Laserfiche WebLink
l4an'ik+ Dit-.y0F6R13 <br /> R ase pnnt a rypc.(Form designed tot use on elite 12-pt" W. <br /> ,.GenIS lD dumb.! Fdm Approved.OMB NO.20.5a•W39 <br /> UNIFORM HAZARDOUS L Pap.t d 9.Farwrgerxy ReeDonfe F11mp ♦ def Trydatng ymb.a <br /> WASTE MANIFEST CAFAA D_ r ,: , 008981702 JJ K <br /> GYr.bh Nam.rd Nalbq Atleraa Drtarabra 9NAdereae fn ddlaronflHn'malkg addNa) <br /> 9'i.rk. A Va.7 /. -.Storlrkrata Brew:[».• <br /> 4'177 c:ta.•ir ur:Cea . <br /> Rhn..•4kcrn, pX CYfl21D <br /> a. 2a <br /> pa,rtCly w arty <br /> S.EPA ID Number <br /> gTr+s,lr F..ial! Reo-aasa+r Ai a 'qe Inu. C,XR{I Q, Eill <br /> 4Test-.nQ F NrAamd Re AA R.9dstna., 'LT.(' U.S.EPAIDNumb, <br /> 1.92'.4 S . K'♦a7l.tt Ara. <br /> Yuma, Al aCa-kd,1Fad Plwrm. A$8 )9.7..:AY7gya.LL4,007 <br /> 9a Dralpaa.(a.dudng ftW Shppblg N"H=,d Clea,b Nuala( <br /> HM amlpsa tg Dmt4fdalM) ,0.CmMnap 11.TAM 12.CNe 11 Wam Calla <br /> 1, :/r.r..4a'iJA Nerarralwas waiEr! S�.l..id (CF Lt,'! NO. � MAW <br /> ,%fInCMAFRT Alin nfroR-Ca? .tR: <br /> w <br /> 2, <br /> 7. <br /> 1♦SpedelWMeg lnsbutmf and AQdNmal lnbmapaN <br /> [Fill t.n 'Fta x,(<heicla� Was" �PPsnpintr. pxoiael:.i.e !'. Othlvi 4:8 Rear <br /> cisimR N2'23flA9 ptlnme# t4a7.l.a'"ida R.:.eav raze <br /> 15. GI1,1ERATORVOFFERDR'9CER CAT"!IhArahy tfedm dNtaaamlem.dalb <br /> -04dand Nbered0ocadad all are In so m,,,h h props.ndaal rte pal 6anaapmrd}q .ppttable yMNladura�n=l'.0 ,, 9Mrtr,arc hon Iseld,plck. t <br /> F-p.rrr,l IwtNwmtlm.nmaMa of die o.nlgmrn(taw.nwme wma d aN lbdpd EPA A*-**wd d CmarlL sorrel gww,,Kllx990 !.�4 pat shiom"all l and ub Pyrc y <br /> nhry drer m.waste mmmtta0on eatealrem NarAled N/e CFR29221(a)(alemalar qun <br /> G rrmtoesmera(t Pdntedrryped Nam. 94'9rwdnor(b)OfIsaaurdl WntlbgwrebriYlM. <br /> x imaponr egnala.(Ia ow; b9Dod U.S. ❑Wait tom U.& Pat of tn&WW, <br /> w 17.TrmportaAd.odetlPn.nldRet4q dta.ydah Dale lerAeg U.&; ,• <br /> Tanapraw if IPed Win. .. <br /> sku <br /> 2 i' /ii !:.1 �,...` Month Day year <br /> z I.drryp Nmw T. I Ji <br /> Day Yea <br /> } 16 Dlsaaprloy <br /> I 1ga.Dicnemw wKabm Span ❑ <br /> , DaMbly a , ❑ <br /> Type ❑Residui ❑PvaRa.doa a <br /> • pFW Rqetddn <br /> 10b.alkmal.FxdM la GaneaW) � ManyaelRdean[s <br /> ) �-. _S.EpA ID IAnrber <br /> u Fed"Phone. _ <br /> U91 F}aaaeal AllemeNFa (a eW <br /> \ r <br /> 'Mayor Day year <br /> aV; f.Haaaaf.N Ware Md <br /> p. Mr pamad Mepwd Codes Q.e.,ndaatar Faaardny wane bealmenC dxpafal,mdnaoyctag ey.lxn) <br /> 01 2 <br /> �ft-- a20 D.. mtd FftOMMru Dbr'CaNAaaaen!ad bPMts yped Nam. n dcd In brn Iaa <br /> Signa4s <br /> er <br /> EPA Fam R)00.22(Raw.J-06) Ptaviow aiMaa,se d76Oble. ! 1 a <br /> 7 • I rn7n •nu uln7•r —1 Ir17 •t7 •dan t <br />