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10— 2-06: 4:4SPM:YELLOW d13 344 3514 # 33/ 33 <br /> N j ONATURAL RESOURCES " HAZARDIUS WASTE MANIFEST <br /> ..-, <br /> e Alfa Al LAND PROTECTION DIVISION THIS DOCUMENT MUST BE USED FOR ALL MIS$OURI-DESTINED SHIPMEMS. <br /> a2artldUs Was[o Program INSTRUCTIONS FOR THE COMPLETION OFTHI8 FORM EQNASEPARATSaHEET. <br /> Bmci76 Jefferson City,Mlsaaur165102 _ <br /> 573-7514176' IN CASE OF RELEASE CONTACT U.S.COA3I'C ARl D�FSOVfiC�S L <br /> �• - .V.S:COAST GUARD AND MON R 1-wa,424"9802 ., $..-0942136 <br /> Pbdae}1dm,or QyPe(Form designed lor„use on elite(12-pitth)."writer) - Form Approved.OMB No 2050OD38 <br /> U14IFdRM,HA2A dOUS 1.Genowl US EPA'ID Nc 0Mme N0. 2•;Page— Information in the shaded.areas <br /> WA$TB:M�UJtIES1 :d Is required by Slatelal <br /> 3.GaranoWes Name And Mail Address , - X41 ani 5.Db'a io h• e <br /> ROADWAY EXPRESS, INCORPORATED <br /> 3233 LOOMIS ROAD <br /> a.G9raratOra Phone <br /> S(OCKTON CA 95205 $ s <br /> ti <br /> 5.'Rarwpoder I Comperry Nafile S.US EPA ID Number. - - S "2 <br /> 7.Trenwortey'2 CanpaRy Name <br /> 8.us ID Number ` +a Ile <br /> e.Decided F- Ihy m"and Sire Adrlreae : 10.UB PPA IDNNirber ` " I�" <br /> HETAGE ENVIRONMENTAL SERVICES LLC 0' <br /> 8525 NE 38TH §TRE7 U <br /> j . T <br /> 1,1US DOT Deurpnon(IndilpIAfpmRar$ Jng Pli Hazard Close.ID Number and Packing GroupCf any)) 12 Cpnienars Tbtal U41 Q <br /> Number Type Y Ou.nnN 'WWOI. LL <br /> �d ',WASTE FLAMMASLE LIQUIDS,- N.O.S. , 3, <br /> O <br /> kIMa993, PGI I "(PAINT) ERG 0128 Ka <br /> g' <br /> "41 RTE.QXIDIZING SOLIDS, CORROSIVE, N.O. <br /> p M <br /> � .1, UN31l PGM (FLUOROTITANIC pF W <br /> rl <br /> pp i S <br /> S.- <br /> a <br /> LL <br /> $• <br /> �,,a m <br /> Cal <br /> tl�� "aF� Addrhonal lnformatlanUc - OfW <br /> Ijrnerg�InQY•: P��Qh `{(807 <br /> :ie .,,... :1. 4 >+.,r.f�.4Me,.C, -$',.- S n •+.;1 -`. , .,.u.. .: r .1 <br /> Ie;Wnalgnmant 0 andbBd above by pmpae skpphNh aerN eye dpe4 uPe�$d,rMlkedi Wp�belad. LL <br /> p�ar0M - wRtpIWWR looillfvh Ird9gmeppil but Ipremaganel aad nehonel9 mmam mgulatbna end applestate regubtlgme. r C <br /> If I am a lar9b N1INaAY 9eneRMT I o6daX IRp4!h �propram In RquCe Ste warns amgtmrMorst wa lli genamled M the 00.1 l h9vs fie(emiilYea b 4e On ' i practloabb and 6te1I ¢ <br /> bel 10 PraoJkahld method Of tleaMeaa}}l etplayb,or`plapp prNron11 arAibq�aYtnp whleti mil lith the pBta7RI@^a Imula tH}Ap{1" hear;n heOnh ane bs envyymlltSNtk QR.R l arg 4 emell <br /> rdros l paw made a'goba Wih'oNorf m mingRNe rIW.M'eple q?nemOm amp aell;at9la haat%it m evegapk b e al I�n a8ora �.: <br /> fzrYttp�/IyjleH Name Sigaluril Mo'w Day Year <br /> T_.17•. rl Adm cg ReeBIW o1.T.leredale1 - i...; W <br /> A / i - Month DAy> er. <br /> P i" p <br /> O 8. rbr2Admowtedgementof Reeeiptot Matenala r. _ �a!9 � <br /> . T. Pdnlod[Iy"d Name J + 61¢Ntlll9 Month Day fear Z <br /> • O` ��' \lr I I (/.1� "s 6joc-V �T/ )�� '/4:� �'�.f./�t%v r._ / d . d' R <br /> ' 18;goaeponiy kakelfon Spe � 1 - <br /> F - N <br /> A <br /> L <br /> Y 2GDesomed FacU4 Ovma or Operabn Cer#fkagon of recelpl ot hazaMous materials Covered by thk I except es tea In Ilam 18. bele O O <br /> PrInNNTyPeO Name Signe- Month LO w <br /> EPA FORM 8700.22(REV.Wasj`MUNKAiWld 1U PREVIOUS EDITIONS ARE OBSQLETE - <br />