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Pleasedntm <br /> p type.(Forrn deslgnedfor us0 on oh 10(72pdch)lypeanter.) FormApproved Ohl0 No.2050-0039 <br /> IGQ,ne <br /> NIfOAIA HAZARDOUS 1,Generalw lD Namber 2pa90 tof OEn.ergenq Response Phme 4,Man11041 IrrackinONumbrr . p V <br /> WASTE MANIFEST it Fli. 11 U IJ i (i -1 i '% ! t (u00) a a-Li j(iil 01.4647699 JJK <br /> 3927 CLARK DY, +927 rum, nP( A )151,;0Fi 1lu`KTr'rN f'A 98101• <br /> alehPhmo: , V1 tfad :000 <br /> Uanspoder l canpany Nan e <br /> Us.EBI IO M1bmaer <br /> Af;eVRS LNVIIiOM CNTAL SERVICE.`; T D 0 2 S 2 I 7 (I 3 cs <br /> 7 Transpoder2 CompahY Name US.EPr510 t7omExr <br /> 8 Des;gnared FaahN Name aM St',akk u L. <br /> DK DIXON us EPA IO Nambr <br /> 7300 cazv P.ON WA'. <br /> DIXON n 95 .2G <br /> F Phono: <br /> (7071693-60 08 C A 1' U 0 0 0..1 2C. 0 d I <br /> Ba. 'IDI);U.$.poi Oescrip6aR(edadhg Prapw SNPgrgName,HasardCass,IDNmrSer. -0O.Coma'ners 11.Trial 12 Un1J <br /> 161 .andPaddnA Oroep(dmr�) No. Type.. OaanbN WtNol. 1317asta Cods ': <br /> o NON Rr,RA HAZARDOUS hrAS'1'Er LDQOID fUliEU 0 0 1 1, 1, .. 291 _..� <br /> Q 01G/1•1IXP.'ll uIL). w <br /> 1 <br /> l <br /> Ii <br /> 1-0SpedalRendE+y lnslnKdons BrdMdiasal lnlamalar .� . <br /> NAERJN Jul 171 1 PROFILE 4 9P•1 DK10018r1 EMERGENCY CQNTACT: CHNt•1TFlFC 1 b00 ,L:d 'r <br /> 9300 '' ADDITIONAL.EPA CODES : 9B1Nytjk, .. APPIWPRTATE PERSONAL PROTECTIVE I <br /> EQUIPMENT <br /> . .;. U(('�7 <br /> I6. GEIIERATOR'BIOFFEROR'3CERTIFICATION.IherebydeUaro Melem untentsof UconsyamcAars Wsndsccaxletydesmhcd abanby IN proper$4;eny rune,and era dasmfod,packaged, ! <br /> Em(FSd and labek&0aMdadOrd are i <br /> , n ab respects in prppei 004 T ror.Uenspvl attadN to app<aR'e inlernatOmlaM wfenal goxerronena)reguhLaos,ry axpm lM <br /> sh prngda!Wlazrr Pdrrery <br /> Mpma,1 CO&lY Nat the canfenls CIM c000gly rentmnbrm b Ne lerms C4 the alaached EPAAckw.Vetlgmemot Consent <br /> I ceNN Nal lneWasle mn`m%uTVn sblemenldentl[adn40 CFR 262:2T(a)Allam abrge Auer,GNgen¢rala)or @)(Il ama1$ma7 MIN)@We. <br /> Generaloyd09aroya P' <br /> New S*jnalwe htmN Oay, yey i <br /> IO.kelemedarW prppds. i <br /> ❑Impm taus. ❑F,,afran •Palollnby(eciY <br /> — TiansyarlerslorebirepoNsponsonY) Datelea&g Us: - <br /> t7Lanspafer - <br /> off R plolhralermis <br /> Tra a Prmle Name S9naaxe MOA Day Year <br /> a <br /> Tran ledlTyped Name ure Minlb Day Year ' <br /> } I8.01seyaeey - <br /> 183OisuVaxylodkaoon Spacer r <br /> ❑Ouanbty ❑Type ❑Nes,Wea ❑Partial ReecLar :❑Fu1 Re,ectcn <br /> karvfesr Releierrce h4rrauv <br /> � 1ab.Nlernab fao3V{w Genemror) - �. US EPA IO Number <br /> J <br /> ` ua. FvQVspNee '.. <br /> W 73p$'gnabNe dNiemalo Ferzry(a Genemlw). <br /> 4 h'.onN Day Year <br /> ( 2 <br /> 19.Mazazdou9 Wasl�oJRepon hfana9eMM?hObd Codec(a.,codas fa NraNwsHasb bealmenl.Uspasal,and recyUrgs{stems) <br /> 1120.Dai**Ied FadAty Oanera ra CeNfiW unplm epsolh eardo nalea weedbytl amNe(e plaanded`Xge <br /> edN{ ame <br /> d� y-Ja, Ne A1onN Oay Year <br /> EPA Form 870022(Rex905.)Pcstoo'sfe)diuonsare obsolals. DESIO -YTO ESTINATIONST (IFR QUIRED) <br />