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fnsctNe Marco 1. 1442 <br /> ' raersE. 'r <br /> Es�on a ficOfEon, not pn Ovcsli <br /> p�>� IT140 corp eta all arras that a W <br /> GENEMTeR <br /> FACILITY ADVII Z <br /> MAILING ADDRF!iS � <br /> T LEPHWYE A <br /> TECHNICAL CONTACT <br /> rITLE <br /> HOES . EPA III <br /> STATE* <br /> TRANSPORTER <br /> CONTACT TITLE — <br /> rELEPHON6 <br /> NAME OF WASTE s • •. • , <br /> ACTIVITY PRODUCING WASTE <br /> iSTtIIS WASTE All TCLP WASTET Q YES Op O <br /> EF YES,WASTE LIUST AARIYE AT FACILITY WITH A HAZARDOUS WASTE MAtiI WDWDING A COUPLETED <br /> BOX I WITH EPA CODES, <br /> IS THIS A RCRA F-. K-.P•OA U.LISTED WASTE? C1 YES OR X NNO <br /> IS THIS WASTE HAZARDOUS BY TITLE 22,C.C.R.7PYES OR 1a NO <br /> IF NO.THE DET EAIAINATION 114AT THE WASTE IS N01,114,IA2AADOUS IS BASED UPON CERTIFIED LABORATORY <br /> ANALYSES ANWH GENERATOR KNOWLEDGE OF GENERATION PROCESS AND WASTE CONTAAI INANM <br /> I CERTIFY THAT THE ABOVE INFOHIMTION TO TH E BEST OF MY gVOWLII IS TRUE AND CORRECT. <br /> — <br /> &awAT–URE � � " ac-�e ✓ <br /> MY afgnawre Indicates pennissbn for Hazardous Wells MwWeala or Bills of Lading to be CArtaCtbd=F. <br /> W1dU1rn wRh inlolmw1on iurnlahed on thls 910448. <br /> FAC11�IlY DECISION <br /> ACCEPT REJECT <br /> RV DATE <br /> Roewied P+Wr <br /> a <br />