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<br /> UNIFORM HAZARDOUS I.Generator ID Number�j , 2. Page I of S. Er._ryana' Response PtM1ae 4. Manifest Traceing Number
<br /> WASTE MANIFEST �,� S� ©Q '1 I f0q 1 Q aco FLE
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<br /> 59. U.S. JOT Description(inducting Proper Shipping Name. Hazard Cass, ; r:a', I f . Containers 11. Total 12 Ur,'*.
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<br /> GENERATOR'SIOFFEROR'S CERTIFICATION: ! hereby declare i.^.at'wts contents of inn consignment a:e full,and accurately described above by the proper shipping name, and aru , ed,packaged,
<br /> marked ar.d labeled placarded, and — respects ,proper co eii,on tar)ranspon according ii appiicabte iel( - : rational go;ernmertal reguWions I+export shipment _ :,. r. Primary
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<br /> _'r r=5'yrated Faa i!y On:'wror Operator Certificalan of receipt cf hazardous Ta:eriats coczreo 6;; t;e ranitEs! excepts; eyed ;r Item 1Ea
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<br /> ee (Rey :+•: ,; Previous editions; are obsolete DESIGNATED FACILI T Y TO DESTINATION STATE (IF REQUIRED)
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