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<br /> App�ay OMB No.2050-0039(Expires 9.30 99)., 2 Pae 1- -lnFarmaiion in lha-shaded areas
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<br /> WASTE MANIFEST
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<br /> 16. GENERATOR'S CERTIFICATION. thereby declare that the contents of this conbiggnment are fully and pccuratelyy'descrrbeiJ above by proper shipping nome and are Classified pocked
<br /> Q marked,and labeled and ore in all,respeds in proper condition'for transport'by highway occording to opphcable rnternatianaf and national government regulations
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<br /> ro ram in ace to re the.volume and toxicity of waste generated to the degree.)have'detarmmed to be economrcall .
<br /> IF 1 am a large quanfily genera or, certify that I have a p g p y
<br /> I._; -;a practicable and that I have selected the prachcable method of treatment;sterane,or,disposol'currently available to me.which.minimiies the present as future gerne to human health
<br /> - and the environment;OR,if!om'o small qudntiy generator,1`hwe.made a good faith effort to minimize n(y waste generotion and select the,best waste management method that is
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<br /> 17. Trans orter 1 Acknowl ement of R. of Materials Month Day Year
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<br /> .18. Trans. iter 2 Acknowledgement of Receiptlalenth pay
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<br /> < j .20. Facility Owner ar.0 orator Certification of rotor t of hazardous moterials covered this manifest exce t as noted+n Item 19
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<br /> { DO NOT WRITE BELOW THIS LINE
<br /> ATSC 8022A(1/99) Yetlow GENERATOR RETAINS
<br /> EPA 8700-22 1
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