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rwwHai <br /> &M jnww C°-ww CESW DATA SHEET&WAIVER <br /> -law so wtr i2.A�St <br /> sl'Cl(ki r,Ci0.w5m .100: fiJ2>lB992fl <br /> Te%pt,om(209)468-%70 SAD00046 <br /> Fmc(ZW)468-6672 <br /> ^ OA&k 11 saw <br /> aadne� M�kmt c�a T a 209."&2M <br /> : tit S a ratio St Ca 98"6 <br /> cod.a FSx P UW- <br /> D>kr=t+.ahr« rrmrc <br /> stm and f�hwWdOkis wOM W"timtt the uee of ttds type O(w98le B <br /> �� a less than 100 kfl,9,=�gallons Or 220 P"Kls)of hezardou8 and transport tt►ek waste.Tf►erp�iore, <br /> than tins amount ere isoh. <br /> by�'io+iBe a iwensetl haz8rdcxia rsaste t �,vie nerve�e hit to review your anr�! <br /> you must sun the following www {�use of this Program. <br /> to order to participate M t 0Y4ronmerrtal f etlt�P�Pe�n�to determine Y�eFi9 Y <br /> manlF�ts ar oonawlt wide County <br /> '11�are�k You, _ <br /> Wwalw <br /> *at(am repre5wIing is a condiAonalty Exemfm *per <br /> month Uased a+►an eiwxw )average no <br /> I o m thori 100 <br /> ore or 220 tea)of hazard o<,s wasde pef is 27 gatlona a 220 <br /> �� rt � � tend th®men6mum quanta 0f VAMO a M t'1Bac dssposal, <br /> �,a,as and enr ffrspo.� <br /> tn+:uned shaft be the of the CESOG to ver <br /> ignature <br /> rajTl2010 12:57 <br /> p0 NOT WRITE BEWW TM LOS <br /> WVE>►TURY <br /> (To be mrbwd by-Maj-P <br /> Gd Prig Unb Talal <br /> k611!<t $5.3 als. $28.6s <br /> 5. <br /> t ateac faint 15 133 $5.30 jals. $82.93 <br /> l mwakhie gid-Buaki <br /> Subtotal <br /> $111.61 <br /> VQ.im ea. <br /> t=ce <br /> TOO $131.61 <br /> CT/Z@ 30Va S 10E2JVH NV3-10 ZL9S89t16aZ ZZ :ZT 3TK/LO/90 <br />