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Do t. 22. 2012 1:35PM No. 1160 P. 5 e r e. Farm designed for use on elite 12•p . write[), UNIFORM HAZARDOUS 1.Ganaretarlb Number 1. Pagalol 3.Emege R Form Approvad. OMBI IWy fapan96PMx16' cniammet C n Numhar WASTE MANIFEST a"4026 37r, 9, Yf77-'T34�Sg77 sl0 �9fi59 5; GanaatWa N'�ggme and MalingAddress kr,ti:akr a[ Bwi.i •rlgtoel+.kaa,. Generators SllaAddmsslY dMereMlAan malling address) i ?.�12! L;71sxlc AAsa$er. _.977 [.Jraa;ir.@x aro,: Akf:ss': AYpuy Y#xumb i . '[cncAh.rzaa. Cris 4!`i;7U5 9'Y.u[±k@x+ss� CA 9%209 Generators PAOee. 41 N, 'T4s1•-19ABi i 5. TrwWrler l Company Nem, M—• •• 07' T1tIw A[St, RmcrnMtla:�r. w T. Transporter 2 CAmparry Name W.M944407111YI U.FEPA Ib Number -" !. D,yal�ralad Feciiy NNne ann SilaAddreag nx+Q4a i R[1'8 '1111083 Rgn+.'X-fffaa{,slj a_ Containers Pt +ntfn., .ASR, 72m 11.Twat 'arta 's Pum: DY{0-Iri- 419!Z _ go, 91).U.S. DOT Description(includlrg Proper Shipping Nam. Hazard CWA ID Numhar• HM and Packing GMP (if ely)) 1. A,ar .r, nr a .. .(k�»4zru7.cttm iY.i,9E•i1Ag1.•gx. agaa rr,. t1•. kl.ASlasap.d,.l fSpd.r.iktsaS 9 a .. j?Ery 2. r amarmsxtAitTp �. % nup[a[11lyr) r 2.1.r SPpIY.4FilA EPAIDNumber 1a goIACIaI Nandli1rg a l IMAM am Memorial insminauan 9.5 teA{i �• i2F�7 '1U10--�B2N �a.1 1pQk-{IO:A3[i +5.+.7..1.0 �trs3.iiar.:dle;. rAarAi A{7pxtap.i.aiab @'Yaafan±zt.Ta 4: s,x�$h.%eag; k'R Rrxpnaala r2ib llinrlrkri'rltr Ylssw_ca.an?:{ 15, GENERATOR'SIOFFEROR'SCERTIFICA710N: IherebydedmtWthamttentsolthlsconegnmantarefultywdoa t@yd,seabedabnre by dre gropers 10*9 name, and are davaill packaged. marked and tabeledblacadmape ad, and are In all cts in proper Wrdhton for hamP0d according to applkabb international and national govwnmanw regulations. if epod shipment anti I am the pdmay Exporter, I sedgy that the contains of this ionslgnmmlt conform (a the URMS N the attached EPAAckmWadgmem aI CmRent. I ceduythat the Waste minimization statement Identified In 49 CFR2g2.27(a) ill am a targe quantity ganarekr) or (b) Ri am a amal quantity generator) Is tine. GenarMordoaerors P�lltaNypad Name ! 5gneWre Marta • De Y Yea it, Intsmatimal Shipments ( Transporter signature (for experts oN❑Impel to U.S. El Elitist M1om U.S. `.. Pod of anwat: , Da1A ("wing US.! 17. TranapoRerAcknowladgmemofReceipt d Patsedets rrmwportw 1 PdnlslVTyped Name ,+/ q i &gregire yn Month' ba y.:. 'ha Y. ttenspoltax 2 Ptnlsdr7yped Name, 1e. Discrepancy 189. Discrepancy ledtaGnn space ❑Quantity Cedes 20. Designated Fadllry Owner Opolalol; C.ertifudon of receipt < Pdntedl7yped Nem, EPA Form $70422(Rev.3.05) PrevotoRilDr erereobsolete. ❑ Type Iha ❑ Partial Rejection ❑FJI Rowan GENERATOR'S INITIAL COPY ro. . Y:xitlOOFIi'iJ�2:2 U.S. EPA IO NwSW W.M944407111YI U.FEPA Ib Number -" APD9810S707a a_ Containers 11.Twat 12. Unit M. Type Quantity, wivol. 13. Waste Codes 6 �C•` Is a j?Ery [0i. (1171 g, 1a goIACIaI Nandli1rg a l IMAM am Memorial insminauan 9.5 teA{i �• i2F�7 '1U10--�B2N �a.1 1pQk-{IO:A3[i +5.+.7..1.0 �trs3.iiar.:dle;. rAarAi A{7pxtap.i.aiab @'Yaafan±zt.Ta 4: s,x�$h.%eag; k'R Rrxpnaala r2ib llinrlrkri'rltr Ylssw_ca.an?:{ 15, GENERATOR'SIOFFEROR'SCERTIFICA710N: IherebydedmtWthamttentsolthlsconegnmantarefultywdoa t@yd,seabedabnre by dre gropers 10*9 name, and are davaill packaged. marked and tabeledblacadmape ad, and are In all cts in proper Wrdhton for hamP0d according to applkabb international and national govwnmanw regulations. if epod shipment anti I am the pdmay Exporter, I sedgy that the contains of this ionslgnmmlt conform (a the URMS N the attached EPAAckmWadgmem aI CmRent. I ceduythat the Waste minimization statement Identified In 49 CFR2g2.27(a) ill am a targe quantity ganarekr) or (b) Ri am a amal quantity generator) Is tine. GenarMordoaerors P�lltaNypad Name ! 5gneWre Marta • De Y Yea it, Intsmatimal Shipments ( Transporter signature (for experts oN❑Impel to U.S. El Elitist M1om U.S. `.. Pod of anwat: , Da1A ("wing US.! 17. TranapoRerAcknowladgmemofReceipt d Patsedets rrmwportw 1 PdnlslVTyped Name ,+/ q i &gregire yn Month' ba y.:. 'ha Y. ttenspoltax 2 Ptnlsdr7yped Name, 1e. Discrepancy 189. Discrepancy ledtaGnn space ❑Quantity Cedes 20. Designated Fadllry Owner Opolalol; C.ertifudon of receipt < Pdntedl7yped Nem, EPA Form $70422(Rev.3.05) PrevotoRilDr erereobsolete. ❑ Type Iha ❑ Partial Rejection ❑FJI Rowan GENERATOR'S INITIAL COPY ro.