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90L 'ON, WHOA ll tiIOZ 9l 'dad auai1 p;AI;D <br /> TATE OF CAUFORNIA <br /> p AND n»fest o <br /> West,Poaltry and Egg Safi Y Branch Ma N :: W - 0 <br /> 1220 N SUe`et r <br /> Saamtronto,CA 95814 i ;,''' <br /> (916)900-5004 <br /> 79-124 (Est 11112) <br /> l <br /> Manifest Inedible Kitchen Grease Tr2nsport <br /> ei ' Fac�ty <br /> IBfo;rmatioi! <br /> Ynstm�tions. and Stec . <br /> ' ranspurt MEanff�for a load of IKG consists of thb form I a <br /> ;A complete Inedible Kitchen'�> ) Inedible limen Greer Tr"ApOrt, <br /> ;and all g_ner*tor copies <br /> fra><a NfPEfif <br /> form 79-12? ,(Ma st the G <br /> Geeemtor IfikrDisition�tor-genaratora dear'o"tr9ffi�e ISG to the to II�AD orme each manifest must z( <br /> importer m xy U0,01her forM tbet tolatain ill j-g4u red i�prma�o Octed»#feats for two years: l <br /> :have the same M==eat Number. Tranaportm mast '°°m <br /> A <br /> Manifest Inetrac Ona <br /> adf <br /> cm this form and on MF�S'.Form 79- <br /> sible for entering all lnfor<natrort , , ,I <br /> i.The driver <br /> of the tKG transport arehide is nen C i except for in die Recef�+n►9 F ' <br /> 125, Mariftst-Inedible KllCW Grease Trantobrt, re boxes. AN.enb'im must be in ink and legible- The 1 <br /> Ra bve and Generate'R ntaWe name and slgr Fe <br /> eMBred: <br /> driver must initial any cametions to into als�dY - <br /> of tale camp!aCad fnrrs►to thereceiving <br /> Ioud od lKG. Give one copy <br /> 2. Elftr an lrAormetion to the form hekAN for exh f=ftNWm 15work days• <br /> r mail or deitver ttre COPY <br /> t`agTitj►idt the tltne of.IKt3 . -o. �. ;(MPES Form 79- <br /> top at the top`af this form in the Manifest No. box.on the g d <br /> 3, Enter the Manifest Number fou r fotM from 90neretom where IKG was coilecbed to <br /> tug �to the,{�: All g as th b�?. ReCeiv N Facility lnfomwtion'form. i. <br /> '125)for each gerlerata the same Ms►nifust Number <br /> as the attached <br /> main,up the k)ad must,have <br /> &125)to tris gene+ata <br /> at tt►e time of lKG collmction or mail or deliver the <br /> 4. Give rile gonemtor COPY("m MPES ii am 7 <br /> copy to the germraW within 45 calendar days. F <br /> b0 t <br /> for a!1 generators th2R cflnMbtstbd ris load of IKG to this form. .�t <br /> 6.Attac h tlse geneadw'forms(MPE8 Form 79-125) from the date on this form. <br /> Mairlt tills form and tt►e ell*:hed 9areg'ft <br /> S for two Y�� <br /> Used Cookft 031 ;I. <br /> Type 6fa 4 <br /> 1K0: I,�tercepiodfTaA Grease <br /> is <br /> used: corrt2ww ol�une'(n + Em(tf FLoqulrea). <br /> oW IIC(3 pscw.d: c3atlot,a <br /> pwnft <br /> Tri,Nsrna <br /> le <br /> oos �" . <br /> 90/S9 DJ-Vd ��lnn� Oln� 9Z6559b6aZ �� BT 7TBZ/9T/69 <br />