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Oct 03 02 11 : 48a HIC 209 234 2711 p. 12
<br /> Same of California—Em,iranmonml Prall Agency 141111001 14W
<br /> Farm Apprea.d OMB No.2050-OD391E.pim 9-30991 See Instructions on back of page 6. Depanmmt at T.k Sa6stumces Cans.
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<br /> 1. Generotmh US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded ureas
<br /> UNIFORM HAZARDOUS I.mI repaired by Federal low.
<br /> WASTE MANIFESTAf 11 �1 ;'; ;I l t ,f of 'i
<br /> 3. Ga,erators Name and Malmg Askinses, A. Show NoarNgJbcament Numiser
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<br /> V s 9. Mpg,MMd,PaUIIryry Nome and Wes Address 10. US EPA 10 Number G.'S,aN Faahsyt
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<br /> Q 11. US DOT DNsripion I meeline Proper Shipping N.,Nemrd Gass,aced 10 NuNlaerF 12. Unminers 13. Tocol Rd. Usti -
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<br /> Id. GEMINAT011s CERTFFICATIOEt Ihore6y dedan that the conrenh of this contig Ion fully vnd occurolely described a6aa.by proper shipping name and ere elaaslhed,pealed,
<br /> Vmarked,oral Iv6ded,oral are in all mapem.n proper mndilion for transport q hig6woy according b applicable international and notional government regulations.
<br /> f 1f I am a lot,.gtil gen otor,1 cendy shut I have a pr m in place toredace the'.elume and tedcitir F—,te g led III degree 1 have determined 10 be economimlM
<br /> a prmecabl.and that I have elected the prac5wbIe"hadof rinse mall.ro.oq=,or dis,,vial carrantly available 1e me which minimitts the present and future threat to human hwldt
<br /> and she environment;OR,if 1 moll aaontiry gen mmr,I hme made a goad Faith eFFom he alnimisP my wmre ganemtion a,d soled the best waste management method altos is
<br /> 0 evadable 10 me and that I sen afford.
<br /> } ; r•: I _ ! S gnPfure 'i- Month Day Year
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<br /> F1 20. Fszcdih,Osrrhi mbr Certification of rocei t of hazardws maNriob covered by this mangers eael as noted in Ism 19.
<br /> T hinted/Typed Nan. Si'mature Mond, Dey Year
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<br /> DO NOT WRITE BELOW THIS LINE.
<br /> DTSC 0022A U/a91
<br /> EPA 0700-22 ... .n: :._..
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