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ol <br />,1r <br />.f <br />Form <br />UI{IFORM HAZARDOUS <br />WASTE MANIFEST ctr"o ooatt3tr t (80o) a2{-rilroo 0 <br />Qufk SLcp ltlarketrrr Inc.165 Flarders Road <br />IrE. <br />I'9.01581 , <br />ELgTtrRE crl'oooltlrl! <br />QperatlonaS. of batgy rvrlloo10000 <br />(173l 553-2201 <br />9a. <br />HM <br />9b, U.S. DOT Dsscriptlon (lnduding <br />and Packlng Group (ifany)) <br />Pmper Shlpplng Name, Hazard Class, lD Number,,l0. Contalners 1.l. Total <br />Quantity <br />12. Unlt <br />Wt,/Vol, <br />13, Wasle C,odes <br />No. <br />EIo <br />3rl)irl5l <br />IikFm;[, Ilaza.udss Iabta ltotld (B] 1171)(Raqc, aboo&emt, f d$aLl locctrd rfthpetiolann hfdsocador) - <br />m P 352 <br />carrrator k a ERA Vffi er &flnrd ln f7rllf,l BESI:359097 <br />CtrIll($ltlP &Nr 659237aocHr. 260.10. m18 o& rcprcacrrtrI&rt,lfld trrt rpt <br />ffi <br />rf,ate thrt ls RCRA 6ElEl <br />rcRA rqnrlated.ERffilr& t 0?021{25?-0 <br />15.6{If{ilff.ltEYFIf,Ifl.IS hereby dedare that tle contenb are and packaged, <br />marked and labeled/placarded,and tn all respech to applicable Primary <br />Exporter,ceilify that he contenb ofthis consignment of Consent. <br />the wastE minimization statement identilied in 40 CFR 262.27(a) (if I am a lage quantity generator) or (b)am a small quantity genentod is true. <br />Generab/s/Offero/s Name <br />J;- <br />= <br />U.S.Exportfrom U.S.Port of entry/exit; <br />Date U.S.: <br />17. TransporterAcknowledgment of Receipt of Materials <br />fr l^I <br />Padial Rejection Full Rejec'tion <br />codes br hazardous wasto tr€atmgnt, disposal, and <br />ResidueQuantity <br />Phons: <br />IIEIIEI <br />Err* <br />18. Discrepancy <br />Method Codes <br />18a. Disuepancy lndication Space n <br />=(J <br />riau.tL <br />=I <br />aDulct <br />Cortillcatlon of ol hazerdous materlals owred the manlfesl20.Owner or ln <br />t <br />138/3648528