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NON-HAZARDOUS 1• Gvnerafor US EPA ID No. Manifw 2. P0.134P 1 <br /> WAS ANIFFST T '"t ofI I ' ri <br /> 3. Generae s Nama,Qnd Ma;Gng Address <br /> .Sr - am <br /> FIM u + <br /> �. Gane K4,KKA �{ <br /> S. 8 'jU Mr R i4g.SeZV GeS, 1370, C A6.0 9 8 u$E4A ib N>✓rA.,k3 A_ Trannporter'i(P9,Q9)873-4141. <br /> r 7, Tromparter 2 Company Narne 8. US rPA ID Number <br /> 0, Transporters Phanv <br /> lslgtiQ d 160%=Iv�d Mann Tees, Inc. 10. US EPA ID Number C. Faci;ity's Phone <br /> 180 W. Monte Avenue <br /> Rialto, CA 92315 C A D 9 ,8 2 4 4 4 4 8 1 (909)421-2012 <br /> 11. Wane Shipping Name and Descrlpt;on r 12. Con+a;n.rs 13- IA, <br /> Tato; ifn9t <br /> JJ <br /> No. T Pe Ouantit "V Val <br /> Q � t <br /> E <br /> N <br /> E <br /> R <br /> A e. <br /> T <br /> O <br /> R <br /> d. <br /> t 11a] PRt7FTLE9 <br /> D. Addidanai Descriptions for Materials L;stad Above E. Handling Codes for Wo-las Listed Above <br /> WEAR APPROPRIATE PRCY=IVE CLOTHING <br /> .Jk 15aec;of Handling Insirvrions and Additlonol Information - <br /> 2t HOUR EMMGM'y MJMSER 1-909-721-2045 <br /> Appces'�" 7 <br /> PAVY <br /> ALGam, <br /> 16.GENERATOR'S CERTIFICATION; I rarrty the mals ah des. bid trbove an thlt rrun"" ary not whjort to lederal egulationi for reparl;ng pmpdr dispose! at Haxordayi Wa:he. <br /> :y PrIFdgd/Typos!Nama <br /> Slgna ! Monlh Cltry Yi of <br /> t H 17.Transporter 1 Ackrtowl®dgemenf of RArr•irrt r,f M, Iarlvlc f <br /> A Psi fad/Typed Name $i natur <br /> w N r Ate' AAorrih Pay y1 of <br /> S <br /> w P <br /> Q IS.Tranaparter 2 Acknowledgement of Rece; t of Morer;a#s <br /> a <br /> Printed/Typed Name Signature Manrh pay Y,of <br /> 19.Disueponey Indication Spoce <br /> K <br /> C <br /> 20.Facility owner or Operator.Certification of receipt of waste materials covered 6Y this manifest except as Hated in Rem 19. <br /> 4 T <br /> • y <br /> Printed/T� <br /> Ad Nar --} Signature +�— Month Day V411 <br /> '� s4r` '+Che, (� � L•r� a•�j <br /> ORIGINAL -RETU. ^ E <br /> 205-d Z00800'd 8Yl-1 ZVIK18809 A3S JN11043d 83111d-wnid wep0:11 0002-eZ-Int <br />