Laserfiche WebLink
0 <br />Stat. of Cnhlnrme--Fndronmenrol pht-o-n Apann <br />Form Approved OMB No 2050-0039 IEapre, r3Ay00t <br />Pliaso grin' o• type Forme devi n of tot ate an ditto I I Y pdchl typewriter. <br />0 <br />See Instructions an back of page 6. D.panM.^,of tc.tr Saba..... Contra <br />scichs.rent. Cniifam.n <br />DO NOT WRITE BELOW THIS LINE. <br />81•,.7 lit rR MAP.k -.I Nh•s ILLS r[.%r'1' In'tT:C W -WIN In i'A"S <br />DTSC 8022A 11/991 ...... A :5k <br />EPA 8700-22 <br />UNIFORM HAZARDOUS ! C.nuato%, US EPA ID No. Monika Dotament No • 2 Pape B In!onnation in the ,h.ded nnas <br />I+ nowned by FEdaal IQ,, <br />I r o <br />WASTE MANIFEST Ci " <br />f� p <br />_tea T] J <br />N.,,. _ di <br />3 Cen.raror'r Nae and Moding Addms3/,f /./R •� • A Swb Man!ha G.cvm.nl Nv-23799917 <br />ber23799917 <br />� `� <br />✓T p�J�� I re: stat. c»n.raro:. 10 <br />A Ce rolotY Phone y3 '1 ct ie^,' r !{ T ill.. r W'i!r* ,p�ht/E/,✓� ., <br />'At. 6 US EPA ID Natalie. <br />,� <br />G 3bn Transporter', ID lRe'" .! <br />A t a ?. R 2 <br />fBlO,ClSK �I i14%1 - <br />I <br />D. Tran <br />,. <br />7'NC A' �5 "R b'i t, 4 <br />E ,tato Tron.pemr , ID I%ESN,4:0447 <br />L __�-_..—.l_ .. <br />f. Transport.,', Phone <br />I IP�r�1 . anNM Add.... 70 U5 EPA !D NvMber <br />G. Stat. Pui iy', ID <br />1 241st. RRARN, t7tun jwrr <br />. <br />I I`M 1NW .Y, 4V L19A08 K Q i) :) R 0 H `t S a 3 Ei <br />H, Kaciliy'e Phon <br />I <br />12. Cemnin.rt <br />I u5 OOT Oeur� n n �w<Ivding grope pn gms, !tam Cles,. and 1O Nvmb.rl Na61 <br />. T <br />p�y4 ' <br />13 Total <br />Quantity <br />la. Unit <br />WI/vol <br />I Wo1N Num <br />c <br />.s <br />(./Mc <br />4 <br />� o <br />state <br />i/,# <br />3 <br />E <br />N <br />/. <br />S Y r'r .'FPAEfVr r. It. I <br />rP. <br />Stale .L <br />R <br />t�1NfA I{irys� 0 I 1pl' II <br />p <br />EPA 1 <br />i <br />T <br />R <br />I <br />EPA/01h., <br />f i t I I <br />V I I I <br />Y <br />Stale <br />EPA/OoSe. <br />)lddch j ,&, f° Fist 10 N t—P _ d e ; <br />I K. Plsantling Codes M Whim, UoZ Abvy° <br />ib + s c7 <br />a In <br />Ile <br />`c. <br />d. <br />15. Special Handling leurnelion, Ped Addit,anai Infmmoean ], 8 <br />!i <br />✓.4 HIM!R RZlfiwpw,Y 0WrAlT.IiVM'kFKN 011. / 510 -ROB -0128 ub. <br />ALC.. . <br />i ��,n11d'.BI[�� <br />WW l'tW I. M�.rrl eC `•:�ILR1mlJ BE K KOMIR 3f11.+: ne RT) J.i.d <br />GENERATOR'S CERTIFICATION: Iho.by dacbre thallM ron�enA al 1h-1 mnspnmen!m°!v0y aad°ccon"Ir d°,c.ibed ebe..ly proper +hlpp' Bn Me and Prs <losdfi.d, pocked, <br />led, in in eand:tiar, lar tvnlport by highway according to app ¢able "Weation°I and ^otionol 0°vc..m.nt rpvbsions. <br />mar16 <br />and are all respect, proper <br />It I am Targe eaam 1v ge.erper. 1 ..,lily Ihol ! Mw a Pro pke. m •.dvm the v Wnm, and toaiciy of ware 91 M tM degree I Nava d.tormined to be ereeemic.11y <br />M t•wtmsnl, ar di,posd wtq^Ity evaikN. ro r+e vdncA m:n:mlzu IM pro.aar and lawn Ihr.al b hymen heahh , <br />I practimbl. wnd rhol nave ointod IM acp'ola medwd .rerage, <br />and a.e anvbcnMenL OR, i! i pm o small auanay BP^erP!°e ; Ir'•• mod. o good kith aHert b minimiaa my sH p•nud,on °rid selr� •I•. MM wa,te mme.m.m method tb°t �• <br />eefand d.a, Iran fF.-d. <br />mo�bbl. to me <br />Pr ...•.i:• /�r/1G;/i:../�( !'F9 <br />��a1/ <br />SMId1 ;: .....� r°�F •'a; (jt I (. <br />It <br />F <br />A <br />17 Trans r Adnawl ! Recei of MaMlal. ✓Xtf -4 <br />�s�n�� <br />Ty <br />Printed/Illy <br />p1 <br />B. T s arler 2 AcknBwkdBeme_r_t al A.,.iat of MaWI°I, <br />Monts Day Year <br />E <br />T <br />Printod/lyosd Wrw igrhW,. <br />F <br />I <br />I9 �iKrepanrylndicaKon Spara <br />. — <br />i C <br />L` <br />I <br />20. fac1R Owner or parol Cerrifi<ohen a! rec.i 1 e{ hamrdaas magrlals rorered b, tFis menllnt .c 1 ..noted it ham 19 <br />Month Day ye,r <br />T <br />prinred/Typed NPM. 5ignoNq <br />IYI <br />i I I I It. <br />DO NOT WRITE BELOW THIS LINE. <br />81•,.7 lit rR MAP.k -.I Nh•s ILLS r[.%r'1' In'tT:C W -WIN In i'A"S <br />DTSC 8022A 11/991 ...... A :5k <br />EPA 8700-22 <br />