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U 987991 • 91556 ` <br /> • ' Form Approved.0M3 No.20504039 <br /> F•ieasuaRaM�'IYPe (Fon designed for use an elite(12-pitch)lyPsw1sr) <br /> ARpagatot 7.Emergency Response Phone A anihet acklnO Xumber <br /> 1.GenereIU lD Number (877) 577-2669 UUbb14141 JJK <br /> UNIFORM HAZAAOOUS Cumber 171645 <br /> WAS TE MANIFEST were dlerenlNen maPNg address) <br /> SOW <br /> �epa�m�lu �Hpoe Depot CSO <br /> 5151 San Felipe HONE 09POT 4805576 701 OrAHCPARKWAY <br /> pp tagTK 77056 (866)303-734! LATNIOP CAA 95730 (209)858-5513 <br /> Oenen'fr��f,Uy U.S.EPA ID Number <br /> 6.Tar%muerIuOmpamNama HANA� O. NEVADA, LLC CARON164012 <br /> 21St CENTURY EN11ROM4 T U.S.EPA In Number <br /> 7.Ter2Co an N Q <br /> U.S.EPAID Number <br /> d.Gaslpnaled Fetnih Nemo and SilsAddnSa <br /> BURLINGTON ENVIRONMENTAL, LLC, EENT FACILITY <br /> 20245 77TH AVENUE SOUTH WAp991281767 <br /> Fw1ftya Phone:KuT, WA 98032 (253) 812-8038 <br /> 10.Canlalnen 11.Toler f200it yg,Waye podea <br /> ge 91b.U.S.00T0eaclpgon Qnduding Proper9hippig Name,Npaard Class,In Number; Nv, Type 0uanaly WWd <br /> HM a4pakNGroup Ofany)) - alit 0605 0007 <br /> 1L I'UN1950 WASTE AEROSOLS, YLAMMASLE 2.1 OOT SP 11296 82(0007=10) 8 D I DP, "10 P <br /> 0008 0035 331 <br /> tl <br /> MUTATE 1 0835 371 <br /> 2. <br /> RQ- KETONE) 3 19II (FLASHPOINT=20.00c) 12(0001=100) dB? 0 1? <br /> 3. <br /> g �F' _ 006=i$1• <br /> ' 0002 <br /> 4. <br /> UN3256 WASTE CODEOSIVE LIgUIO, BASIC, IROICANIC, N.O.S. (SODIUM 122 <br /> % HYOROIIOE, POTAS3I9H RYORGKIDE) a PGII 10(0002=100) Q o I DE 00-22- P <br /> i1spedd HandlinglnstrucdansaMpdddon hformmlon 1 ] (x 1 ' 2h 55 1x� _ yf <br /> (i) AONE2.l 84 - <br /> (1 261 AEROSOL _AC INULATIO (21 NO 3-04 - 6flG(128) FLAMMABLE LO03EPICI ( <br /> T11YSC (LlgyigS BB6R) (41 NONSBB-05 H1C(1541'A11ALINBICOIROSN6 LPROPOSUIV ' <br /> 15. GENERATOR'SIOFFER00.'9 CERRFICARON:Iheleby dadare Nat NeamleM of Ods canslgnmenl ere,fWly aril auualeh <br /> PP <br /> marked and labeledlfdaraNed,and era In aY rospeo4ln poper rnndPan for Iranspon aaolding h app[caok InlxneWneland nadand govemmeMel ngulaWnnamadhPackaged, <br /> dasc0edabove0epropsa[f5%poRshlpwniaMIamueP6mary <br /> FxpoReglmRdy Nat the wnleM otlhismndgnmealconfamlo Nalerms of Ne eNaNad EPAACXasadedpmeMof Caneent an wabr)is We. <br /> I mdfy Natgsewasls m5litlizalbn s�abmentldenlXkd in QO CFR 26227(a)pflamahrge guangtyf�mor(b1N W bh Pen ,Mpph pey Year <br /> Genanmr ePdnleNfYDad Name 016 7-9 1.01 <br /> �IC�nlcS <br /> � 19.In1emaOorel Sh'rymenls ❑Fxpatfrom U.S. P afenhy/exit: <br /> ❑Import to U.S. r p NavNg US.: <br /> TronepUler sgnehrs(Nrexpoda ody): Monty Day Veer <br /> w iT.LarupoRaAduwNadgm'mtdRecaq alMeledala Sgnamre C1� Z 0 <br /> TronepaterlPMledlTYPad Nama S ^ '�, <br /> d SkpNlwa 0') 02 Oq <br /> TampoRar2PdnledRyped Nalre <br /> boNAc4 N 2Evj3 <br /> 18a.GL,cmmamc ❑Residua ❑PeNd Rolectbn <br /> DNP Relecaon <br /> 1Be.Olsuepaiwy lndkegon Space ❑GuaMlty ❑Type <br /> Maeresl Reference Number. <br /> a U.S.EPAIO Number <br /> 186.Allamele FadON(a Genaalcr) <br /> cp Month ey Year <br /> LL FaclNs Phone: <br /> 18c.eipnaNn dAltemala Facil1y(U Genamlor) <br /> r <br /> N19.NazaroouS Wasm RapoRMenageaent Method Codas(La.,codec for hazardous waele treaanent.disposal,and acydlg aptems) a <br /> o 1. <br /> . ._- _. . <br /> H14t - <br /> 20.0eslgrat' WIRY eror0penlU:CmdmiknofroWplalharardouemalarlelermeadby NemeAfol is Meeh nem lB. - _. . .-. N aY. —Year. _..... <br /> Slprelme <br /> Pdnle em 7S <br /> EPA Form <br /> 305)Pnviase' reabsotete. DESIGNAT ILI TINATION STATE(IF REOUIRED) <br />