Laserfiche WebLink
-:.Feb. 23. 2015-10:02AM -—GEORGE W LOWRY, INC No. 1213-_-P. 4___ <br /> 14 . <br /> UNIFORM HAZARDOUS Generator ID Nurnber Zpagifilia 2I.Emeng6MINialmnsevroone i,. 14.1fiandfustTuickleg Number JJK <br /> WASTEMANIFIEST Z*002-27100 009720398 <br /> • S.Generator;Name and Mailing Address ustignaw,site Address(Adifferent am mailing addmsE) <br /> elloge W.Lowiff,NIC. _ pp KMU41 0. <br /> IIIAUVA <br /> PO WX M, 9M E i V E P $94k.CA MW LXA <br /> ,CA <br /> Generators Phone: <br /> 6.1firensporter I Company Name .S:EPA 10 NuVer <br /> FEB 2 4 Mb- U.S: . . <br /> 7.Transporter 2 Company Name ENVIRONMENTAL U.S.hrAw Number <br /> a.Designated Faciliti,Name and Site Address U.S.WD Number <br /> IIINMANK C+– <br /> ISM CLAM RD CA1=1119M <br /> PROERBANK.CAaW, <br /> F stiff I Phone: X94MMiftt <br /> Ile 11,U.S.1107 Deapinim(Including Proper Shipping Name.t1ward Gaa,to Number,. 10.Contai 11301 12.Unit 13;West oads, <br /> HM and Padang Group(a Any)) No. Type QuOtY III <br /> 1. i.. , . . ; <br /> ca: NON RG I RA RkM[)=WAVE U&JO pef'6� up 4W 0, �21 <br /> Mal UP <br /> 2. <br /> 4. <br /> • 14.Special Handling ln*ucdtns aR Additional Incontrailm <br /> WEA1Ft.5LU'ti�S 0`v' <br /> 15, GENERATOR'SliffERDITS E—Eiruiuyioif- I Inmeby declare;at the entente of gf1s consignment AM lip a ccoonetely descinbscl Atom by IN limper shipping name,and,are classixed,paclialed, <br /> marked and afooladfiAla,candad.And am in all respects in proper condition for transport Bacordin national and naMnal 9mmmehati regulations.If export shipment and I am the Primary <br /> Even&,I ce"that ft contents V Ilfs comIgnmeritiocitfoon Iq the times,of the Attached EPAAcknowleclarl of Consent. <br /> I certly lhad this waste minimization statement Idgrittled In40CPR 262,21(al I am a large cluaftfili,genaraNT)or(b)(61 am a small quark genorace)Ill Inue. <br /> T07a_mWsf0ffemrs PiqtdfTypd Nam. March Day Year <br /> 16.Intensional Shipments El mixed to U.S. Export favit'U.S, Porl of eniry/i <br /> Transporter signature,(for exports,onlil)i Date leading U S.: <br /> 17,'riansporter Aolinowledgment of P"101 Of MaIMMa. Day Yur <br /> Transport.,I�P­Gdffywmarne SignatureMika <br /> Signartum Month DAY Year <br /> Tramp–auumn—le9w."i–M.- <br /> le.Diacrespo ancy <br /> 18 A.Diacrepurcy Indication SWWGuantlry EJTYP. [3FIesIdua Elpartial Rejection ❑Rif Rejection <br /> fill Iftesermol,Number. <br /> 18to Aftenneoto Rainy(or Generator) U.S.EPA ID Number <br /> 5 <br /> Alternate Facility Month Q;V Year <br /> (OrGoneriflor) <br /> 19.Hacandcous Waste Record MalamArl Matted Codes(i A,codes for hazardmis waste taiEfmani,disposal,and mcycllng systema) <br /> 01, <br /> 20.Designated FandlitI,Owner or operator:CaNcil mcept of lh!:Tous matedaI3 covered by the manifest except as road in Isson Igo <br /> TFM–OWed Nam 4 signalure Monl I III Day Year <br /> 4PA Form 8700-22(Rev.MIS) Pre Hous editions are obsolete TRANSPORTER'S COPY <br />