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I�e>z� , <br />Oct. 22. 2012. 1:35PM lam' � No. 1160 P. 4 ► <br />'Pleasa, ntm e. Fgmndasigned for deem elite 1 r <br />i BaneMNr lb Number Farm roved OMB N6.2050.0039; <br />MNIFURMHAZARBUU$ 2.'Pag01Of 3.'FJrNig1M.YRaspent; Phone• 4.MangeOi mcklrrg gmber <br />WASTE MANIFEST C A a 0 0 (j 2 0 9' 0 7[ 1 (0 �4� 009561607 J:1K <br />S GenemC Name a ndbieaingpddress GenOMtor'e It, <br />I <br />Pi(714 N P4N,L 1�tp , <br />'*x) rTGCKTON J)L4q 7DIX1 fdCKTr1N i1LV0 <br />SACRAN ENTCd 916 0A9 49x6 CA, 9W-3 SSAVRANE1410 CA p a 3 <br />Galmrebte Phone. <br />6, 7Mnsporter 1 Gallpally Neme.. <br />U.S. EP(s 10Number. <br />,ASWRY KWAONIVE14TAI. SERVICES': C i� C1. q � 9 '] 7 (1 ;t, 6T. Tansporter2 CanpmyName <br />- - U. S. EPAIUNumaer' <br />3. Dftignaied Facility None and SdeAddress..' D <br />RAWY4 EWR0W*NTAL,SE'RVICeG U. EPAIONumb. <br />1615 SOUTW RIVER ROAD � i � 2 5 201 <br />WESTSAMAKUTO L`A WWI <br />Facile es Pham 19101374 P747 t; A 0 0 4 � r 0..0 3' S k ;; <br />9a. Ob, US DOT Cogodpdon orch g tamper Iitdppalg Hume; Hpmld dm, o Number, " <br />HM and Paddng GmuP (deny)) 10, Contalnme 11. TOM.. 12 Unh LTFp <br />No. Type.. auahmg wwd. F8>zTiVICE <br />N(,YIR(1RAHAZMWWWA'S'kLKAMDµ1&f'pCAILAuMOOIL) > C 1 <br />LU 2. 17 41 1 Ti <br />3. <br />14.3;.Ial Nildkng lnB(m mq andAdam* lMamaeen - <br />IfAf Wt 1k39: 1?1 aPROPILE#H9i: 11012DEN IAMNIGYC(ATAOT' 011R OW-421-11C300'ATJCMPO INALEPAC010 S <br />11131 , Nf)I'C,"AY'PRL1pRIATs~ PPRStN'W, PAGTEDTIV� EOLBpNENT - " <br />15. GENERATGR'SIGFFEgOq'9CERTIFICAT10N;'I Mreay Uetlam tllateM portenN'giOds mlislpnmemErefully pid eaureley daealbed shore 47 dM p1p111shIg119 na", Ord aro dessihed, padaged, <br />marked and laheledfloacmad, and are In el 169pada in proper mrgryonfor trehapdd aaprdngto eppllcaNe lnteln¢tlalsl end nationalmmmdal- <br />Exponer, I w"that the Contents of this mroignmenl confMn to the Wme0119 attached EPAAcknMW9rantof Conserv, 9 regdlacaaa..Ifeaysn anipmantodl am tlq pdmary <br />Im"IN that rhe waste mlmmizacm ataNmant ldmiffed In 40 GFR 215227(#l1f i am a large quensfygone Mlorym J(ttl emasmell quentlty ggwMior)litrue <br />. <br />GeneMtcidOgemfe PdntedR N me. <br />),. <br />U.S. Pert p1�,Ye r <br />❑ <br />� ifi. blematbnal3hipmenN „ Import to U.3 l3�Ork <br />TMnspolter signature (for arygrts ony: - limnl <br />''Gala 4JVItg li.S.: <br />Q•` 97.TMnappNarAtknwdedgmmaelRadaiptMMotu <br />ple. <br />a' TrenopmtaLlftled(Typed Name f .. <br />O 'y .,,y� ..r ..., p( q,} f�B <br />Cd ✓... ,. ..-�y�� � ! Lr./ <br />Transporlar 2 Punted risme 91gnaWm <br />Month Do Year <br />18. DNaepancy <br />ie9. DNaepanoy Indim1lm Space , � . <br />❑Oelnlly .,�Typa ❑Residue., QPaMaIR*,jo. ❑Fulwjedbh <br />18b. Afamate Fedlly (orGenaretor) ' Men9eal RafarNge Ndmber, <br />d <br />U.S, EPA ID Mdnbar. <br />U <br />LL Facilltys'Phone: -. <br />iec. ignaMr0 olAWnyN FedYy(mCaenenbr .. - <br />- ..Month ,Dpy ear <br />x <br />19. HamNoµg W881e .. pose Mryeprpg Tforns) <br />w Repot hlaimgepNtitMelhee codes p,e., oodealarheieidws waste treatment,dN bane <br />c s' 2. <br />4 <br />20, DeslgralmFacleir OOmmdr OpeMbr. Cartlhetlan ofre41p1 afh�rdale maNrNN covered boo aumpt as haled In hemlea <br />Pdni Name gnemre <br />th Y Year <br />EPA Form 9700-72 (Ree 3.05) Previan ediliorrs ore obsolete. <br />GENERATOR'S INITIAL COPY .. <br />