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<br /> Form Approved OMB No.2050 0039.(Expires 9-30-99)P 'q_ f »;:� ��� s
<br /> Please print or type. Form 8asignad Far use on elite,(12• src Manifest Document N 2. Page 1' Information in the shaded areas `.
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<br /> t l o. GENERATOR'S CERTIFICATION I hereby declare that the contents of this consignmenFare ally and accuralely'descnbed above by proper shippping Hama and are dassi6ed packed
<br /> Va: marked and labeled,and are in PII respects in proper condition for transport by highway according to applicable internafional and nafional'govarnment regulations
<br /> aanti eneratdr,Icerti that I havePpra ram�.in place to the;volume'and,foxsuty ofwaste generated to.the degree I-have delerminedto be econamiwll
<br /> If I am a large q g fY g
<br /> "3 practicable and that 1 have selected'tha,practicable method.af treatment,storage,'or disposal currently available to ma`which minimizes the present and Future threat human health `
<br />€ and the environment;OR,if I am a'smoll quantity generator,I have Made a good fadh'eFfort to mammae my waste generation and select the best waste.md_nagement method that is
<br /> f available to me and that I can afford.
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<br /> ,. ENVJpro. f�4ENT':MEALT�I
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<br /> FacilityOwner or Operator Certification of receipt of hazardous materials covered b this manifest except as in Item 19. _
<br /> - T .Printed/Typed Name' °DPy ''Year
<br /> E DO.,NOT,r'WRITE BELOW THIS ,LINE
<br /> S Ye41ow TSDF SENDS THIS COPY TCY'6ENERATOR WI1ftIN 30 DAYS
<br /> h - :.,(Generators-who=submit hazardous waste''for,s anspart out-of slate
<br /> oduccamPleied copy of this.co y and sen_c
<br /> ,aa DT5C within'30-da s:-
<br /> JDTSC 8022A I1/99I Pre
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<br /> ' EPA 8700-22
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