Laserfiche WebLink
p <br /> Please print or type. _(Fo(in deslgnedlgr!use on elite 2-pitch)typewriter.) Form Approved.OMB No.2050-0039. <br /> UNIFORM HAZARDOUS'. 121.Generators US EPA ID No. - Manifest Document No. 22.Page Information in the shaded <br /> WASTE MANIFEST areas is not required by Federal <br /> (Continuation Sheet) 2 law. <br /> 23.Generators Name L.St Ma7iifest Document Number <br /> HONE DEPOT #HD5576 KState Generators ID <br /> 701 D'ARCY.PARKWAY <br /> 24.Transport - p fi 1I 25.US EPA ID Number N.State Transporters ID' <br /> .;-11^.� �; L L; i Transporters Phone <br /> `26.Transportei -Company Name 27.US EPA ID Number P.State Transporters ID <br /> J <br /> Q.Transporters Phone _ <br /> 29.Contamers 30. 31. I <br /> 28.US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) Total Unit Waste No. <br /> „M No. I Type Quantic WtNol <br /> a. *1 WAS <br /> b. % NA8T8 PAINT RILATID MATIRIAL 3 UN1263 PGII BG(128)jRQ(p40D 1) Cf 331 D/11 U135 <br /> C. <br /> % NABTI PAINT 11JUTID KATBRIAL 3 UN1263 PGII 1110028)y Ki0I A 331 0111 0435 <br /> 00 I FO <br /> d. <br /> N �( ' �f�� e��e i�1a r�f�a13 i��1,�b3' oo) Oo14 y 33�i v <br /> E <br /> R <br /> A e. <br /> A X5 � . 6Wr��� 3 103 �6� i�� 0�� r�� e o r ? ) �r�r X03 <br /> 7� �� lU� �l(ly� 1 5 001 PO 00110 P 3t 901 <br /> g. 001 '� P �► Sao i <br /> qdf � ln�er A/ fal Ali 60053 � �{ <br /> h. 31 pGo i _ <br /> i <br /> � aOl Z Z ? - �363'S <br /> S.Additional Descriptions for Materials Listed Above _ - - T.Handling Codes for Wastes Listed Above <br /> a) R0N18A N ACIDICICOMRDBIPI LOONPACK - INC14 (5) b► M3-N lLI141ABLI a) b) el d► <br /> L008IPACi - AM INC14 IP11 )6) c) R0MI3-11 - V1,11111109 L00BE 0 AP16 IRC14 APIs <br /> (1) d) -!<!: lir F4StK.. AL kIft <br /> a 1 <br /> 32.Special Handling Instructions and Additional Information <br /> e)Iii C3-oo - F 1 g w1�QLD Lf�oLe P�v+c -�r o 6 <br /> ¢� lyn+~33 -oo •�tn+•+�-Qce Cc4SEf''�1-4-A-Fo 6� <br /> 4lrutic�5- Q® .kiII� ic�9y�q'n cE. - ¢1FB6 <br /> Nb/+41: ^1-06 -AAA �F CGQSF jntL =. a <br /> T 33. Transporter 'Acknowledgement of Receipt of Materials / Date <br /> N /Printedfryped NN wine Ir^ Signature ! i ter- ontp Day .Y <br /> P 34.`Transporter, Acknowledgement of Receipt of Materials Date <br /> T Printed/Typed Name Signature Month Day Year <br /> E <br /> R <br /> F 35. Discrepancy Indication Space <br /> A <br />