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FA <br />07/21/1994 06:40 4094650723 <br />0 oI N~IM AoWgy <br />in Apprawed OMB No. 2090-01M (E.*m 9.3"4j <br />— y.;.r or i7pe• Fenn d■sgrrer{ for uxr art via► f 12pitthl "wwdw <br />O <br />N' <br />m' <br />G <br />E <br />N <br />E <br />R <br />A <br />T <br />O <br />R <br />N1 <br />UNWORM HAZARDOUS 1. G�a <br />WASTE MANIFESTic�Ale' <br />TOYS R US DC 5801 PAGE 02 <br />SN In•tructionR on back of Paso 6- Dm --A a of ro-w 5mbausm caw <br />. toii{a,rie <br />US EPA. Ip No. Aloifezt Dacvmere No. 2. Page 1 I„forntatite, in tl,e dwdetl execs <br />DI 41R I C+1?J 8'I �t 18 <br />lei 17 1411 e aI 1 :s rat requlyd by Fd.nd k— <br />J. Gmxatur'r Nome and Mailing Addmn 7-J— <br />SOe,,—H , /H *% rs /<,r• l{,20 71 <br />S. Tran"lle, f coapay Mane -7 5. US EPA ID Number <br />! +t. <br />7. Trenrperfer 2 Carola," N— <br />IL US EPA IG <br />9. Dos*,oh cl Facility {dams and Site Addn1K 10- US IPA ID Number <br />�ie.�2� �� T�jrc3 �►+.ivfRla�v,�ri,��'e1J <br />62-i " sni.; t/ —'r'� ST", <br />a'_ti 1 131 <br />7 t. US DOT 0-wriptioe (wKludiwg Preptr ShopkV Naner Hp rd Clap, OW ID Nrnhlfer) <br />a I1v G A71iRaO LbS LUI�IIE . ! E <br />(,iii <br />b <br />d. <br />13_ Tata) 1 14. UnR <br />13. Special Han** Indnetia.s and Acid k—wl IeFMmalbn <br />/462 may'C7: 5st rati) , CA . 4"Sr26 Cw <br />16. AEPREAT4R'S CI�TIFtCATb 1 herby deck, Mtaf the cottenr of fra carnignme d are .,d aowrdnly dr r+i6ed •bear by Proper Ihlppkrg name and are c waviied, <br />POCUd. Morked, and labeled. a,d ala ie all rerpw in prop- canddion for hvr0ew by MCO--- r --dieg Ie apppeehle 1sd.rC1. fieN and rtMfnMier,d (errs. <br />II I MR a large *MfWy pooraler, I ewWy the 1 hose prop~ im pk es to rodues Rte vah•ne and IaKi IV .A wwel anrwr b tht dtpnt I k.w del■r.r:,.Il +e ►. <br />7onomicoty pracNcdtk and N,as 1 hare !Marled the prodwable mu*md of trealma,t. darage. or dispand curl mel avalebk to me wM6 minimins the pra■set and fi,turo <br />,hreat ro t—an Mvhh and ,he ewnirotrtwd, OR. If 1 am a srnol qupayly gerw►otor, i hors mads 4 pool Ioi* etfert to mmkolee my wade 9"Ma6m cod avled the fieri <br />wash moo6od That b evagaW be me mA liar 1 — DIFF, • <br />P Gnt.d1T Nom■ Sgn■d.re Atgr^ Day Y. <br />b a 7 s <br />r ..i x..e..y.I. 71, <br />r T <br />Ackn wled Iw wo a1 Ren <br />w e <br />� ■ <br />H <br />r <br />nm� <br />W <br />W > <br />r <br />'E o <br />I8_ Tam area 2 Ackne,r of R■,l■ii <br />a <br />P,iwled/typed Name <br />sW <br />4,J k <br />wu <br />I4. Olkenpancy Indiccd Space <br />Q F <br />u ik <br />z c <br />_ I <br />t <br />20. facility, 0.-!ner or opa'ato, CaAli:—Non . <br />rPrnrknWyped <br />Nome <br />fI�� I .rt-" I o -1 ► e7 Yew <br />54Paaba I !sent► D" Year1 <br />Brio co"mgj IN this ma.ifesf exec 1 as noted in Mem 14. <br />Slp,amrt Man+b Day Yaw <br />f t <br />DO NOT WRITE BELOW THIS LINE, {,r <br />"%1'4r. -50F SF> Jn5 TJ15 COPY TO DT5C WITHIN 30 DAYS. <br />DTSC =2A f7/W) ?.C. -7pr JOW .z!crpmento. CA 95912 <br />EPA 97OD-22 <br />