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__. OeberllTAPI nl lln itlll=3malr,Pv <br /> FSaleos n o'Cafllblma--lleeub and 0039e Agency • <br /> Fane Aaproved OMA No 2050-1ro391Emrtea 930 86) <br /> t x n ppefnn�ran <br /> eat nl t2gr (Porn des,anad to rife one InfII posh <br /> �-� ' N <br /> wIn I0norml'I'011 P tho AEPINdf0dAI din, <br /> nUNIfORM HAZARDOUS !n Iwrod Il <br /> WASTE MANIFEST Sy <br /> 610 ?.Q Its Old <br /> .l Genrunlr--of s N n,e nn Mninn Pd9re¢e A. Stnla Manllael Donumnm"'I"o r <br /> /SH6/i� G (JC/X!/NCI YALLCY /MOUSY?lt.t p/visr'07v G 7 Z�7-9 61 <br /> 13 �3 S Stn C.C'TOIv 5T.l LCYO// C'AL/CCk%V/A 4, <br /> trans.. m< . t.on sin,Name t1..@., US Et n ID Numbvr t_.9tM Tramporler'e IDC <br /> C7YFmlc'AL WASTE MANACF nFN C A ID 6 013 4 81 so J o. rranayod e Pbnne O Z.L_ <br /> 8. l'5 EP4 to Numoa- E 3:am irenaV�ner'n l0 <br /> r +r a wm�npy Nemc <br /> I u, <br /> ' l F. Trdneponei a Pnnna w ,. <br /> 9 L'd') IUd Pemhry Nnme rntl Sila 4ddreJs 0 LPA ID Nurnoet G. 61e1n Fe<tlity's lD <br /> CNF/LL CAL: WASTE /YJANACc/17L-1/✓jYN�:.. <br /> 1 ._�_ . <br /> 7""AiJNWA IV CAFIFOIlIV! R Eecuuve Phonic <br /> J1, T j[ XP /cETE7 -.... . ... <br /> L7,13a 374 <br /> / --' - <br /> i�,al71or0�a161�'/ / 1 r-%00 zzz��9a y <br /> ' I1. r In nary i 3 i Ivl •/ '. <br /> 'J .'Pr' tlrcLinA 'Its'al pp 9Nam N <tl Ciaa d10Nnbe) <br /> � I No TYpe� W1 VO _ <br /> NA�ARDCUS WASTE SaL/J N O 5 — �p Iti Z <br /> _ t i n�Mr r 11pQ7 <br /> n/A 9/89 <br /> CAL (FO1,7N/A ti'EGULAT&TOWASTE CAJLy <br /> (� 0 1 L <br /> I c:Pn <br /> _L._:_1. <br /> ----- —� K. Hantllm9Coda¢fn Nall s. s...i F,v.• <br /> ��Xa1 .• ur Pons for Materlala .IMad Above <br /> _ I <br /> Add I.nal lnlormallar' — <br /> _ ,r rr spa /lyse G 9-a/s DO l�Ts"b� <br /> E24T:'ri'S CERTIFICATION IY-. brdr: l Il`!' lf�l .111IS lthnrr ¢3 el 'r lPY and acc rj.v d. cldr P <br /> r .': ud P2ckad, alked, .1-11 IabfaMl and as, <br /> r ».1 reep r + r rr'oP¢r by t110.11 a_ <br /> l r to -Ips 1 091,1n- '. <br /> ,r I.yc r and tr uenaalot e1l'ty ,hat I have a P„+o n 1 PI -.r o rdI n lhOWm d lo'.:ily of wash Pen r 1 hr r ” <br /> ,I Air Pll 19I1{jc Or dSIO ni�lJ ➢V rl <br /> 1 IIY P' '1' ebl o <br /> and that Lh cd r. ,. - <br /> is"'I U,J h I IL h n 1` dlH 'i 0 1 to n - TCnI OR <br /> --rwc Ili alle. an nel„r a,i - e..,,h: ':.l. r.aniycr,eVrr elhoo hal sarmlable,omea .I lr.l <br /> p rc ISP tInr <br /> t I .e lada -cnl 01 Nece PI m Molal als <br /> l .. -- ,� <br /> a t t �vy, <br /> It l!' , 2 4 <br /> nayl H cUP-••'M I rnis tw ___ � ___. _. , <br /> l L I <br /> �- <br /> 4' urd ed by lh s -miesl a caPi as mrd n II 19 <br /> Sy et 7 f <br /> I Tp N�;� 71131CS' <br /> f baa1t - _ <br /> ,41s �0 DAYS INSTRUCTIONS 014 THE an..rl. <br /> 1 f A r.(X.—:z To Il O. Box 3001', o_wlncnta•CA 95912 <br /> ;am not) I'll I:,e r.r.l o:o ob;r,Ime <br /> 03/25/1998 "ORIGINAL MANIFEST COPY” <br />