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<br /> Farm Appni DMS No,21350-W39 IE.pims 9•90-"l see In.trudion: on bock of pout �+ Wpapm•nl•ITwic sabsntnwr[onlrvl
<br /> plwe pini gr typo, F•rm d.:igned ler use.n•lire(12-pilchI'-aa,w(W. �( y�' Sacramental California
<br /> UNIFORM HAZARDOUS ••�4pis
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<br /> WASTE MANIFEST {{ Is not required by Federal law
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<br /> s, Dmuralors Name end Mallin Mill,... A. (kali Manifest PpF9mont N9mber
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<br /> 11. US POT D.scriplion lincluding Proper Shlppin s Name,thatard Close,9nd ID Numb•rl CwM17 tea Quanlllal 14,WWV9It W I I
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<br /> 24' HOLIF e1wWrgency telephone number: [:F f •SLi°'t•1
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<br /> 16. GINFRATDk'S CERTIFICATION: Iheeby dwim lhal the cooteom.f this cgndggnmsnfore Hlbandoacim].��dascrlbad.b..eby props chip name and or-classified,pgekM,
<br /> marked,and labsl•d,qnd aro in all raspxh in proper medlllon For tran•part h hiahvray according h apphegbl•International oral nodeyraPgo.nam ea d or-slags.
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<br /> I g.nsrala6 I oerflfY Ihgl I here 9 prorrgn i0 Pl.a b educe Ih•.slam•and laal.11y of walla grnerofd,a IM deplw I hose dararmineed�h b.eeonomlcall
<br /> r.At Projjgbfa•and Ihar 1 M. in ad•d fha rv4lmbla m•lhod q Ira.mlagh a.rog.,a disposal arrandY availabls la me which minlmIces Ilse f beat wad fulofe do of i hrlmgn II•ohI,
<br /> l and Ill.an-Iranin.pi;0k,If I am q smoP gaanllll,gsneralar,I have made a geed fallh effarl to mlalmlxe my waste gonervlien and elect Ih•bet Maas mqh 1 M41nl mailman 11.9 it
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<br /> DO NOT WRITE BELOW THIS LINE.
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<br /> E�gY00-22 'I,,. I•Q Con .1100, , -, 4,141"
<br /> 02/22/01 THU 10: 49 ITX/RX NO 62511 16002
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