Laserfiche WebLink
Please pdniorl c.(Fan dee nedforuseonelSe 12•llch WdldlK ,l Form ORroved OMB No,2060.0030' <br /> 'frr t.OanarobrlONumber : 2: e1d 3FinarymgPaepwuf,.hone .y r <br /> • + � � n •dw n:g ummUNIFORM <br /> MAN0U8 �AWQln1917G 6 JJ / <br /> WASTEFE92 <br /> 6.Oenereby Name Bid M41IIng Address ' ! NTS&4. repo(Il tll aeMiman mo n8 sddno <br /> arLiCInYxd BCA.venjaER9(Yung <br /> 1240 NAVY ORK'k <br /> 5TL1Gl(T6N,C.A ARM <br /> Onrroroloea Phona: '& •,9L1E1 - ! ..; :� <br /> E.TranspDrwr 1 CompmyNemeV Df_PAID NLIM l <br /> c'ra:ooR,agu'I,�u1.�eRv1�r, i cA�wola�iwya� , <br /> 7, romporter2 Company Rome ".,,� I U,S-EFAQ a .. <br /> 8.Dee Anelad F•C Ily off*and Pilo Fddross .. " u S.EPA ID NWrbw <br /> `vle7asprs 71y1AT@R Tt(11140LO les roORP <br /> 5376 SOUTH PloY4e.AVEatUW r rD'.�9d5 <br /> VeRNON,CA iWAYn <br /> Fadi a Phonei <br /> a <br /> pa. 96,US.DOT DesoMflon(Includbg'Prepsr Shaping NAM$,,Huud CIMs,IDNumbm(. ,'IO.Cdnlelad 11,7614 1 .' 12'Wsel•Coda <br /> HM and P#zWngfbcupofenY)) '. . :NO "TYde:, MUMWLW <br /> x 1' Pll:lW IVdRA HA:CAlSO(]tJlyiltifAC7Tl°9gflll <br /> 2. <br /> e <br /> Spiclol NondliVNN ons ea AddiOowl Infirnistion <br /> OILY ROCRSyCrnud3ounei f <br /> WL°n.fi eal.QWE9"ID EYE% f?MOT?CIIUN, IN C/,44 CIn AW GML°R,0CNCY,, CCAITAf�'1' CNP.A+f�Y Im Q�At49�Y 71,Pob CH�*.Q�OPtAlhl OIL <br /> 16. DENERATOR'810FPEROR'e CERTIFICATION:tRd!aro dauN ',pecWpaa, <br /> marked and&dIddipuwAed,Rd ero In•a respects M pMp$rC0r dWn I emlpad ermdinp b opplMade InbmolNNMFue[arid nobpna Ocvemmomol n8ulotlons.It eapon shipment and I em the Primary <br /> Eapoder,I caRRy that the commie dads eon4wOnt o?nbrm to the lemn or me'sdoohpd EPAACerdwetlgment of Cbnanl, <br /> I candy do the viaare mMlmisadm,sbbmpnl Idw&d In 40,CFR 282,27(4)(8'1 am a large quantity oeneretor)or(b)(01.am o will ggenllttidwerobr)II to, <br /> dllyped Nam r- A re <br /> Month oy aor <br /> Oon ' <br /> erebrdORemys Drab P W.0 <br /> I r � • <br /> r <br /> Iniornatonal ShIpmeall QlmpodWU:B, r--f <br /> 6;,l Ea6aN Adn IIB Pad sfen6yleeR; <br /> Tmuponerd8nab2lror e.ppM only), :DaNlos U.B.: <br /> 17.TransparterMAcnovedopmont d Recelpl N MEtedalp <br /> mnsporteriP a Name noW,ro mlh sy Yar <br /> roapaner pe oma ._ wwaun u"I ovy isar <br /> 118,Discrep4ney <br /> I 10c.Dlecreperoy Yrdioauon 8paca Q Quaquty clrype OR}sWue ©P.sNal Re)atldn II QFwll Re)ectlon <br /> Manifest Rebmnce Gd <br /> '+ � IBb.Ahemete F•dlty(or Gerrerptotl � U.9,FPA 10 Number - <br /> Farhat.Phone, <br /> Igo, baturea lampte aclly or mareb cY Year <br /> 1S.Ne:emoue Wone Napon Meneq•me oc Codas(i a„casae rorMumous waste apeumm,mapoeel,and rectdlo2 systems) <br /> 1 Z 3• 4. <br /> 30.Desfanotoa Fpalty Omer or I ralor Cenlsatlon of"Ipl of IWyndwo mateliala wared by IM mm0au arapl a mole M Rem 18e <br /> Priniawdwe P We r mh ny ber <br /> EPA Fonn 8700.22(Rae.3.05) revbuedentionsard obacdow. " r TRANSPDATER'3 COPY <br />