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T <br /> Sole o(ColiFomia—E T - <br /> F«m Appmred OAAB No 1Rdcho3 <br /> ctions on back of le 606195 <br /> 195 DepartmentaFK <br /> Ta. substance,core,, <br /> `Please pant«type.. 'Iu.- $aVament^,CaliFomia <br /> '()N�('� Nm,iFeN DocumentNo. 2. Page 1 Inlo.mm m the dmdad« <br /> is not requined 6y Federal kw. <br /> WASE $ 2 1 0ol <br /> 1 d l <br /> lese 3 Geer F t> A. State N,onihr I Document NInn Inner <br /> T � t 220 <br /> "Me <br /> • L <br /> hC.Stale Tranaportei s ro[R X740 <br /> 'c,yyYb 7, p�p, 6 D: Tronspartar's Phone 1196 <br /> m 7 T <br /> bes— <br /> E. Sloio imnsportels ID R <br /> 1 a s F. Trcxu p yle�s Pfione — <br /> u G. sate Focikv/ to ^71. <br /> 41 <br /> '� 26 5 7 (4k5) 324-163$ <br /> { "1 ""• N nC` I2 CoMoimn 13. To1o1 1-4 Ua, <br /> `� 11. Iib 4fTf: ung Pro!». <br /> ' . No. T Ouanuy WI/V., 4 Waste Number <br /> z a a� <br /> LI@IIAS. 1.0 $, <br /> 213 <br /> 3 G ) t l r T T G EPA/Othar DOM <br /> b. <br /> m arnior <br /> E a <br /> v A _ <br /> 0 T c ...y Stunt <br /> 0 O <br /> EPA/0th., —. <br /> K <br /> ILA - <br /> s,R. EPA/Otiier. <br /> ftondling Corks Fur Webs U3,ed Above <br /> 'Q t „ <br /> K <br /> •� 15. Special Ha alta$Msnucnons and Addiriorwl In - - <br /> a R6SPIN5B ClLL �1OQ) f41-1`rbi <br /> z <br /> u <br /> Q 16. GENERATOR'S CERTRIGTION_ 16meby dccl 146 gsii i dy nddexri6ed a6.by pope,Ai ng name mad a.e clas.8,ad,pa k.d, <br /> J marked,and Iabded,and are in all respects,n Ps^PTe Blsa'sY«cordg toinapplicable international and nationTgannunmeM regulonms- <br /> 111 a lenge quon6y general«.1 certify that 1 ` P _ <br /> ochooble and that 1 ha.e.6cmd she t 'pwcur and toddy of wash gen ted ro the degree,nt a determined a t o con -c lzY <br /> y M - raptly a.oila6le a me which mmimizas die present and 6rewe d,rad to human health <br /> oral the environment;OR,d l am a sma8'g9plrMya B ... rt nrmgeneration and select the 6.0 waste m <br /> wai a b and that l cm, __ ,u r"7 waste 8^^ J management method that a <br /> Printed L <br /> eft� :"�'�P— 5 <br /> �W T 17. Trans 1 A tof of <br /> x <br /> tl h Prin No <br /> u e [by Year <br /> IT <br /> /vf ! Z 6 a z <br /> LL R 18. Traisparse2 Acle ent of Flaceiptof Mabonal.- _ <br /> 0 i Printed/Typed Nome gnahsie M.A Day Y. <br /> � E <br /> a R <br /> 19- Diurep..q Indication$Puw - - - <br /> Z p <br /> — A <br /> C <br /> r E <br /> 1 20. Fxi' Owrwr« CeriYcatier, of laze s mot4rmfe, 'lest exc as mbd in Ibm 19. <br /> T Printed/Typal NameJ� N,ond, Day Yeo, <br /> ! -)- 13 as <br /> Ye DO NOT WRWOLOW THIS UNE. <br /> DISC 8022A II/991 White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS <br /> ,EPA 8700-22 - To: P . Box 3000, Sacramento, CA 95812 <br />