Laserfiche WebLink
t>eporTmen'ul <br /> i *t RFD <br /> A 7SeC1601 ctlons on ac a±� <br /> (Expires 9-30-991cfly 1E 1 <br /> - <br /> 2. Page d <br /> p;..;'pot r use OR elite t -7.7 777��'sf-D&vment N(' <br /> rini Or ejaj6- -US:EW"l1D N -d kiy fi�1614`3w <br /> is no <br /> A <br /> 4. <br /> '-`UN1VVKWVAl�9AR C 0 <br /> EST 2 5: -bt <br /> niM <br /> f:VV <br /> X., <br /> General <br /> joq <br /> SIA <br /> 0vts�li <br /> �­W- <br /> 004 <br /> ak.� ''q <br /> p, <br /> 8; ot, <br /> 5200 <br /> ;N <br /> [323 ls`.264-�-5200 <br /> Phone on <br /> 6 US EPA ID Number <br /> C4 5 Transporter I ComPany Name <br /> Transporter4 plii�w g <br /> aa 2 3 0 <br /> C A In <br /> q 0 0 <br /> rdris 11 1 ", <br /> 6ile6 JD,jRe7sbr-j6dY <br /> Ma ar <br /> -Inc;e <br /> C� t Tr is, <br /> J <br /> a-US-EPA4D,Number <br /> co V �!.�l e <br /> �p, <br /> 7t ns 2.Company Name <br /> Mk <br /> W <br /> .10. US EPA,ID Number, <br /> F;:iIi I,jTorre ond.,Sike Address. T <br /> 16 0� 1 7th s�t <br /> oo 7 <br /> �6=0 <br /> 0 90813 <br /> 33a�4,hj 2Xi2_U0 I�A 12. Conlamers 13:Total' <br /> t a <br /> Shipping Hctiord.Class,and ID Nvffiber):.� nti <br /> US 60T Description jiiicl6dinq propel p ng Name, No. <br /> -$ <br /> 0i <br /> / <br /> EPA10thdie rcs <br /> A- <br /> o TR 0 M <br /> C4 b <br /> 'N <br /> co E 2 <br /> C E <br /> v R <br /> C4 <br /> C. <br /> 0 <br /> OMIROSWE SOLD, 06 59 Ti. .7 <br /> 4 <br /> Uj <br /> Z Mom LM T 15PA/Oth, <br /> 7 <br /> MTOCHORj" <br /> LLJ z <br /> V <br /> L 'A6- <br /> tod <br /> oris for Matenals-L+sfied Abo , <br /> M <br /> u T� , -'. <br /> V) S 1.P.1. <br /> S, <br /> .v 3 <br /> P, <br /> 0 <br /> LLJ <br /> cc <br /> 0 z -15.. Special dling instructions and Ada,.. <br /> ON A <br /> . . <br /> GULAT70k <br /> Ckosa <br /> TON }11131 @F <br /> S 13 <br /> 95215 <br /> 7 <br /> L <br /> qL <br /> 09&�- 89 5607 <br /> ---7-7— acett described aboye sh, d <br /> 0 ..t,is.consi lybrid _�Pftng name an are dassifie4 Packed, <br /> r nteqts' n op'r <br /> eby declare that the c 'Urd no I <br /> • <br /> n. iona government re U Qtlon$L <br /> CERTIFICATION: I he cli) &JO J�ohspoq. -PP <br /> GENERATOR'S ccording to able intaination <br /> marked,and labeled,cin8 are in,all te pacts in proper car <br /> -d.' degree I have etermine to eecanctnii <br /> the�blu'me and toxicity 0 waste'generatL to.t e <br /> cally <br /> a pray, is sal currently available to me-w <br /> _j if I am 6 large quvnti genera ttr�I certify iho hick miriimizes'the.�reieni and fut6l�tAreat to h;jrin.n health <br /> 1 6 ove a <br /> a le method La tot so ge,or. <br /> -i�lect the be an ogeme6tle$ d thori, <br /> Z: prcicticabie:and that I lZave selected the proctict 6 good faith art to minimae my waste generation and Sf-,'�a te M 'a. <br /> )R ilf I'6m a small quan.tity qeri6Tat9 r,�l h odea <br /> environment;C <br /> and the emiron and that I can-afford. <br /> available to me a Month floY 'Year <br /> 0 <br /> Signat <br /> Prin cl/ 8 Name <br /> " 4-. i A <br /> �Ype <br /> Z <br /> LLJ 'Ic ledoement of month <br /> i. 17. Irons orter I now Dcy .. Year <br /> 'Signdtv <br /> d/T dN <br /> W .4 frin!ed/Typed NY1116 x <br /> 3 S <br /> Uj -p :if of Materials Month <br /> 0 113. Transl2orter.2 Acknowledgement o�Receil ure 0.9y Year <br /> S' not <br /> me <br /> 0 -�!Jrinted/Typed No <br /> 7 <br /> LU E <br /> ' <br /> 19. Discrepancy Indication Space <br /> Z � <br /> -A <br /> -C <br /> hazardous materials.covered by this manifest exce noted in Item 19. <br /> .20. Foc'litvC>wher.d'r Operator Certification oNji:11-1 l�, i�, i I . . . . . I Month Day <br /> A cl/Type8 Name <br /> Sign Year. <br /> T %Print <br /> Y <br /> S <br /> 60 NOT WR BELO.. H15 LIN <br /> TSDF"SENDS THIt <br /> .COPY,TO G'ENEkAT(:)R WITHIN30'DA <br /> r Yellow.% <br /> x` (Gentirator s <br /> completed copy of this copy days.) <br /> "j, 6 who, A -oult a[- <br /> mit hazardous w�sif!'Fot:ti�ansp6ri <br /> produce and send to b!SC, thin.3 <br /> �,VTSC.8022A(1/991 <br /> ''EPA 8700-22 <br /> A <br /> V <br />