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Stme of Colllornle—Endronmemal Protection Agenty , <br /> Form Approved OMB No.2030.0039(Expires 93094) See Instructions On back Of page b. Department of teak Subaoxm Cemroh' <br /> Plevu print at type- °Tormdeslpned for me on elite P2ylr<hJ ypewnrer. So<+amenlo,Calilmda <br /> :UNIFORM HAZARDOUS I.,Generator's US EPA ID Ne, Moni(est Uoament No. 2. page 1 lormal!on in the shaded areas <br /> WASTE MANIFEST ' - n net !on by Federal law <br /> S of <br /> J. Generator s Name and Mailing Address A Stph Mamlest Docdment Na b <br /> o� t, � „' 362�9��' � <br /> ' p 8 Stvle Cenemto/!IQ t Y s�° r d y <br /> r - CODI CYl <br /> n /S�¢Or � JDi,a G 1{S4Yi � <br /> zh 4 Gene mors Phone 11p?1 �� r <br /> w V <br /> g <br /> 3. Trdnsporter 1 Company Nome 6. US EPA ID Nb5h1s TransporlerY,ID y.fig' p y�Hi�2< ' <br /> _ bmar <br /> % orQ. : D k9 10 / L/ <br /> J 7. Transporter 2 Company Name 8. US EPA 10 Numbervs <br /> CD Na" <br /> Q 9. Designate d Facil. Name and 58e Address 10.-0S EPA ID Number <br /> LIDG/;.ir/r� �UrCI-Sr /,V,-. '0BA- e.4"De hs <br /> /OZ/ Zt?EiZ/ey.ESSA Ae7ee,erD - r .+ pF's" <br /> ND eel <br /> 00 <br /> N f5o �� 9 /3 0 s`7 9 / 0 s % <br /> I 1 A5 DOi Deuription(r,<bd rg Prope"r$hpping Nom Ho rd Class;and ID Number) 12 Commnen s 13. Total 14 Unn <br /> Z No Type, cA,omiy Wt/Vol 1 <br /> m G a..NOAI <br /> �f>'1'I A'2L�0,$ ERSTE n�r17 <br /> r 111, <br /> E ` D/L R. ✓/�'�2/5, Q D `/'G `�Q VT1 <br /> " ,°f... u, 4 s"r <br /> w N ^b <br /> E <br /> R n µf <br /> A <br /> T < <br /> � R I � <br /> w <br /> H" d <br /> w � <br /> V <br /> O '�Tp'Msy�{,�afto!Naiellak iu�Aban as T I v+,� J.��r 51✓ a )��' n� y Xx Handl n0 4Mes i6rWastes j9ed s�+6 e <br /> tlee R" <br /> .A E'v�xd.`,,! <br /> v <br /> O IS Speaal HandYnq Inst un and Addino f farmatian r�� ��� �2�` ,. I�`�/ <br /> 4I\ <br /> a / <br /> Z <br /> ZI - . EME2Gfi/(✓ �isrDUE OCI� 8 —RSt�/ GES/ TdBtf ' 2C Z$OZ <br /> 16. GEN RATOR'S CERTIFICATION;i h1bob,dedare shot the confiens,of this consignment are fully and accurately described albove by proper slipping noraz and o,dassefi'd, <br /> Qpacked, orked,and labekd,and are-n all respects m proper condition for transport by highway according to applicable international and national government regulations.. <br /> If I g quarmy g ro <br /> err,1 terrify Mm I have a program iplace to educ she 1 me and toxicity of waste generated ro the degree I have determined m be <br /> evorarmicall,practicable d Mm I have scall the Practicable method of frearement,storage, r dis,sasol currently available to me which minimizes me present and fuh e <br /> a <br /> 'threat t human health d the environment,OR,d 1 a small a n <br /> y 'qu y generator, I have mode a good faith effort to minimize my waste generution and selM Me b<n <br /> wash management,method that is available to m<and that I can Iford <br /> ^a1v Month Doy Year <br /> > i 7e T 1]..Tress iter 1 Acknowled mens of Rtter t of M.orerials —I <br /> t <br /> ZN Prin Typed Nome. $;gn Mento Day Y<ar 1 <br /> S ��ah eaI-L10 19 <br /> w v <br /> � a ~ <br /> 18. ran er 2 <knowled <mmt of Receipt of Matedah <br /> w R Primed/Typed Name - Signature MonNi Day Near <br /> w � 19. Discr p cy Indimrton Spocc I <br /> Ni <br /> Q it „ _ <br /> U " <br /> I 20 F dl'ny Qvaer er Oce rot Cen l moon 1 re<c w el S does mater' o er d by tF nn Iev excco+ noted n he^ 1 _ <br /> T P t,d tTvpea Name '1 s �� 59notu c � ,/) Monts Day I Ye <br /> o L} <br /> - DO NOT WRITE BELOW fFi15 LINE. <br /> —��sOTSC 8022A(9!93) - Wit to TSDP SENDS 'h.5 COPTO ieTSL W -JN 30 D-r" <br /> EPA 8700-22 T P0 6c 30 C S t t A s sh 2 <br /> L i <br /> tee. .<.a <br /> 03/17/1998 "ORIGINAL MANIFEST COPY ' <br />