ame <br /> r <br /> axrpaner 2 CcmpxnY Name D.S.EPA It,NumGer Q <br /> sgnaree Fanfrry Name aoo U 5 EAA 10 Number ^ <br /> .re Ahyre>s l J <br /> D S EPA ID Numbp� <br /> F.6 %pi <br /> 9a 95.US DOT DesrnpI 'llndIding Proper Shipping Name.Hazard Class,l0 Numher <br /> HM and Pachln9G-p(IlanYll !- <br /> 1 r0 Containers 11_Tplai 12 Unn w 3 <br /> NO TVPe Qr—ly vvt No �,:"._.-, �_ n <br /> � n Q <br /> W � � <br /> V, 7 <br /> 1 <br /> x � <br /> 3 <br /> m <br /> iG Species McMlinq ies4appns and Atldroony lntwmation CD <br /> Ll <br /> LA <br /> !`' OET�AA70R'SIDFFEROR'9 CER71FIDATPDX,the '4 <br /> merkatl aad laheled/P1aCeltled,arrd are m all respat6 iletlara tlMat COnlenls dais U�nslgnmen!are ylllY and apcurately described dhov p rite <br /> trial lin WO�rI Gansport acwrdin to a e Y proper shipping name.and are classified.packaged, <br /> Y Cpreehte as this rnrrsignment cartfprtn to the 9 pWrrable mtematipnal and nation'{gpvammenlal regula[iions.11 export shipment and lam lne Pnmary 7 <br /> ! 'IXBl ale waa�maarnuamn statement WM-1lhaeaa0led EPAArJutowlpdgrrten101 Cpn5enl. <br /> MmGfied m d0 CFR 262.271')ti!am a large quanlil m <br /> s me Y9eneatw)or(h(iflam'small quantify generetorl is We. <br /> Igna we N <br /> IB.IntBetol nnl av ear t7 <br /> F ,exporls pr{I ❑Expwl I—U.S Port olentryrexd: <br /> :ment afgecerylol Mawiiafs Date leavin US.: <br /> rc Name <br /> a rgnafure r <br /> rn <br /> 2 '�nsia-rt!e<<PrInIBd— onlh 3v _ <br /> '�f Fi`]h'dmL= enr <br /> f,• Ignafure <br /> �""'�R7 hlonlh ay ear � <br /> 'wvwwnLY Indrfblra:$paCE I� 3 <br /> I Uja,. Tvpe <br /> ❑Resitlue ❑partial Re]ecllpn M <br /> fu Gc+ierara; Manpest Reference Number <br /> U.S.EPA Ib Number <br /> _ 67 <br /> .Fardtly'or ratai f�f n <br /> e C CD <br /> AipnlTi Day veer n <br /> 6killo0 Cxks n.e..codes lar hazardous waste trealmenl al D O <br /> 2 - sppsal and recyning syslemsJ Q <br /> T = <br /> Ctr¢frlaWn dEwl of hazamcus matanals cauered by the manifest except as noted m Item Ida ic <br /> � fV <br /> Sgnalpre CD <br /> are labsde� hhWnth U3Y Year W <br /> v clo <br /> CD O 00 <br /> GENERATOR'S INITIAL COPY 4�1 <br /> 0 <br />