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EXHIBIT 9 <br /> Please pfirit or woo- Form Approved. OMB No. 2050-0039 <br /> UNIFORM HAZARDOUS I' Generator ID Number 2 Page 1 of rg <br /> -LE;J WASTE MANIFEST <br /> 5 Generator's,',Iarie anti Lialima Addre�> C�wfsfl Oof ti Site Addtoss(if dilfureol than mailing address) <br /> J L'. <br /> Generator's Phone: <br /> 6 Travqp:)t!t;'r I Cwnpvy Name U S EPA 11)Numtv,-i <br /> �Jk, <br /> Coi-q)aoy Name U S EPA 10)Nijvlh j <br /> US EPA ID Number <br /> '5 <br /> ga. 9b U S DOT Description(including Proper Shipping Name, Hazard Class,ID Number, 10 Containers 11 Total 12 Unit 13 Waste Codes <br /> HM and Packing Group(it any)) No Type Quantity Wt Not <br /> 'q <br /> 0 <br /> 2E <br /> LU <br /> 0 <br /> 3 <br /> 4 <br /> 14 <br /> tt y �'�v <br /> 15 44@SNERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately descri"bove by the proper shipping name,and are classified,packaged, <br /> marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and nafionel govemmental regulations. If export shipment and I am the Primary <br /> Exporter,I cedify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Cons"t. <br /> I certify that the waste minimization statement identified in 40 CFR 262 27(a)(if I am a large quarflhtygqijerator)or(b)fifl-Am a small.quaofity generator)is true <br /> Pf?rdod'T'yped Name Sigilatuier Day Y e.a I <br /> —J 'Fl Import tous Ewull ftn'Ti 0's Poo"Of cnlryic-pit <br /> Z— —Tfar'spoft-f Igvature{fio experts erq Date leaving U S,= <br /> W 17 Transporter Acknowledgment of Receipt of Materials <br /> UJ <br /> Transporter 1 Printedfryped Name month Day Year <br /> 0 <br /> CL <br /> Z Transpoder2 Printed/Typed Name Signature Month Day Year <br /> 18 Discrepancy <br /> 18a Discrepancy Indication Space El Quantity El Type EIResidue El Partial Rejection ❑Full Rejection <br /> Manifest Reference Number: <br /> 1 8b Alternate Facility(or Generator) US EPA ID Number <br /> LA. Facility's Phone: <br /> C:1 18c Signature of Alternate Facility(or Generator) <br /> Month Day Year <br /> UJ <br /> Z <br /> U) <br /> CD 19 Hazardous Waste Report Management Method Codes(I e,codes for hazardous waste treatment,disposal,and recycling systems) <br /> 20 Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as nc(ed in Item 1 Ba <br /> -41q Month Day y" <br /> P11111cu"'Typed Mama , S nRit;1e <br /> EPA Form Voi)-22 (Rev: 12-171 Previous erfirjoiis are obsolete, DESIGNATE FACILITY TO GENEIRAT OR <br />