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Slate Of callho"A.—taseh and weeale Aper" Eos Instructions on Be I Page 8 oeprbale or Hoo")arson ,a <br /> Form Approved OMS No.2050-00.10(Expkee 0-JU41) TWIG 8nbet Carats D*10oW <br /> Mean pro or type. (Form ed designr"vas pee s9fe(1Pdtep6 lyraes . end Front OI P898 7 a sa wwwwo.CYW1Y <br /> UNIFORM HAZARDOUS O.naretareUSEPAmr». Meat 2. reg.I r oM*$0"0 <br /> WASTE MANIFEST C l F `.1 r D 2 19 :' OD 6�"l�O a / r ea r.gwa e1`roes r w. <br /> �. Gerrit"'s Nome and Me"Address Aall <br /> F/9H E/Z !;e4VIP /AC. , VALLE-Y (NP. VIV/3 /UAr n fT ia. i <br /> 57:)CK T_)N S7';ecrtr. LU117, :AL/h.7E'1v/4 9S>'V[I �y r ,• , <br /> a. DwnMel,v.Pntm..r2nQ) ?.a .BART <br /> e. Transport.I Compmy,Name lIy1G.a. US EPA 10 alwab.r c, ebaa'rhoss elw'e <br /> It, Mn NAi:;FWFNI <br /> TIonsporler 2 Company N. a. US EPA A reenlist E. MMe?re agallfaal, ' r <br /> 'o N c. Ato. US EPA to hwnber O. swore~$D <br /> _— � div=h.�/(/.iL b✓,�.�TGS 7dP.NAGC/'r9,E h/i fNG". �• <br /> r-I <br /> Ulii=AC/!_ls`Y Hr <br /> =xL Eby Ut_L7 SKYL/NE K;D, KI TTL -A✓IAA/ C./)`i' 1 ? 222 29L1J <br /> 12, Cam.awe 19. Tobi te. L <br /> O1 I. US DOT Description(Includiep Proper Shipping Name,Hawrd CMM.and bNumber) �, Type choosey Ihila w.1u Me. <br /> CO <br /> 00 3b b 5 V :til 0 ! S9 P i4- <br /> ,. E b <br /> Sar R A),/, /.'�, t/1S 1.1/AL.i/G <br /> $ T ._T.:>.{. . "�.'A` , tpO J7) ()loll <br /> 7 OQ S o a AIOSWn7 <br /> f 0 <br /> H <br /> f R c <br /> AI <br /> d <br /> r <br /> epA10I1rer <br /> /. Adaltl.ael p.myoaca aper Monis l)MN Above K Honda"copse IW*saw t.foatsa Abors <br /> A. <br /> 16. 6pepet laMWlg lnetrudWne end Additional lnl"metion <br /> 7 C <br /> I <br /> 4� e <br /> ane sho 1TOla'e CERTIFICATION:,trackmar1 hereby ledarhJ., the all <br /> respect* <br /> of in,.open cnmenl are hilly spo ac y i;jghy y accor d above pl proper shy-Atmmf;name <br /> aro are cWaifled,pecked,maned.and labeled,erN ars in 811 repecb in proper condition for transport 9y i:iphwey according to applicable Int'rr:iallnnal and I <br /> MIMMI gevMr111re111 rwinpotlwle. I <br /> a I em a arse auantnv senora",1 c"tily that I nava 8 prusom In place to reduce IM volume and 10-IcOy of.ewte generated to the degree I have determined <br /> to w KMo etcaq pradicaba"final I have selected tM practicable method of treatment,at"a...or diposal currently 0vageble to me which m mioinlzee the <br /> pY praseand lows five.,to hwnen health and the eevoomment cot,it I em a small quantity generator.I have made a gd lean snort to minimills my.0810 <br /> Z Wamse on arid aeteC11M best wows mmagonlent method mal is available to me and that I can afford. <br /> �y Pmsd/Typed Name Slsne aEll <br /> Monts Day Year 11 Transporter 1 AcknopssM of Receipt of Moledala e� e' <br /> Z R //������ <br /> a A Fort y'g�TYflad Noma Slgnetu f� K AanfA .Day Year <br /> NS /�fGr/Mti� L. l'�� C- 02 �� a� u���lP-,d <br /> P 1 Tranp"1et 2 AcknoMwdpement el Rsoslpl of Neledals <br /> < R. Pdnted(Typed Name Snim.t.re Monts Day Year <br /> V E <br /> 2to <br /> 19. D:zana c,indication Spero <br /> F <br /> A <br /> C <br /> I <br /> L <br /> I ?D. Facility Owes,or OP.bt"Csrteicatbn d rautpt of hazardous material,covered by this monhaat except as noted In hem 19. <br /> T Prided.Typed Nwms Sign.tur Monts DaY Yu <br /> V <br /> DNS 6022 A 0 r6b) Do Not Write blow This lin <br /> EPA 61`00-22 White: TSDF SENDS THIS COPY TO DONS WITHIN 30 DAYS <br /> (Rev.0.86)Previous sdarpM are obsolete. i <br /> io�. P.O. Box 3000, Saramen)q, CA 9$812 <br /> 03/25/1998 "ORIGINAL MANIFEST COPY" <br />