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Foran Approved.OMB No.2050-0039 <br /> Y 'ter.) Phan 4.ManUnt TwkiN <br /> r wumbaY <br /> pf a ry (Form dea9ned for use an elle(12 ah 2 Page 1 a 3. JJ K <br /> 1.Generator ID Number L 1.-_ 1q..af 24—'M <br /> UM TE MANIFEST 4 C,AtO 0092193 4 <br /> " .�TE MANIFEST Gerraatr's SpeAddass(IfdMaem Chad mailing address) _ <br /> Mad' _4. ... <br /> S.GeneralWs Name Address� m9 � <br /> OOUftRf- A TRUCE & PRAtCOR RPt•ATR <br /> 157!, W. CHAR-UP WAY LINT'f it <br /> ,;"",&TUN, CA 9b206 U.S.EPA 11)Number <br /> Gereabts Phan: — 67-13"79 <br /> 6.Transporter 1 Caapanl`Name <br /> CAROW194817 <br /> PA4"TFIf C.OA";T I ACQUFR U.S. PAIDhktuber <br /> 7.Transpolar 2 C=WY Name <br /> U.S.FPA IO tdurrber <br /> 8.Desigsled Faddy Name and SiteAddaes GAO0ACd1� 4rnF, <br /> PAC If LL RC,S(IURC E REC9VLRY <br /> ` 9160 EAST PICU DLVU. <br /> LOS ANGELES:,. CA 9OW3 <br /> Fad' aPhone: (SM) 499-714Kr 10.Contamers 41.Total 12Unit13.W"Codas <br /> 9, 9b,U.S.DOT Desorption Qnckd'og Proper ShigrinG Nems,Hazard Class,ID Number...... No. Type Quantity WI.NOI. <br /> FNA and Padang(Troup(ferry)) <br /> Pat 1 <br /> ,. <br /> W <br /> Lei X "12%3. WASTE PAINT RELATED 14ATF. TAI. , <br /> o pfxil: RQ, (D001 ) Lia+ f/!i E, Ct4 <br /> 1375, tJASTF FLANMARLE SDLTDS, ORGANIC, N,QI-& 1 <br /> (ACE f ), 4.1, PGI1 , RQ, UWA) <br /> i=F-FAN3NFr=�;iJ1.i1F�4sM}—(-1.=A>"#� <br /> 14.Special Handmg Insmrc5ons and Add6aiW Information AS ul do"!o:7F <br /> 4) Api 63i-- 9b2) APM P3_^-9 9b3) A" 6334 <br /> CaLOVFS 00 GLL'S t PROTECTIVE LOTHT .I'D ��Au'a``.atta rr <br /> FRfiN: W 1478 9b9)1 'S -- '6 <br /> rttaNs 1'FR 1 PNoN� <br /> 15. GENERATOR'SIOFFEROWSCERTIFrATM: Ihereby dadm that the Contents of this mld71INN are kdy*aaulrv*despW above by the proper sltpping,name,and aadassiW,pada* <br /> marked and IabeledrWacanW.and are in all respect in proper condtion for transport acmrdng b sppkoW erOarAadand rrefphd governmental regulations,d expert shipment and I am the Primary <br /> Expoffer,I many that to wrftft of me aoneignmed M*rMto the Wm of the aitadied EFAAftmWgret of CorpreM <br /> aatitY that me rosea minim'¢etim st&anent MahR�In 40 CFR26217(a)CO I am a large pully g9fs`mr)«@)(li i an a snsH pramkygakramr)s inre. <br /> neatorsr "s PdntadlTyped -✓ Month Day_ Y arr <br /> 111017 <br /> J 16.Intemasonal Shipments <br /> i— ❑Impontb U.S. ❑F_xpnd ham US Pod of wftledt <br /> Transpoder sig�ture(nor exportrly' Dale lexvir9 U.S.: <br /> W 17.Trenspaterklum tlynem of Rebio of 1 .—L UVtl64 il <br /> _ <br /> ~a' Tan tadrTyped Namesmala. eaF <br /> Z Transpolar 2 PnNeNfypad Nene <br /> Q _ppm Day Year <br /> K <br /> ~ S_r <br /> 18.DiscrePsnCY err <br /> i 18epa <br /> a.Dmancy Indi atiun Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejeca, Ort Full Rejection <br /> Mandest Reference Number s� <br /> 18b.Alternate Facilry(or Centum n U.S.EPA ID Numoer <br /> J <br /> W FadMs Phone'. <br /> W ieC.SW67WMOf Ahemate Fadily(or Cereamr) . .Manor Day Year <br /> Q <br /> -. ,19,liaxeNots Waste RepJn Masgernera MaM)d Codas(,e..roles for Wamars WasY"Meant,d VosK and req in9 systars) <br /> Cl <br /> 1. 2 3. 4. <br /> I <br /> 20.�918WFa�Oa M Ced�ofreoWofh d.ma� bythema" aa�nhem18a <br /> Airkdlf Naas Sig M Monro Day Year <br />