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Please edfit.ortype. EI01181 Form roved,OMB No.2NO.0039 <br /> UNIFORM HAZARDOUS 1.Gerserator ID Number 2.Page 1 of 9.Finerparwy Reaponse Picone 4.Alan t+Trae r �] VES l C c <br /> WASTE M"IFEST G R 0 0 0 2 6 6 a ? 0 0 11 7 9 8 0 2 ' •YES <br /> LGmwmtoesana and Melling Address YULISSA GALVANROUND $ <br /> D WAY <br /> A 9337771? <br /> one; 110n Bin-244n Cwmany Name U.&EPAIDNurnber <br /> nLIA E5 TECHNrCAL <br /> 1.Tranaporter z Company Nam SOLUTIONS N <br /> ,S.EPA ID Number <br /> RrSTATE MOTOR.TRANSIT CO. MOD 4 9 5 fl 3 8 9 9 <br /> 8.Deslgnatad FaW ly Name and Site Address <br /> VEOLLA SS TECHNICAL SOLUTIONS, U.S.FPA ID Humber <br /> L.L.C. <br /> 1744 W. FIRST STREET <br /> Fac@' s Phone: 626 334-5117AZUSA, CA 91702 <br /> ga. 96,U.S.DDT Description QrA ding proper SNP*Nam,Hazard Claea,10 Number, 1g. � C 'A D 0 0 t3 3 fl 4 3 <br /> HM and Paddng�p(d any)! ners 11.Total �12.U,It 13.Waste Codes <br /> p No. Type Quantlly tivd. <br /> 0 1% 1, <br /> INSTANT H ND SAIZ NITI 1ZLE U <br /> ZEER,CC„4 CID&),3,I�,'�URSLL F003 A001 '331 <br /> g (r300I) I D F 1 3 6 P FOOT D035 <br /> Ly X 2' UNI263,WASTE PAINT RELATED MATERIAL,3,IL RQ <br /> (D001) D001 <br /> 1 D F 2 19 F 331 <br /> X a 3 ?5,WASTE SOy1DS CONTAINING FLAMMABLI F403 357 <br /> I I E NT °RBRIS CONTAMINATED WITH <br /> sooV �.�. rr <br /> �y g 2 D F s l P D001 <br /> 4 5.2 14 O CIDB DAI�Y p SINFEC�NST CTLBypAIE�IB'1tLdQU1A. D403 D00� <br /> I D F 73 PD001 ' 331 <br /> 1a special Handling Instructions ana,addigonal hillormallonER Service Contmaed by VESTS •I- Canftw retained by geveraor confers <br /> a encLRuthrltY on initial tram crier to add or substitute addifional>xaasparters on e e oz's b half -�• 1ERC:12 7 501 A <br /> t1 �LPpAG�1 2)RR176 W:?140 ARGI-Qts -09B 3 ERG:133 W:71S $ CHi6745 4) RG 14� i o1 A: <br /> 15. GENERATOR'SIOFFFROWS CERTiF4ATION.I hereby dedere that the aantenln of tNe cor 4m*M are MW end accurately de$aW shove by proper ahlpping rtanre,and are dasef8ed,padraged, <br /> marked and labaledlpfacarded,and wain aN respects in proper condition for tranepod according to applicable IniammbWai nd nailonal govennental r rrlatlona.if export B*ment and I am the Primary <br /> Exporter,I certify that the oontants of thio oonslgnment ooMorm to the Isrrrra of the attadted E'PAAdumieNment of Cmeent <br /> Lqa*that the waste minlmlzalion statement Identtlied In 48 CFR 282.27(s)(If I am a large quantity gerrerator)or(b)(if l am a anratl quantity offmiorl is true. ' <br /> Genera sIDIfemes Pdnteditppad netu Year <br /> r <br /> 16,international Shlpmonts <br /> ❑import to U,S. ❑Wort from U,S, Pari Of enhylexii: <br /> Transporter signature(for exports only): Data leaving U.S.; <br /> ce 11.TransporterAd nawledgmentof Receipt of Metedsla <br /> T Her 1 Pdn Name Sig Day Year <br /> renaporfern <br /> "IrSlAnafure tAorfttr Day Y <br /> tg.Dtsae y ', <br /> lea.Dlsaepancy fndka8om Space ❑cuentlty ❑Type ❑Residua ❑Peru Re*oon ❑Full R.*tk n <br /> 18Alternate Facility(or Generator) MarMl Refemnoe NumberU.S.E A Nw Number <br /> Q <br /> f <br /> Fadlitya Phone: <br /> 1180.5t(ineturaofAitemeteFacility(or Genarefor) Day Year <br /> 19.Hazardous Waste Report Management Maim Codes(I.e.,codes forharandous waste heatment,d)spose!,and mgc"v systems) <br /> 0 1• 2. 13. Mgt 14. <br /> 28. sigrw1W Fadli Amer or Oparata:08ttWca of E v(hazardous materials covered by gra mart! exeep ncled in Item loa <br /> P <br /> we <br /> 0 jvh, -'�n ( 10- r <br /> EPA Form <br /> T70n2(Rev.12-11) Prevbus edl its a vlete. SIGNATEUTRILITY TO EWNs e-MANIFEST SYSTEM <br />