Laserfiche WebLink
Preeeepflrt orryoe <br />UNWORN HAZARDOUS I Generator A/Number Pose 1 or <br />nNaoa <br />CS IC <br />Feosys Phone. <br />A Desagraeo Fecony Name., he Ao.ess <br />."-Z-1"),' C ( 4- eY-1....4 faLt 1: ,, t <br />-1,-, - <br />Sressposes 2 Ca <br />and FacAng Group Of any)) 96 US 00TDescrymen eneludep Prow Steppes; Name, Heard C/es ID Nantes. <br />one Ps <br />/ <br />5— ‘ 72 - <br />t-, <br />. <br />" <br />C E. : <br />WASTE MANIFEST C. 0 e...C. 00 ati c'e 1 Z.... Cressy. Han. sao mooro <br />OA a ifl Z_Cl..i G ent x73c5.-":0(5. )--1‘.. Cc it R.eisEr)(%,..t. <br />G tense°. 7 Cornea) <br />I <br />,-- <br />( -,,ti ,±51. r (., 6,1 G.'S, <br /> <br />c ,,,,11-31-151 LOnsrt_ S,1.‘,D . C,3,-,1,,,f,r, , II Iljimn,m ______..IIIIIIIIIIIIN.i.g 11..........." <br />GEHERATCIRSICIFFEROR'S CERTIFICIOION) <br />I hereby declare that the contents of the con.SInmen) are kIlY and ...WS des.od. ob.'. tn) the ProPIP Oh) .)) ).)))0) ase are vA5s, <br /> 000a9oP EFS... I oar* that Oc contorts of tha consgraren1 conform la the terms of the attached EPA kenowiet mesa of Consent <br />maried and labelerapNearded. and are in all respects in proper conclave for transport oocorcling b appesath mtemesonal ard nate., governmental regulatms If export shame. and lam the Poplars I cagey that the ens. rnfremaatefo statement elererfNd m 40 CFR 2622F0I III I any a Urge quantly generator) or tI5Of lam a sr.) goantltY ..) IF Ira. <br />. Oleroes Penfield'Hare, , I Sognalwe <br />3 Enelerry Areponse <br />37 -4C <br />S CArrent Plan onR45R41) GBF <br />;yowl? lianctoo 1.rtstokez era . c Moo.. In <br />)7: it <br />A Si I-I4 <br />Form Approved OMB raa 2050-0039 <br />',edam Mantes <br />I I <br />ranspooer 1 Pnnterr yped <br />Trwr,a 6 epr Acknom,d ,,,..n.1 of Receopt of <br />Peespeeer speature foei ...0'. WO' <br />It Internee:ea, So)pments <br />a <br />tenals <br />El Evart fron11).5 <br />Mane <br />Sigrfatore <br />ZI'le 1::v7r911 --- - — -- - <br />V. / • <br />I <br /> f a Cf, n <br />Ida DderePae,Y ,r,d,F+Ftbn SF.. flaotOY <br />i an. Rmiiiiiiiioot,,,,ge„., ,,o, cod,,, 0 ,. .d.s u,,,,,,,,ment cow.) ...d wyona ,,,iRs'IR7ference Nu n050 <br />19 SiatalioaS <br />Li <br /> F S Nam <br />SID kternata FaGlay (or Generator) <br />Noe <br /> <br />SIgnalere <br />ed n Item 18a <br />, tems) <br />20 Descoalte) Faddy Omer Operalor Cerbacaf or recerp <br />of huardous ma rial to ed by Ne maroles1 except a Prfreed7 <br />Month Day Yea <br />GENERATOR'S INITIAL COPY <br />loner Year <br />tUOnth Day <br />yr <br />%nth Day <br />Year <br />Petal ReNcton 0 Full Reiedif on <br />US EPA ID Number <br />Day Year <br />EPA Fom) 8700-22 (Rev. 12-17) Previous editions are obsolete. <br />TO Conto,), <br />U 5 EPA ID nurn. <br />C i2-ccuce 1 1 A S MAO, <br />05 VAUD <br />Ouanuy <br />If Urn <br />ViLnA)a 13 SVesto Coles SH2d 'oinA e!pne10 ASNOdSEH AONA02:11A1A I-AINVA2:12:100