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--Jelb. 23. 20 15_10: OIAM.--GEORGE W LOWRY, INC —...No, 7213 P. 2____ <br /> Vl4' 1 1 <br /> Bile <br /> UNIFORM HAZARDOUS 1.Generator to Number <br /> 2-passelof 3.1theegromyRaptimisPhDria 4.Man as% c ng Number <br /> • WASTE MANIFEST CAMWOM2 1. 1 1 72 JA <br /> 6,Generators Name oral laaflrig;dAeu � <br /> oreorp W.Lkworry,NR:. <br /> PC fJOY 176 4612 KIERNM C1 <br /> SA4MA,U, WWO S;AUDA,CA %3W iJ&A <br /> Generators"In". RUM-= <br /> 0 Transpom;-1-1 Company IN U <br /> Oei W.Lovirry,Inc, Number 14, 0 15 <br /> 71719 . <br /> 7.Transporter 2 Company Name U.S,EPA I <br /> MENTAL <br /> B.DesigrateadFadl Name and Vto Address <br /> R(V=IX'MM9FJER U.S.EPA iD Number <br /> 5-=CLAUS'61) <br /> R"RILANK,Q41 2sw <br /> Facillrys Runs: 2024%5alff1 <br /> 9b US.DOT Description(including Proper Shipping Name,Hanod,Class,ID Number, <br /> HM and PXI(IngGroup(Iffery)) 10.cormall is 11.Tom 441 11 ate Codes <br /> No. Type <br /> ch: x NON,ROR4 KA"Cous;wAst.e w.U10 (usea OIL) 4 TC <br /> 22 <br /> LU <br /> 4. <br /> • irt.Special Handling Instructions ard AddIllonal Information <br /> ekv,w171. <br /> WEAR GUMS <br /> 15. GENERATOWStOFFEROR'SCEKriFICATION:I hereby deroam,Mat Me contends of this conslgnmenta Ily and acuimteytleseflleaabovo by ilia proper shipping nome.arl arm 49siff packaged., <br /> marked and falreled/plawroad,end are in all mpecte an moor condidian fortepanspol iloovding to applionfluminarmoDanal and mallonal governmental regulatldm,lfaxped shIpment and I s e Nmafy <br /> Exporter,1004 Met ses"tents of If�i consignment conforrinlo the fismis of the attached EPAAcknowledgmant of Consort <br /> I cooffoat the waste nrinthriLutim statement Idandhad In 40 CFR 262,21(a)(I I am a large quaoifty,gonemnow)or(b)(K I am a small quaintly generator)is We. <br /> Geomendaft'Offiefor's Pdrictiffyied Name 9 n ar:dA Month Day Year. <br /> 2COTT4accLote 0 a`1'4 2011 <br /> 16:International Shipments ❑Import 10 U.S. ❑Export from,U.S, Pad ufantrylect: <br /> Troonsporter signature(for exports only): Date leaving <br /> 17.Transporter Admoviledgmaral at Receipt of Materials <br /> Transporter I Pnn[BCVTypDd Name Signorina <br /> VMDnb Day Year <br /> SCOTT UCCLOUU �A 8 z 201 <br /> Teuristionter 2 Name Sigrefirm Month Day year <br /> .1 18:01scumoncy <br /> 18s,Discrepancy Indication Spam Ll Q..nfey Elya 0 Residva ❑Parisi Ral"o, ❑Fall Rejeckm <br /> Manhast Reference Number. <br /> 181a.Alternate Fadaly for Gentralot) U.S.EPA NO Number <br /> L ladfly!y <br /> Phone: <br /> le.FgnaFre;AratePadliy(or Geneator) <br /> Month Day Year <br /> tz <br /> • 19;Hazardous Waste Report Menagerinunt Method Codes(i.e.,codes for hazardous meats Imartment,d1spoiss.and recycling MOA <br /> 0 1. `/�1 11 — 1' 1 4. <br /> 20.Deawg4had[FadlorfoirriworOperalsor. 01haaarbous; by elorlial as rated in hem 182 <br /> lathisedAWed Name,. t- /_.�rSignature on Day <br /> a year <br /> EPA. Fon 8700-22(Rev,3-0) NMI c odIftards are obtailebs. TRANSPORTER'S COPY <br />