Laserfiche WebLink
a. limit. 2.1,0 Vag Of <br />INIFORM HAZARDOUS <br />WASTE MANIFEST <br />, Gewalt?, Name end Wing -l3 va v.( (p i „5 .11, iiewr <br />Genexam's Rose. <br />14 00 2. <br />o 0 3 ..0 <br />Adezess <br />... <br />co e-roft-Ir‘_ \tr?- ‘,6 <br />' C'' 10 0J0000 0 <br />per 1 cd 3. Emmiencr Re'VMS. PI'S* <br />Genrsmor's See Adams Of Amore Nen cuing <br />gwisF <br />2 - <br />2 1 3 9 b 3 ( JJK <br />WNW <br />U.S. EPA ID Nxnber <br />8 Trampler I CCM., H4,,r CA %, • lo .. Z1 <br />I 'A 0 4 <br />C. sxrAct— U.S. EPA ID Note, <br />. ' • <br />7 Transpertet 2 Cen1P,m7 Ur. <br />US. EPA ID Number <br />S Desmnated Facatetame and Ste Adams <br />CPIS CM t 'KN.' <br />4.1, u.f.A.Wr ST a ' La wn geriA crAADS II <br />Faceg" Ph... <br />\ <br />, <br />10 Containers 1 i Total 12. Unit <br />19 1 1 <br />,.g., <br />CM.. t0 7,-.0M. ON US DOT Descriptcn 0etkatIng PrOper Start" Mama Rm.' <br />.1 P.,173 Groat ri x•P) No. Type a.rai Wt-N6 <br />11 <br />3 Pras:e Coles <br />— f2C-te8 Ikke-AILIC)005 vlAttrO, 5o1-10 <br />( PI POO R. V Pre3 I' k DE905 va aft ss,grokoilke ,r- c DF 17,0 P (7 <br /> <br />2 140+1 gr-ItA, 4s.zealbc-3, wicks-re./ Li alit:6 1 OF -5-o A <br />Speoal Handing moutons and Acieriorai inforrinten <br />70 0 22...003 ia It 7.1.1. <br />\ <br />GENERATOR'SOFFERORS CERIVICATION: I hereby eedare tat Me contents el DOconagnmerz are Me and appurately Oescnbed above by DO proper euppng name. are ere Swarm°. packaged. <br />al respect in pope condaon lor tampon accord . ing to app. nem.. and nabonal governmental regutabens. n export slropment and i am Me Pnmary <br />Emma I way hal Pe coca. den ccrisignemnt oznform lo the terms of the attached EPA Azknowedgment et Consent <br />I caddy 04 ra ottue rt... staterrani identified 040 CFR 702 27(a) tit 1 or a huge quantity gager.) et ibi till amaszna1 %wry generate a rue. <br />CyeneatesObeces Probterebee Nana STF1M-ra <br />Op fleA011 II AB a, OT 1:),041 /4 14.0 406013 I ••••1...---• 441/4- <br />Month Day Year <br />I II I 15— I Nez <br />,c, le kw:4ml Shrewd 0 krwrt . u s. <br />amartborn US Pori el enizpaut <br />_ Tansprier renew Cer etPerts tailM: Date eaong US <br />on I F Trammel' Actroteeterto I el Recap tot hlatenate <br />Tanaceer 1 Pintellyped Naos <br /> <br />eC s gr0000 Meath Day Y. <br />444 4;636 Iti I tr I Z Trancerter 2 Prniedflyped Name 0.2 PAgnth Day year <br />I I I Id Coomory 1 <br />4 <br />lea. Catreparay sPce El Ouanely Ei100 OResigue D P ReNclion 0 Full React. <br />Manliest Reference Number <br />Ei <br />p 8, <br />1dr. Allem. Feeley (or Genetatort US. EPA ID Number <br />5.2,41‘a <br />g 140000 <br />01 /4 mate Facility (or Generator) <br />0 09 <br />D y Bra, <br />ial <br />Hazard. A e Report Management Method Codes be., codes hazardous waste treatment disposal and reoy04r SYMena) <br />Cli ' <br />cr Operator. Certif.. of receipt el hazardous me covered by the manifest except as titled in Item 18a 20 DeSignatagyped i NFattlity <br />Sgnaluto 40001 Day Boar <br />I <br />A Form 117M99 IPLur 1,17i On:mini <br />Please <br />9 • <br />• <br />• <br />• <br />3 <br />Ft:fan ApiXDieg OMB No 2050-009 • <br />0 EPA's e•MANIFEST SYSTEM