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10/30/95 09:31 LOF GLASS LATHHROP _ 905 <br /> 8P401-m=101 Ff REV_1("4l Pb.Aft9491rW f/f x(j MAZE(7F(ALfFORFaA <br /> anrp,GA 04201.;rm dd"""���� BOARD OF EQUALIZATION <br /> (stet axa-este <br /> HAZARDOUS WASTE DISPOSAL FEE RETURN BOARD USE ONLY <br /> REG RA Pn <br /> pU[ ON OR BEFORE 1/31/95 ! FOR OCTOBER DECEMBER, 1994 <br /> 1R AUD NR <br /> onium um <br /> Mail To: HWCA RVHW03 4494 HA HQ 36-DO901 1 7 REF DD Pi <br /> STATE BOARD OF EQUALIZATION <br /> ENVIRONMENTAL FEES UIVNOr4 RISK MGMT-ENV I RONMENTAI- AFFAIRS ruF <br /> PO BOX 842754 1.I00EY-OWENS-FORD COMPANY <br /> SACRAMENTO CA 94291.2764 ATTEN: JON WE 1 SS <br /> 500 E.LOUISE AVE PLANT I <br /> READINSTRIICTN)NS <br /> LATNROP GA 95330 9E[OAF PRBPARNNO <br /> 500 E.LDUI SE AVE PLANT If' LATHROP Make dlarga9 it name <br /> CAD005415633 <br /> caTeeanlEs <br /> (Bsfe1111Ms�rlalesl,4 I ° rrhoe <br /> TOTAL TONNAGE TAXABLE <br /> erwlkl ABE BEc pAE <br /> DISPOSED OF (Awad WP to NGaAtOeNFmo0PRIE <br /> P <br /> BY CATEODRY Na <br /> Ivo <br /> 1. Recycled(excludes used oil removed inom a rr10ler 1. <br /> vehicle) <br /> 'eINEENNE <br /> 2a.Non-RCRA regutWoo hazardous tkaWangeOenerally 2a. :•':•-:;�`a t � > REVIEW <br /> 1nclus at/baoas) Ile <br /> 2b.Non-RCRA regulated hazardous waste )manlNau 2b. <br /> In a ahmulp setbn(exclude Atom") 212:«00: <br /> 9..Mining waste <br /> A. F%trernoly hazardous waste I. <br /> ?x ?i:::��i> I® <br /> egg= <br /> 5. Reslrieled waste i 5 f <br /> {39[1{+ 4::`{_ <br /> 6. Hazardous waste 0' I« o /, D - " <br /> 7. Transported out at state 7. <br /> M <br /> 0. Residues from incinwartion or deohlodda(ion D, i <br /> of hazardous waste 5.36 <br /> i <br /> 9. Total too (add lines 1 ttwouph 9 in Gal"D) <br /> 10. Penalty (nruMply Ane 9 by 10% (.10)11&ynWnt la made Mw Cee dere MOAcated abovel PENALTY 10- 7 <br /> 11. INTEREST OF 11% PER ANNUM (0.009167 PER MONTH) prIYCRE6T 11. <br /> IS DUE IF PAYMENT IS MADE AFTER THE Out DATE. <br /> 12.TOTAL AMOUNT DUE AND PAYABLE'(add linea 9,10.end I It 12. 6 <br /> 1 be"cattily prat eliB rBtunL 1nCl01i"a any aommp"ng 901100088 am alalarnertts.hag umn it I Ll <br /> examined by me and to ffta hast d my knowledpa ar%1 bo4of is a true,correct and oomplow return. <br /> S i t (et p 1 - aaz ///4/q S� <br /> low, fVOIAI�tJVAKU <br /> Always wMa your sw6ad numhBr on Your oneft or nmey order. Make 6 Copy for ywr iWonk. <br />