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State of Califo'rruia—Environmental Protection Agenry, -' See InMiru- ions 011 backOA-image 6. Departmentortoxicouon
<br /> ,Farm Approved OMB No.2D50-0039 f Expires 9-30=99) 5acramenko,.California
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<br /> :16-GENERATOR'S CERTIFICATION: I hereby declare that rhe contents of this consignment are fully and accurately described above by proper shipping name and•are classified,packed,
<br /> Q- marked,and'lobefed,and are in all respects in proper condition for transport.by highway according to applicable international and notionoPgovernment regufahorfs.
<br /> j-- If I am a large gvantiryry generator,l certify that i have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have'determined to fie•economically,
<br /> f N ` practicable and that I'have selected the practicable method of treatment,storage;ordisposol currently,available to me which minimizes the pre:ens•and.future'threot to human health
<br /> [ and the environment;OR,if I am a small quantity generator;1 have made a good faith effort to minimize ni ste generation and select the best waste management method that,is
<br /> available to fie and that I con afford.
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<br /> T S 7' Transporter 1 Acknowledgement of Recei t of Materials f~ f
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<br /> iL ;9 '1'B. Trans orter 2-Acknowled-Acknowledgement of Receipt of Materials, 1 -
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<br /> tJ• C '19. Discrepanry'Indicatiori Space .. .. • .
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<br /> 20. Facili Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19.'
<br /> I' T Printed/Typed Name, Signature Month Day' Year
<br /> DO NOT .WRITE 'BELOW ?HIS LINE.
<br /> ' DTSC 8022A 11/99} Yellow;. GENERATOR RETAINS
<br /> EPA 8700-22
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