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Isie833 Ord or typo. JINTI.1 4 GENERATOR UNIFORM HAZARDOUS I l' emeratir fp '
<br />V4STE MANIFEST 1 CAC1303168664
<br />5. Generator's
<br />2. Page 101
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<br />IFOarn_LN]preited. 0.18 No. 26504103t
<br />a Eme.tartcY Real:arse !tone ....
<br />8774564265
<br />!deftest TWA° Maribor '
<br />021360773 JJK Name and Address • r . Genera/ea Sibs Address (ff dIfibrerrt than matting additss) ''C'" tiketki3 !Mike . , . CA9.?";if-, . • : • ....] • t. :, • , .j..1 ,•::1 .'•;'. • ' G 5 F: 259437.87110 - • . • „. • • 6. Transporter 1 Company Mame
<br />Pada Embonnustal Swam • • • . „U.S. EPA 113•Numb!ar ... . . . , . i . .
<br />1 •• ..•••• • - •IdAil00011807.3t: 7. Transporter 2 Company Narno 'US. EPA ID Number
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<br />la;;rye Name and Ma Address • •:: U.S. EPA ID Nia OS litaftzfew
<br />. . # CA 93E337 • pm= 30462119161
<br />. CALOO. 01 9 0 ! ga. Ob. US. DOT Descron (incfueft Proper SI4cfng Name, Hizard assa, ITHlurribar, 10. Catlainaieit; tow '.12. uha , HM Peckft9 ble0P and fil saYD N6., . , - Iwo Quantity • `• WtNali. ..• 13. Waste Cadee ' • 1. 1.1772•Kg.`1, •!!:77.7-7 • • •• I.T.7.1-• • ^T'''. ill , • - - • , ' : • - • ' ' ' . . '
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<br />, ,q,..14,, thstructions and • as. •••, law/nation • :•-•;..,,Iii':4
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<br />is. GENERATORWOFFENRita CERTIRCATION: hereby declare dud the contents aftle cons/pawl ale fully and accufatelY deaf:fled above by die Pr Per shigle8 =ea; erd era classified, Packeiled, mart.ed and labefedfpfacarded, and arafn all respect] In proper condidan for transport accoring to applicable Enternationaland rttanal goventmental reguslons. if export slOmerd and I em the Prirnaq
<br />&Pear, I cadfy that the =dents Ns ' of consignment catkin to the Wu a/ the adached EPA Acknowlastraord of Consent. I.,• 1...;,, the waste rainfall/ratan statement Identified in 40 CFR 262.27(a) (If I arn a large quantitY Socendor) or (b) sm a :. , ',.eirafil4 SeeafeeN) is Ina • a Name Stestle
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<br />Transporter signalise (for warts ordy): Data (Gain; • . eF9
<br />1 17. Transporter Ackfundedansat al Receigal Materials • Traneportgr 1 Pitted/Typed Name 4flalido .
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<br />rensportar 2 Pitted/Typed Name 3011 Day Year
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<br />18 Discrepancy
<br />18a. Discrepancy indication Space • D my 0 IYPe . 0 Roam . Darttateton Full Ralac3cm
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<br />•- 19. Hazardous Waste Report firbasgemant Mathad Codas (Le.. codes far hazardous waste treatment. disPossi. and facYclirM systems) 1. H i -I ) 2.
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<br />20 Designated Facirdy %mar or Operator: CarblIcadon at receipt of hazardous materials cassiiad by Lbs manifest except da ., , ,-. 18a
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