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7 TIME!! TIM <br /> IT <br /> State of Culifprnin—En.i.atental Pi it at»n Age• .� Deportment of Toric Sebstancea Conk, <br /> Fal Approved OMs No.20$0-pg39 l6gnrn 9�I-y' 3 SQO instructions OII bGcl( OI �,�195 <br /> Please pr,M w yp.. Form o5D.0d J MA art "10 n�-prkh)ty mil... S <am•.,ta,California <br /> UNIFt9R1A Hgj/1RDQU3 O G �'°i 7 Z 2 hlpnife jDo ag enI Np. 2 2. Papel n not reaf lmired bey Federal JdW yap' <br /> ops u Ee ro <br /> • WASTE AUNIFEST I of <br /> 3. Gen«ob't Noriu and Moihag Add.as A.Siwe M-F�D�Nmabat <br /> PA�xc 22095564 <br /> Pel T FDM ;3EXM 6. State Ganeraror's ID 1 ' I-- <br /> n 4- Gnrmrato/s Hnnn,{ iR& w CA 94583 )SL3— --a$6 b <br /> „ ( & 6. us EPA I,tFtmbe c. sbta r a pnn<:.to JR. lj748 <br /> m, Tronspwtds Plane (406)268-1196 <br /> R@ 'Et18P <br /> ICIA D O&315141719 9 6 <br /> 7. TansprMw 2 company ha�Pt e. us EPA 1D b <br /> E sea e T an paw',Rr tae»Mea.t <br /> 1Jt Q r F. Transportw'j Phone <br /> J 9, Designoted F«iliytlm»and Sift Ad&.. 10. DS EPA ID Number s State F«ihy'a Ib. <br /> = R sic Ehviiatmmtai Technologies e a o 6 4 6 S <br /> z 2081 Hay Road <br /> o Fast Palo Alto CA 94303 AD O 9 4 5 2 6 5 7 324-1688 <br /> t: 11. US DOT D—,yfion(md.&N Prop..Shipping Nome,Ham.d Class,ad ro tFnnbsel 12. contain. 13. Total 14 Unit <br /> J No. T Quantity Wi/Val I Waeb Namber <br /> Za Stale <br /> i vim FLAMMU LIQUIDS, I.O.S.(GMI1R, DIEM), I ®1913 Ml RX3 <br /> G RQ (0011) ®Gi(128) o o ) T T G EPA/04.n i <br /> o N b. stove <br /> m E <br /> z R <br /> EPA/011w <br /> i A <br /> 6 T <br /> m O <br /> f2 EPA/f}Iber <br /> d sero <br /> V - EPA/... <br /> ' K, HaadfiN Co�dca fat Wastes Us d Ab. <br /> a y <br /> t- w d. <br /> Spial HaadlingM,tr.oiona a ad Additional lnfamafion SITE �,,R�� _ ''D (019 >T. <br /> Iffima MPORSE CALL (100) 117-1701 R/ <br /> �/kl—I tvas� C—fst <br /> 16, GENERATOR'S CERTIFICATION: 1 hereby derlwe fat Ste centenn of dtis conipnm.nt am fogy and« described above b shi oma and are classified.Packed, <br /> d marled,and labeled,and we in a8 r Tion fat koro by hi � y Pr°P°r nT-9 n <br /> a Wct+in PoPer port phway aaordirp b app acerola inromaliaal ad.alio government regulafions. <br /> Md 81 am a large quanta ry generotur,I.•tray that I have a Wogram in PI«n b reface A we alums dad Toxicity f wasro enraged b The <br /> d rocticoble ad that 1 bate»lecrod the osl•mrlad of keatrrmM,star y a 9 degree I Aa.e determined b be«oramicallIyy <br /> w P pro��rc .gs,w disposal carrenlly wadable b me whicb minimizes IF» resent od furore dmeot ro human healdr <br /> and Thi.emironmenl;OR,if I am a smog gwmtily 8wreratw,I have mod•a good faith alfarl b minimiae my woah gen«afion ad select that best wosb management medal'that is <br /> available b ma and that I can afkrd. <br /> Printf Sip �1 Noah Day Y. <br /> `F) <br /> 19 ran T 17 TA d «« of Mainri.6 D <br /> Prinbd a�� s Signatur <br /> Mang. Day Yat <br /> P ' Z <br /> 1 -P 18. Tr 2 ement ori r of Abrorida - - - <br /> It <br /> T Printed/Typd Noma Signature <br /> I Month Day year <br /> Z <br /> 19. Discrepancy Indication Spore <br /> F - <br /> A <br /> C <br /> I <br /> E <br /> 1 20. F«iN Owner« at«Cenilicafion of r«ei of hozardws maroriala oovwd this manifsY os rated in horn 19. <br /> T Priatd/Typd Name Sigrawr• <br /> Mand, Day Yew <br /> IT <br /> DO NOT WRITE BELOW THIS UNE. <br /> FSC 8022A(1/99) - - -. White_ TSDF SENDS THIS COPY TO DTX WITHIN 30 DAYS. <br /> `,aA 8700-22 To: P.O sox 3000. So<mmerto, CA 95812 <br />