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OCT-27-2008 18:26 CITY OF LODI 209 333 6710 P.30
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<br /> Plea+&print a ype. Form deigned ler use an entre(12•pikh)4111r. MilkSoaomanle,CaIFFQmio
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<br /> UNIFORM HAZARDOUS ;' '" ";' i is not required by Federal I..-
<br /> WASTE
<br /> a..WASTE MANIFEST of 1
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<br /> '•�-, Id. GENERATOR'S CERTIFICATIONt I hereby deldon dml the contorts of this consignment or.Felly and accuraaly cl. rIned above by propw chip ing mate ond•an ckeiRed,paehad,
<br /> Umarked,and labeled,and are in all nspeds in proper condition for Iramporr by highway according to applieaWe International and national pywmani eagdatlens.
<br /> =t ff I am a large quonlilr generalor,I certify shall haw a program in place to reduce the volume and tlsci ity of waft genwoled to the degree I have cimarmined to be economical
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<br /> m- proctcoble and Ihal I have selected the pndiaeble method pry..
<br /> storage,or disposal eurnatly oveilabls to me which minimims the ppreswl and future Ihreal N human heehlllr
<br /> and the an•innmen);OR, if I an a smell goeniiy generator,I'have mode o good faith ef6 d la minlmite my-OM1 generadan and&elect 01,bast wsle management method that Is
<br /> °E ovellable to remand ihol I can afford. "
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<br /> tort Acknowledgement of Receipt Materials -•�� •'�•'^
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<br /> .0 F 19. Discrapancy Indieation Space
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<br /> 20. Vocilily Owner oro eraror Csrtiheotlon of reael of has rdaw,ewer;ol,covered by No monllnt gree lar rated in item 19.
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<br /> DO NOT WRITE BELOW THIS LINE.
<br /> DISC 8022A 11/991 Yellnwt GENERATOR RETAINS
<br /> EPA 8700--22
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