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UNIFORM HAZARDOUS <br />WASTE MANIFEST [60 q'b, <br />5. Genaabfs Name add Mallt gAtldreu <br />beL'%Garo VtW6qYA4A, <br />tzoDl S. 14wy R14 36 <br />M4M'tsLa4I CA .S3 <br />An..._sian A"'C'".LAL <br />0 • <br />?�03 � 1 I 566-333 -4212 <br />Gmereroys Site Add u(f nt be <br />No <br />US'•.EGOLOGy AJ�s/FDAa TAJG <br />p. o. goe s�81'r 4s. it M,�Irs S. 8 ,+�TY olU aoo <br />Sr'A+vy AJ v a o03 ✓�r 330 <br />Fadlitys Phaes: 10, Containers 11. Total 12. Unit 13. wuta Codes <br />98. 9b. US DOT Deec*w(rc�n9 Proper ShiPPh9 Name, Harard Class. Number, No. Type Own tlty WtNnl. <br />HM and PaddngGrcup(if WY)) <br />i5' <br />1.Iti0j 2GR.A fFazAeoo�s (,UA-src, SaLtD 1 Or '1 <br />P <br />06%)-n0,l ( I'crO <br />marked and Inlefttla a corl and ere in all mrslaecagnmes in proper c0ftto Im terms <br />for ham <br />Fxparter, I certify Ihal IM mnlenb of des vonsgnment omfann to the lama of the attached <br />I candy diet the wash, nummtradon sWo mmt idaeow in 40 CFR 262.27(x) ('d I am a large <br />anwsl e s I <br />MDF -kc w g- ( C <br />memabo"shipmenU El import to US. <br />allows ❑ Ownetty <br />Owner or <br />aauralely aesrnoeo eoova �y �� wwa �....•.7.._..._, —._ _. <br />Tonal and national govammental replatlons. R expos shipment arid am the Primary <br />Consent. <br />(N lam a�sm(all�vuanutY 9aner°tal R/��• y � <br />✓✓v / I . kid � z`�� Ib <br />Even from U.S. PM ofenbyladt: <br />ZVIto <br />} 1o. uaoew�M1f �� <br />19x. DL+aepanrry lndcatlon <br />❑ Residue ❑ POW Reladion [I Full Relecdon <br />are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />