Laserfiche WebLink
or <br /> U�VCFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number <br /> (ContlnuQtlon Sheety Form preyed.OMB No.20,%-0039 <br /> � 6 � � 'J 22,Page <br /> C A 1 0 6 0 2 ?3,Atwdfesf Traddryt Number <br /> 24,Gerpratora Name AD� � Z of � QQi'1�4719VBS <br /> CanpenyName <br /> ' li.3.EPA IC7 Number <br /> 28.Transporter,„„—_.._ Company Name <br /> U.S.EPA it)Namber <br /> HM and P U.S.[707 Strp N Name,Nerard <br /> a,6V Group�j� +rg °Pei Crass,t0 Nummlarar, 28.Confalaers <br /> .EM17��/A07$�� No. 29,Told 30,Unit <br /> x' rAl2�A a Quartdfy WWI. 31.waste Codes <br /> X �so,,�,r rP110'!B �X�� 2 BF 91 � 1001 <br /> �. =WAMMMMrft 1 �' 69 r Dom DOW <br /> Pftmi*7Y�SY1!. R Doul 141 <br /> DIM <br /> X &�w�� 1cy <br /> 49 r n , <br /> WAM CP 32 jp <br /> x 701 <br /> 1q.[IIZf41�1VAf� CF <br /> 1 <br /> X xuw' OMAMur 7NANtali 4= <br /> .A11�Ij 1 jj <br /> C' 4S - 1 <br /> r Boas <br /> IL <br /> 1- CF �1 <br /> 10 � <br /> ale Tk" `Asdd>tloaal In�ICum1+�4 13� <br /> #) 1047jSYl SOI/ 1 <br /> 33.r <br /> PrfntedlTyped fVame t of R34. <br /> t of Mereeala <br /> Pdnted/fyped Name mentot of Matertals Month Day veer <br /> �Anature <br /> 'OfacrepaniY Month oaY Year <br /> 38. Report manegement me <br /> 3. � t�� ror t�a:ardous waeta aB t ane��SYste�) <br /> 7: <br /> 11, <br /> 1 om7 8700-22A(Rev.12•i7) Previous editions are obsofeie. <br /> DESIGNATED F'ACILtTY To EPA�s a-RIFEST SYSTEM <br />