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---Feb. 23. 2015-10: 03AM---GEORGE W LOWRY, INC — — —No. 1213--P. <br /> r i <br /> • M t_ <br /> ^Y? 3'r'dflisl.uy�.;ve^tj� M }KYpy1yC6r5. wpr A' ) ' j;}'YW r+af>x-f„yqw <br /> e a g '?u.afou%i:a-d<'*:�.✓:,`�$»e t�•�.. '.�.a_�:>a .`;��r„N•�i. +ez.�nale*:.� g(fMB+�76�'2 ':;: <br /> .UNIFORM HAZARDOUS 1•Generator ID•Number ;.,��',; 2.Pageldl D.Emegenoy Response Phone4;111mrestTracalulnar <br /> WASTEMANIFEST. E91d1J 1 . 7iD5 t2'r[>(t .� :3099 ,JJK <br /> S:Gemerelods Name and Mail, Address tt+ : garalOfk SilbtAddlosa(SdNlemmlman meling edorm) ' <br /> • 4AdrgeVd.41ag7cp,�VTG. . ..� ES V _ r) .E6YA^!{IEFJrb<INmT' . <br /> 9pLifiA CA 9�BCb TdI.t.11Dq CA.WW IISA . <br /> GemmraWCe Phone: xl"45 .2.c <br /> I,Transporter 1 Company Name r !' .,.,+' IA pN I p�.,• _ <br /> 041 W.L14q,itis, 4 � <br /> Z Tmnepodm:2 CwPuly NameIL— u.s:EPNID Ndmber <br /> hhrwweAF pmN t�EAtT(�nr a T1aEN7 - <br /> B.DCa.RSrCN�flNw.a ��Ft: •.1 .. LLS.EPAA1Nuber.6�m CLADS RD . <br /> G <br /> MVERCIAMK CA 95,V „ <br /> Itabld Is Phone: ' .�.-•:..: : .. ' <br /> .. ,. ... <br /> ae& <br /> .ga: 9b.U S.DDT Descrlpton(Including Prope(Sh'ryping Nemo,Hd Clams;ID Nwnbai. 7A OanYinere;n.; h1 ::: .gA.tiMl <br /> and Pao”Gmup(H any)) y No. Type 4 WINd.. '1&WBws,Cedes. <br /> NOW fkbRAKkZkKffif OS WA�TE'.bdUlli(aF PtD ';'T � '!'( <br /> ..,, Y • : .:qt <br /> n' <br /> 3 <br /> 'nL <br /> . , : 4. <br /> ft <br /> ow Ade oWlaftemation <br /> .Peri p e(+d . . <br /> • wua:Alr,auw�, ,. <br /> Etta 0 T71 <br /> x� z . <br /> .15. GENERATOR'SIDFFERQR'SCERnRCAirwN:I,herebydatlare that the torrents of tie eonagnmentam endaaumbely tleyorlLed.eboveey the pgper eh§ping name,am emdaseified,padkegetl; <br /> meMatl end labeleNplerarded,and em in ellrespects ln proper conbltlon}or transport m4&eing Co ebpli®ble mle pomata Ias Coal governmental regulators if expan shipment and l am ha Primary <br /> FFxpoi(er,I m*dal the contents of Unsmnsignmentconfam 10 dleterms,oftne sgadled EPA Sure nwid. <br /> IceNfy Diatthvmis minlml7EtlontUternemidemdgodin4DCFR2A2.27(a)(llemm.br9equantity I vter)ot-(br(dl em a small,g,errti aner l.Ieebe. <br /> Gememlo VOffam2s PnfsATyPed Neme Slgneture h , <br /> 56d3YP'PA�Lol;tp <br /> , <br /> 18.imemational Shipments ' <br /> ' ❑ImpM to U.3. ❑F]tpM'rose LLS. Pon of engylexil; r <br /> Transponer.elgnetem.(tor exports pry): Date laaNng U.S.: 1 ' <br /> lz 17.Traonnapero�rteprdAntlNOMedgmenlQfRaeiplar Metenele - :. . <br /> •d. TranePSGF3IT�. e :Si9rtaNre <br /> o ; <br /> •,1 Transport&2'Printed/Typed Nam Signature h,. Msntll Day Me <br /> .•. 1S.Dlscepenry <br /> 18a.Db&ebency Indication Space ❑ Ge y [IT*' ❑ ❑Panlal Rejection ❑Fup Coon <br /> Remidue Rafa <br /> MenflealRefeienoe Number. <br /> �. <br /> 48b,Alamein Facity(or Generator) U.S.EPA ID Number <br /> 7 <br /> �. Faolm/a Phone: <br /> 1BaSignature ofNtemsle Factor(or Generator) Morbl, Day Your . <br /> C' <br /> z <br /> • 19.Hacardous Waste Repan Menegemerl Method Gados pe.,codes for hazardous vs{(9 treatment disposal,and Rayding ayatemg) <br /> G ,. f 2. �;�. 3. 4. <br /> 20,Designated Facility Oemerorooam(pr CeMfl ' nolrecelp(ol' rdaus matensle led by he manifest except as nd e,tee <br /> Pdnledrrypa Name ' f SlgnaNre r <br /> EPA Form 8700-22(Rev.3.05) Previous editions are obsolete. TRANSPORTER'S COPY <br />