Laserfiche WebLink
10/25/99 18:22 FAX 902 <br /> rec <br /> bau of Cphfamia—Emircnmenm4 Prol-m A,mr, •'..7 7- j 'r+r <br /> Fwm Awamd OMB Na.3050-00391E+p;res a-30-a91 7 4' See Instructions on back of p p.Partmanr at?a.i=saeaan�i c,nr•_ <br /> P4¢.e pnm w typo. F;2050-7039 <br /> devgned far us-en,w!e i!.ppal v 'br. Sacremenro.CoG(e.n;a <br /> I Oenera ar s US EPA ID N¢. Mamie.Documme No. �- Paget Inlmmanen in dla sheSMd areas <br /> e UNIFORM HAZARDOUS uMlreq°"'l by Fd. <br /> WASTE MANIFEST ` <br /> C--maw,s Name arid Nm..,Aadrevs �'` "iW Ooemlr + �rtB� sa 61 Q <br /> —; I ct "'r r V V1N <br /> r—;-,I t r � y <br /> 5 �C 7Y..GY 13'+/q I "TY c+_GJ r �-"t e. S• 3 7� 1B SbI.G�rmplffi' <br /> n { + German,s 'hone la V <br /> ^+ <br /> TransPary 1 Campan.Ncme b. US EPA ID Number 'Irtov '�' 4`t..Zv,•cr3'+ <br /> I 7 Transpprar 2 Camaany ams - B. U$EPA Ip Number �+, r% nY'-'•es'• <br /> i I I ' E tranp¢dw'e9dwrle --1 r <br /> tl i <br /> 9 CeuSname Fadiih Noma ana?m Aaarcn 10. US EPA 10 Number <br /> ria! (�rner,Gl{pa�h C,I -.nc <br /> z I r• `r A N fmtill+s.Plsane . - - <br /> '7 C Ir,aY rn r, CcLl^ >ii' '17i�'�I . Icr �S ItI �I l 500� L('7l— �IC� � <br /> 1i a. ays 1. Camaner+ T- 4 wd 1 14. Jmr <br /> VS:CT D.w'.1i n . <br /> v_ _a .n ae ng•tome.+c_crc: -mn D Nnmbal � jya 1 :uandn wl"ai L Waste Number _ <br /> _ <br /> 3was <br /> N <br /> EPA(Olhrr <br /> > R <br /> $a <br /> t <br /> a 1 O1 EPAi Other <br /> t 1 Store <br /> :E; <br /> .1 EPA/Oshw <br /> i 1 K.'HandRog Code tar Wades listed Above <br /> J. Ad%iami Dearipsions E"Ma Uved Aba+e <br /> _ o. Is. -. ... <br /> m d. <br /> ', 5. 5¢euoi ranaiilsg+mrrvc:mnv ana A.dO nal:n¢rmancm I t ( r <br /> (N!.©Cr.�' \.>ff_'v?� <br /> �, ✓t 1LfI - 'vim /" \ ! 11.In-\ .. 7 ci._•'.�. � <br /> ENERATCR'S uRTIFTC1tICle .. eov aeepre'nar me cpnNnq ai mis mnwenmpnr are icnv nc ac^Hasan asst:+¢e¢apave ov ma ., 'nla«no,"ertacre c:ms:iieo.aacveo. <br /> S a .,,r.eo.ana abe:xi.sno vn n,n n¢xn,n Rroper con¢itian:w nowaon iv nignway occar¢ing:a ppwiceaie:nmmavanai ana ncncnar gavr+mens:egvmr:pm. <br /> arae necn•n. : r+:ur :ann'nvrr horn c amgr¢m:n mace;o sauce me mwme n,i:conn ei wave genawao'o he costae 6a•e:ewmmeo'a r ay.+nm::.::::• <br /> •e aea•]w v.ecn¢'rn trot.".eaG:a ael+aa ar TearmNl YwwSa.as:isa¢sm-,,-i mwiame ra me'wnim Ttmman'ne arnem]rm'mart ,p v+f tuman+Won <br /> ;. -, ]yv' n s .meii auamnv ienemrw swe moue¢Sova arch eccn:e nlm,,.e my wn:re Peneraean and.em['me.:ea +cute menagemem mnhpa'nv <br /> 1 .•c::awnngTe Intl?a• ._.._ crc <br /> ..rarer,.L,pegJ•gae -. ISignawre Ncnrn .vv 'sat <br /> r n5a r�Ckaa•••ea 6. 1,1 ie�ual ar Ma:nr alf <br /> z j YmIN/".a Name �, signpwre r,r Nen Y :mr <br /> 1- al ei NaM.naa ' <br /> _ �•'n5nor!er�Ae.na+yLC ..nen!ar ieM: <br /> . ..,mea:'Laea Name jslgnarere •namn Cw oar <br /> J. <br /> � .p :ncnaanq Invica::on:cote <br /> A . <br /> I <br /> Ciamu.r -ar••canon ar rxer r 9r la:argaius marenvls earerep bV Phis man:leal.poser as.1*6 in item a <br /> I c 'gr.si 'n.mh <br /> T •rmmu/?.pea Nome � I"' . <br /> •T <br /> DO NOT WRITE 3ELOW THIS LINE. <br /> 31ue: SENERATCR 7E05 1+15 = C .v:TXIN :0 <br /> lw <br /> :T:G i0i2s s,9T. '¢: YC 3o. +00 Sacmma . CAu 1?312'7'00 <br />