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5 ' 00 42: 55PAGE . 002 <br /> ��� � Ma;i CrxnPlehd tam to' <br /> WAIjTQ 0I*11104" [WOWATION P.OL Boot 7246 <br /> (See$peen+Inr.r Ct!ons on Rz erg SiCe; Lounwilkk KY 40257 6 <br /> .tract any apalionbte reoorarory WWysA as ragtdmd by Beatty Parr s Permit _. <br /> FPA c,«ferator tp GA-b ,9ff g State c3erherttoretxaoalveb+a) <br /> ❑tract n amemptunfit[QtamdtY q cra 281-5) <br /> Generator Mame: °ut I <br /> Ge leralor Fain y Addraae: 14 o C, me S c _ , <br /> Contact Name: 7rcta _ :so Phone r. <br /> SrokerName: rzu4sala, S CdMw: P" e: <br /> smker <br /> wASTEOWASTE 6T RRW MAaE ` a <br /> ' Desenbe ab Pooeaa avW62117e9 waste: .��(7TH.r *W Ga�awA wS lees-4 Genn 3 Gg- - � ��l <br /> EPA MAZARDOW MASTS COVE-W. (40 CPR 2M,21-287-33) <br /> Check it waste is NOT hamdaus W RCJM <br /> Q Check if wage is a , O per 40 CFR 261,4. <br /> Describe appearance(0.9. eroaro IMwdty,etc) '"I h• 's"�`' 't �'`" <br /> is in waltz sdaae SOLID W RORA? Q Yes ❑ WO <br /> 06tinctive Odor? 13 Yea ❑No It yes,desoibe <br /> oerday: ❑ifad,, 4. It. ❑lbaJgef. ZLav9. 106.15t;-O. dfum <br /> MASTS PRO}61Tt21111 •' <br /> IGNITABILITY (40 CFR 261.21) <br /> Flash PPM(Aw vpnrds 6 Oodged) ° F. (00sed Cup) Range: ° F. to <br /> Cheat pox a waste ia+itam when expoaea to- C3 Air ❑water ❑Fnctlo. <br /> CORROBtvITY —le waste corrosive per 40 CFR 201.2" aa Yee ❑ No JAN 15 1993 <br /> Ether pH(tor aefida. pH of a tea solution). Range: to <br /> REACTnnTY—IS waste nsgottre per 40 CFR 28123'[ ENVIRONMENTAL Yes )KN* ENVIRONMENTAL HEALTH <br /> T0)0CI7Y-Doe tris wttsta meet the toxin chfiracarbecs]or 40 CFR 261.241 �Ya No PERMIT/SERVICES <br /> it EP 7oxioity tact was performed, attach a copy Of the fW resadts. <br /> pparO E - gpeGtoc chemical rtemeo of demporten}s are rQquk d. Oo MOT use genen�c named, ACedunt for IW%of the wasfe. <br /> Aftact additnnol pay"x mcr-my. <br /> er AWr <br /> COtnponent sarepr seas Aattw Canponent g°rnpr aeeutt Arae <br /> i r A* % �°A Y' _ —%lot, 96 <br /> ' <br /> AnatyttGAl TaOthtsgtA:: <br /> cllaCkbdxitwa{rlCOftlein5: �aioro9ieMmTs. QPate+o9atts OEtiowgicaAr2ena L]tnfedtsouaAgenes G7carcirhogens C7AadiottetinMarls. <br /> Q PCB's (as deRned by 40 CFR 761) C1 mumstf yes,mm a nonce of drsposat been nted(40 CPA ns)? -- <br /> U.S. DOT Proper 8hiw Hamm Hazard clefs ULAMA Code <br /> Ltp phyte vi P6S4 + i� <br /> Proposed Shipping Od: �°Dfurns Cl Bulk Q Otter: Deaeribe! —. <br /> Estimated <br /> --ant F tea` <br /> Special w Unique ndling lf1917113C OM: <br /> I certtty and wwrmt the'above sown tdeneticaiwn for the matanale o}faw for diepcaal as asoeers on this form,and the information <br /> contained on any avID=hmen dotemenm Is true ared evreart.MY certification i5 089etl on personal exammetAn o}the inforrnatiOn ahybmitted, <br /> fir:9 based upon my inquiries M trose drdivi4lsws mWonvoi or Obtaining the mfgrmatoon lfurther Certity and Warrant that ttreiamfhtitK?tMn tithe <br /> res6it Of an anaty"of a repret:entsbve sample ot>mkhed and analyzed in accordance wnh seating procedures SpeGdied by the u.S.E rw.ronmental <br /> Protection A6aney or by applYinQ knowledge of the prgcvsa generating the spat Mc waste being Otfiered W deposal. <br /> ala�a � <br /> Man, ml WW <br /> rine. <br /> - <br /> NCTE Prestdpmeni raF� gannaas ate eptsnd ford ar materia[in trifdc tam. <br /> Mach Yam Coq d this form bow eaffvW Oea momaw7mo tot mekk C Irau.stiom <br /> Z00 ' 39Nd ONI-NOSA31d3 WONIi ib : $'I E6 ° 9 Nur <br />