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• 104679is `� � / ° 158611 <br /> PIWpdnt or Oe.(Form designed for use on elite 12-pitch) dtw,) Fon roved.OMB No.2050-0039 <br /> 1RNFaR16•HAZPROW9 1.GenerMa to Numbw 20- tvf 3.Finagaay Response Ph are 4.Menti TrsclJnONum r <br /> WASTE MANIFEST CAR000171645 (877) 577-266 0 0 0750446 JJ K <br /> 5.Gammbre Nemo and MaDIN Addrou Generators$ReAddress(if dl erentlhen meiotg address) <br /> Hage Depot C(0 PSC Attn. Hose Deppot CS1, NOME ORGY ORD5516 <br /> 5151 sin Fellpe NOME DEPUT tHU5576. 781 OrARCT PARKWAY <br /> G,11e.&48P TK 77856 (866(383-7344 LATHROF CA 95338 (209)858-5513 <br /> 8.Tranaponer 1 Company Name U.&EPA ID Number <br /> 21st CEWMY ENVIRONMENTAL MANAGn ENT OF NEVADA, LLC CAROW164012 <br /> porta am U.SE I r <br /> 8. ecgneleL Facify Name and SReAddrms U.&EPAID Muster <br /> BURLINGTON SHVIROKENTAL, LLC. KENT FACILITY <br /> 28245 77TH AVENUE SOUTH <br /> Fad' Phone: SKIT, WA 98032 (253( 872-8830 WAD991281767: <br /> ga 9b.U.&DOTOn*don(ncWkq PmpwShlppNName,Hazed Claas,lo Number, 10.Ccntalners it.Tolal 12.Unit I].Wastacodes <br /> HM and Paddnq GmuP(RWA Na Type ousruy WWW. <br /> Q_ I. UN1951 WASTE AEROSOLS, FLAMMABLE 2.1 DOT SP 11296 flQ(D00T=10) 0001 0085 n00T <br /> t- o Div-. P <br /> 1� qa 0088 <br /> ref i 2 UN1770 Dula PtUML8LIQUIDS, <br /> (� L Q D;0MIC, <br /> .S. (ACETONE, METHYL ETHYL P. <br /> 0001 D935 331 <br /> INT=28KR KETONE) 3 PGII (FLASHPO . 7 <br /> 6 <br /> 3. UN2810 WASTE TOXIC, LIQUIDS, <br /> N.O.S. (2,4-0) 6.1 PGII 0806 D016 331 <br /> x - DF.. P. <br /> 4. UN3266 WASTE CORROSIVE LIQUID, BASIC, INORGANIC, M.O.S. (SODIUM D882 122 <br /> n - ^ <br /> 14.Spatial Hendhq IneWdlons endAddisonal Infwnso 1 <br /> (1) HOME2.1-84 - 610(126) AEROSOLS-ACCUMOLATIO (2) HOI33-04 - ERG(128) FLAWMARLE LOOSSFACX (3) HONE6AL44 - ERG(153) <br /> TOXIC (LIQUIDS ONLY) (0 HORKBR-85 - UG(154) ALKALINE/CORROSIVE LPROPOSALtc <br /> 15, GENERATOR'SOFFEROR'S CFRTFICATIOW I hereby dedsmthat the conlenta ofthis croslgnmant are MY and 8=mtNy,0xdW flows by the proper shipping name,arM are desalted,packaged, <br /> marked eM lebdadpkaade4 nM are h ag respadsIn properowdlUon for rampat aroaft to applicable kttemattonal a nor oral govxmnenld regulators.If exportshipmenland l em the Primary <br /> Etporter,I cv*that the contents of Ws oomipnmenl confomr to rNelenns of 0e attached EPAA.dmaMadpnenl of rA <br /> I cer*that me wsle Bon statemedidendeed In 40 CFR 292.17(e)C41 am a lenge quantitygemmtar)Cr gl)(t tty geramta)Is lma7 <br /> Getarabes,O0I.Ws Prk Name Stjna Manle Day <br /> Ym <br /> )51woo I AP J Z-& B <br /> .+ <br /> I16.1nownabnotiShIpmants ❑Impel to U.S. ❑ from <br /> u, , U.S. danby/exit <br /> = Transporter elgmhse IV exports only): ate leeNng U.S.: <br /> W V.TmnsparterArknoxledgmem of RM0of Melalek <br /> TamponerI Pyped Nems Slpnaluro rM 'Day <br /> &� or'� o a �J�1. �vt is G <br /> QTransporter2 1e yped Name Sgnawe Abntls r <br /> _— <br /> Id.Disvaponq <br /> 18&D"englndical'en Space ❑ puantty ❑Type ❑Residue ❑Partial Refection ❑Fel Ra)xtlas <br /> Rented Reference NamLv. <br /> 1Sb.Allermte Fecply(aGenerator) U.S.FPAID Number <br /> U <br /> LL FadV3 Phorar <br /> i6a.SVk. fAlternatn Ftadty orWMta) OW <br /> � 19.Hamrdous Waste Report Management Method Codes Q.a.oodesfw haxaduus waste heatment,dspasal,and reryding systema) <br /> H141 2 H061 U141 1 H141 H141 <br /> 20,Designated Faday Darer or OperaCwfFutionof receipt of hazardousmatedels covered by the muraWt except as road h Item Its <br /> ns ,4 Operator <br /> n� f i�h 7 0 <br /> EPA Form 8700-22(Rev.306) PrevIcua edltals era obsolete. DESIGNATED FACILM TO DESTINATION STATE(Ip D) <br /> Gr 0000 pN5:4 <br />