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_ . 9619301. 621'SS. <br /> Pleeae print oor pe, Farm d ned fa ease on no <br /> (12-pitch)tyerafter.) FormA roved.OMB No.2050-0039 <br /> 'UNIFORM HAZARDOUS I,( or lO Number 2Pegel cl 3.Emegancy Response Pro, 4. entreat <br /> reckwo Number <br /> 164 7 0056160 <br /> H Z <br /> WASTE MANIFEST $ JJ K i <br /> SGwemefs Name and Melling Addmss Genemtofs sue Address(RdBerant ten=69 addmee) <br /> Haoe'DepOt C/OIP5CtAtta Haae::Depat•01. HOAR 11820? IRO5576 <br /> 5151,Sao Felipe HONE'DEPOT'I905576:' Tit'D'AHCFPAHIIAT" <br /> Ganemblithes, ILAMOP CA 95338 289 858-S5I7" •' <br /> &TmropoAwiCompanyNema .&EPAID umer <br /> 21st CMMEY IIiYIItO24NF;23'irAT. MANAGEME OF'NEMAI LIG CAR000rder ::. <br /> 7.i 'poAa/t?Com yNam . � U.B.EP • "07n n 7 V <br /> 9.Designated Faulty Name and SAe Adareaa ' U.9.EPAIDNumber (� <br /> NOHLIAGTON 31MIORREATAL, LLC: KENT FACILITT" . <br /> 21245 TTTH APEROB SOUTH <br /> Fed phoea:FEAT 1A:98132 253 812-8131 WAI)991281T.67 <br /> ga, Ob.63.DOT Dawriplion(Ncluding PropuMMIng Name,Hazard Claes,ID Number, 10.CweAem 11.TOM 17 Unlit 13.Waste Cedaa .11 <br /> -HM and Paddn9,Gmup(1am)) Na TO Canty WUVd. '. <br /> OR1951?1ASTR AEROSOLS, FLAKULE 241 007 SP 11296 HQ(DI1474t). noel Insfy1:01m I <br /> tP <br /> 011P.-•33L „ <br /> m ON1993 TASTE FLAEAABLE LIQUIDS, 9-0-3- (AC8TON8, RETAIL, KTHTL Otel 0135 331 <br /> 2, <br /> ria;}HQ S KETONE) 3: PGII {PLASAPOIRP 21'.80c�' 1Q(0o8i=18 0 Q31 , 4343 '`eQr4�D P <br /> .tr . <br /> e.: <br /> op:, <br /> 71 <br /> 1 < 083265 BASTA CORHCSIP6 LIQOIO, AASIC, INORGANIC, NTF (SOOIOF - 882 '12Z <br /> X HIOROFIDH„ IIHF <br /> POTASSIOORGhDR) & PGII HQ(0882=18A) ;00 ( I3F"' 0 o1'SY P" <br /> 14.8paU0Hendlmg.InsbudwswdAdtlllbnaUnfmmaaw 1) (KI'S ) 'x55 = '7't'X'I ►J' <br /> (2) 80882.1. 84.- EHC(126): AHR080LS-ACCOIGLATIO (2) H01983-84 =8EG(128) FGAIMIUR L008EPACR 6 <br /> T8i<PC-(6Ffl1F8rt-0N4E114) R0188A-85•- EKG[:154)-A4FALIRB/COHfl09LY8~LPJIOP09Af,€:=. �� :�. � ^ m _;;<•::a., <br /> ! 10. OENERAT01111OFFERORIS CERTIFICATION:I hmaby dedam that that wtents dtNs consignment aro fully and Za Zly dasrribeda6wa by the proper supping name,Aid are.dassNed,.packeged, <br /> mekad and labdadlpWarded,undam In dl wealsIn psopurcondItion enspaRewarding to aoicable intamegonaland Agovemmenlel mguloaws:904custdpmetand h union P16nay <br /> Exporter,I wNw <br /> fythatN menls dtNs sueliu mm,onsarm'to the hems of die altiched FPAAcknowledgment ofCwaeM. <br /> I wrgyNal0.ewaste:Mhlrtiutlw smhamentidentlled'm 40 CFR 28227(a)(ttlama Wgequantiry genemla)ar lb) a qua genemtor);!am. -Month Day You <br /> Gwe NsIDRerofe PdnedR Signalum ,. <br /> 1Ll.l4j)f) Li.I <br /> to lnlemallwal3nipinene Li Impost so U.S ❑ExpM has U3. df"few <br /> :Tmnepoteralgnalue(for exPDft _ W leehg <br /> U.S.:— <br /> cont <br /> . <br /> / <br /> Med17.TmnWalerAdo"odomemofReSgnamhe .... .. -.. .__mw_-lb U.Y-.....d.YYom <br /> T..pmy t PMIedrft.d No.. � 'e9 <br /> 6Moto Day <br /> mA 2PmRName w. <br /> . <br /> . <br /> LU sa/✓ . <br /> . 'wDIscrepanq <br /> r 78a0iso'apancyhndwtiw Spew ❑.Quality []Type ❑Reskluel ❑PoNel Reledlon ❑RM Ralw9w <br /> MenlfeMRaferanwNum1,er. <br /> 1Bb.Nlemele Fedlity(w Generator) U.S.F3A10 N�mbw <br /> J . <br /> U <br /> sa'Fadgly+s Phwe: Mon y ear t <br /> A8m 1glaNm of Alternate Facility(or Generate - <br /> w.;19.Hazemow Wase-Hannon'ManagememMeDed Codes 6a,oodes forha wcous waste baelmwt,dl5posal and lesydug systems) <br /> W 12 3' 4, <br /> .G1 *'•R141 .:..f.- a .-.+.:..,,� �.886L`R14L-.:, :�,.,..,. ,_......,_..HT4L ',.:s�• .r, ,..;.>7t1 -1H141:1w1 <br /> 10'nDacgnded Fac11ly 0wnwwOporor.CwUkwU offeWplooftendDusmtedplsmvvMby"h lWd pinndedlnlhm IB& .. .. ...n0. <br /> PrIntedrW Name <br /> EPAFatm e70042(Rev.3-Ob) Previous aditIonaam obsolete, DESIGNATED`FACICITYTO•DESTINATION STATE(IF"REOUIRED)'- <br /> IAA HAI/'i�.'n.liA•C <br />