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ERGENCY CONTACT TELEPHONE NUMB <br /> 4 B <br /> Manifest 22.Page, Information:In the shaded areas.Is not <br /> Document No. required by Federal law. <br /> 1 UNI ORM HAZARDOUS 21.Generator's US EPA ID No. <br /> f V�UkSTE MANIFEST - 3 -1 1 - <br /> (Continuation Sheet) $tat an es �- 11111 then beer' <br /> ti � <br /> 23.Oeneretor's Name - <br /> •r <br /> Hme Depot store#ff3��0 MgstateGenerator � � <br /> 1905 Aston Avenue j800)459-830.8 <br /> Carimbad, CA 92008 <br /> 24.Transporter Company Name 25.US EPA ID Number <br /> tae rransoon iE �� <br /> ...r "' o, ranspo er none <br /> 26.Transporter E Company Name 27.US EPA ID Number _ P. to e Tr ns o er's u <br /> . 30. <br /> 23.Containers -Total Unit <br /> .26.t)$ OT OesCnptlOR(IrcluEinp pa ahOWe Nemo.XeiaN Glese�erM ra Nur blw) No T e CuaMity'.. WfIvol <br /> T <br /> HM' <br /> a. AP <br /> r <br /> b. Nan RCR& hazardous maeta liquid <br /> (E VAN t�ric.rdows wos/c <br /> teazle �1Ae•"•rY•bwl]IC• <br /> G tl• lrsUa..id5r a..p•�• ( Mt h'.w a^oar '' <br /> E }o1�.er ¢� IL <br /> CAI.. C Z�� �eo11 001 C.F NZ <br /> N <br /> E <br /> Ae Wpg-IE .E?1p....a."-u.ble If v,,..: [!S, w.o.5 .v.L't•Sw a.01r <br /> .O •1NL'a'�i01 a Vti11g41r LSF <br /> ! ! <br /> R <br /> L C1'2:i•� li `; r�or.'Asi'N 4.• rr•0.-% <br /> K ay1E Otc. �IQr <br /> o ! a <br /> a.eaat¢ uevo•aofSr i• I. vtil lrj SO��+5.•�¢v��cer, rf. _• <br /> g <br /> L , <br /> h. <br /> F <br /> Na ali - Gode or' t d"R-ou <br /> De'c,ip io s 10 arena s Lfs e Atxwe _ . i, <br /> 32.Special Handling Instructions antl Additional Iniormaticn .] <br /> a4 HOUR EMERGENCY RESPONSE 10003309'-"292 <br /> l4itv�•C-~ qj5> <br /> Sit -710 a' �rck P1cww�� La <br /> Conf it.rr4ationjF <br /> Bcopo�al <br /> Date ` <br /> T 33.Transporter Acknowledgement of Receipt of Materials Month Date -Yeai <br /> R 'Signature , <br /> AR Printetl/TypetlName 'S 6-- <br /> N Date <br /> S p <br /> 0 34. Transporter 6 Acknowledgement of Receipt of Materials Month Date Yea <br /> Signature <br /> .r <br /> 6 1�Printed/iyped Name <br /> F 35.d`Rcrepancy Indication Space <br /> A <br /> C <br /> I <br /> L <br /> T <br /> _ _._.._....e ,..,.. .s..2 iAWSPORTER#2 <br />