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'm1rumm HAZARDOUS •.f_1- "watoes US EPA m No. Sacramento.Cal <br /> W/rSTE MANIFEST fAanl+? �' Page i <br /> � .7 S {hDocum � IntOrinatigA O the shaded area lora/itis and fllailiirg Adds, i I is not required by Federal law. <br /> All, �U I�`3 t A^$tan( iF..r t)aawn.nt Nvtnb.r <br /> xL, /+ t <br /> s. Gerreralora Phone � ) l� I�J/l r� C i-� y L J E(qa gsnera/or a ID 891 <br /> S. T aporler 1/,Gom, ny me <br /> r !A <br /> `�F U9 NA ID Ncrnb�r G State TrsnaporfiWil ID <br /> m 7. Traasparter 2 zu <br /> Company lie �' D. Transperiar's <br /> o 8 UB EPA ID Numbbr E. Slate Transporter s <br /> m L <br /> 8• �eslpnatad Facility Name and Bite AddresoI R T era Phone <br /> a <br /> IrC/ U8 EPA AD Nwnbw <br /> t r a, ^, s+ .f✓r i 3 3 , f r f Q. btab tis ID <br /> 14V,12 611 <br /> 0 11. us DoT 12x7W-44�, <br /> _ Description(inehiding Plopar t)111ppiag Nama,Hazard Class,and ID Number) Cont,lrtw 1S Total 14. <br /> ' I. <br /> J waste No. <br /> Type lY <br /> �G� ' G r �,tt l h{t 1J lL a+ c,Ci/ ; 'j' •tete <br /> `fG i <br /> N AAr l / o B►At <br /> E b. i I I I'nj <br /> m T �.a <br /> a <br /> N <br /> � R c. �i� I W#/Outsr <br /> stab. <br /> M d. EPA10ther <br /> 4 LU - �i i Grate <br /> it [PAtpMtar <br /> J- Additional Descriptions for Matarlalo I iogrd Above !l <br /> [ K ""AMlpCod"for wastes J:letad Abo" <br /> . - b <br /> a a d. <br /> 4', <br /> 4k < 16. Special handling Instrucil//ons and Additional lalpralaum <br /> t I <br /> + l <br /> L) <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this ConaignmenI are lullyjand accurately described above 6y proper shipping <br /> name and are Classified, packed. marked, and labeled.and are in ap n g <br /> a <br /> International and national govertananl roplYatlona. respect In proper condition tar transport by highway according to applicable <br /> y r <br /> If I am'a large quantity generator,I Croy that I have■ I� <br /> 0 determined to be economical program in place to reduce the method <br /> and toxicity of wage. r disposal <br /> tc the degree 1 beta <br /> me which minimizes the �`Practicable and that {have selected the pracUCable method pf Treatment, storage, ar diaposaf currently available to <br /> )- present and futmra threat to human health and the environment; OR, It I am a small quantity generator. I have made a good <br /> L) faith effort to minimize my waste generation and select the beat wasts management method that i:i'Favailable to me,and that I can afford. <br /> LU Primed/T me <br /> 2Bignetwo ,q <br /> W !I I_ , a1•rrtk Gay Year <br /> f' W 17. 1r spotter t ACk <br /> E a A 17.P:rTr l tent of Receipt of metartats <br />[ LL SNBigaatwo ►both Cay year <br /> 0 P l <br /> a t8. TranlPorfor 2 Acknowledgent&of Reosipt of matettals <br /> II C T Prirded/Type!!Name K <br /> C1 E Blgiia we i j +'' ibath GOY Year <br /> 2 I <br /> to. Discrepancy Yldicatiea apse• I� <br /> i c <br /> i <br /> I 20. Facility own <br /> or or Operator Cenffioalbn of receipt of hazardow materials Covered by thinniamileat e>4upt ss iu <br /> notes fo bon tIII.. <br /> Y Jtpd/Typod Name ` <br /> �• / f �� Bigllalure it , w1M 'Goy year <br /> DHS W22 A(1f&?) �• <br /> EPA 8700-22 i SOW: OFNERATpR RETAINS INSTRUMONS.ON THE BACK <br /> (Rev.a-aa) Predose editions are obaola(e. <br /> • t <br /> �� F 1 <br />