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FEB -21-2007 12:58 FROM -EVERGREEN <br />TI UNIFORM E MANIF SOUS <br />O <br />h <br />f\ <br />rY <br />r <br />m <br />O <br />0 <br />m <br />:)O <br />�W <br />Vu <br />W <br />tAt0 <br />w <br />J <br />z <br />z <br />zz <br />z <br />u <br />u <br />3. Conorola/t Noma and Moiling Adds A I <br /><. C•nar.mr', Phone% <br />S. Trompagw 1 Company <br />INC <br />cnerclar't US EPA ID No. <br />I�-1Q�1812h <br />Z�giya-zT � <br />A. U A <br />510-791-0126 . T-542 P.005/011 F-558 <br />Monllmi Dacumanl Na. 7. I 'a. I Information In she r6.d.d anv,- <br />ir nol r.q.ired by Frderel law. <br />.f i <br />A Slob Mom(•,t D rcum•nl Number 25049762 <br />A 51e1• Gonolola' ID <br />IIIIIIIII <br />C 5101sTramped•'.IDIRm .J <br />jlly >mRFW D. Iampa,wPh ine <br />GMMCSs 510W <br />7. TranMip erg rµaln _ _ TION & e. US EPA ID Numbm E. SlotsTromporla a ID IN°'orv�.] <br />RI DIATTISNON, 10'- 17 <br />F. Tramponor. PM no 7 <br />9. 0m09nv1.4 Foolity Nom• and Site Addratl 10. US LPA 10 Numa•r amn ravmq r , <br />23 -ST CMI ffiT I I I I I II I I I <br />2095 NEWLANDS�TI1 M RART H. Padliv. Phoria <br />PHRMY, NV 89408 11 ' 1/5-575-2780 <br />Hamid Clan, and 1D Numbed 17. Centolwrr 17. <br />11. US Dqj. Detcriplian lindading proper Shipping Name, u„ I T.... O.., <br />jium 493 <br />c. <br />7. Addifianel Do.a;phome /for Materklt U,l.d Abay. K. Handling Codm <br />lie d. <br />Lid <br />15. SpwIQI Handling lawtcliont and Addlional lnlormmi n H_R (7- # <br />24 HOUR EMKMMCY OONTACP_800-587-7455 ?1b_ .7-01 <br />1A, GEN14ATORIS CERTIFICATION: Ihanby deelw.Ihal the rnnbnn ah Mit comlgnmam orv� <br />marked, and le6el.d, end oneIn all ntwil In props condition Far I,... y high.., <br />If I amo krge gaamiry g.narotw, i cwlify 16011 ha.. o progr�� m plea b raduu dv YeWm• <br />Draaicobhr and Ihol I baro wlact.d the proclicoble method of haosmanh "rags, er dfrposol evr <br />and the..n. anm•n'; OR, If I am o moll quantity ganwY alar, 1 It mode o good Faim With •lfoto <br />avede6ls to m• and Ihal I con offerd.. <br />Name <br />IJ <br />7 <br />Sion.w. <br />ew Sip pInRnameandwui <br />atlallad,packed, <br />mall nal ga.wnmanl reRulaOont. <br />ily I wo,l. ptattamtomi 1• the lays• 1 ho.a determined 1• b .!emom;cally/ <br />iloble to me which an;.Wat h. prm.nl and l.dura Ihr•m a hemon heahh <br />my v.a,ie generation and ..I. d the b.tr.,to monaRamen' meikod'hot i, <br />Month Day Yvon <br />• Ih Day Yee, <br />)-f <br />month Day Year <br />d 6l d-7-101 z <br />DO NOT WRITE BELOW THIS LINE. <br />Mantk Doy Year <br />V I I I <br />whnc: T5DF SENDS THIS COPY TO DYSC WITHIN DO DAYS <br />DTSC 9022A 11/991 To: P.O. Rom 30, D, 5mramonlo, CA 93017 <br />EPA 9700-72 <br />