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NON4AZARDOUS 1.Gaoe1s1p'ONureer 2Pepe l cl S FmwpM Help¢w PAmw aYIr.TIwMnlx.aier <br /> WASTE MANIFEST NOT APPLICABLE v:. 53809 <br /> S.Gwunlo'd Name and mov Adam (iwurabh SYA07wea a4erwAM nwYgNrYeu) <br /> c.a10 3A)Do 2c(Sf E ftl•'rl;..yr-;r,_ % �. <br /> �f?r"., rl'i1_Lt f3(t�_Q s{ark. �or � '1aJ21;- n CN. <br /> Gwwawh Pamp: <br /> 8.Twsponw 1 Corot)"NY US EPA D Noebm <br /> NOT APPLICABLE <br /> 7.Tmuporler2 Cwnpwry N,m US EPA Nm AW <br /> NOT APPLCABLE <br /> e.DeaVq FacWJN"wWSbAd6® U9.EPADNurAw I. <br /> RECOLOGY HAY ROAD NOT APP(1CPBLF <br /> 6416 HAY ROAD•VACAVR LF,CA WW7 <br /> Famfspbm _ <br /> 10.COINFlra <br /> � TYP <br /> AWrbSNgNmwdOwydGaray WLNaL I <br /> ¢ <br /> O <br /> W <br /> W r <br /> u a <br /> EI!VIRgN,RAE( TAL <br /> IJc rte+ <br /> 4. ... .. <br /> I <br /> 13.Spadel Nmdlnp hlstnedkre wd AdSBoral Inb:malLn <br /> #i3503oG <br /> tl OFWEM10R9OFFMf'SCEMWATIMthmabydadmeadlwcm¢mAad Ea�mndgww mi*iwdmo=W lydwatxdebo"bVIwpp�1ppxMdippYgrsn.end aracaccled,Datl¢9od. <br /> m eadwdwbdmYpmode4 wdmind mmwcb hPmpercmdum Atr emrepodaa,,r*vbwfimMmldwoetwdwd M¢dpmamm6,4dm7JWm <br /> awwowumews 1"M1led?yped ` u Mona Day Yw <br /> II � <br /> 1S SlbAaas ❑kwb US. ❑EVodhmUS. MbpYI <br /> Tr .l(IrX a _. .___ US. <br /> ¢ 15.Twruporw MaoM-Jw mt clR=%A d Mde IL% /yy ���� <br /> Naa/� ) / // IYcJ'V /! lbrdr �y 'wu <br /> Q TrwrepeMM'1; JY.i F r�. ' {'a-' � �� <br /> a Tmep(oJdm 2 PrinWnyped Name Evraae V� MorOr Day Year <br /> 17.Discrepancy, — <br /> 17aDacrepaxyhdcelanSpore ❑wanRy ❑Type ❑Residm ❑Pm Pe)eraaa _-...--.❑F0lrM <br /> Handal Refineme NWnber. <br /> 17b.Aeemte Fa.Xay(or Gon mtoj U.S.EPA ID N"W <br /> lal. c,S KKIe <br /> D PF : <br /> 17 <br /> t7o gna-nna of ARemale Fmdey[a Certerabr) Mmlo OeY Ye=r <br /> 0 <br /> N <br /> W <br /> O <br /> P1Y&YwOeJ�alipwlMN/F��wrelAy Owner ar Opm^f�r.Cmlfulian d rxeq d rrWadab covered by 1M man8eslettepl u rated in Item tia y <br /> 169-OLS-C 5 11979(Rov.9l09) DESIGNATED FACILITY'S COPY <br />