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11
<br />Stare of Colifo0io—Environmental Protection Agency
<br />Fr _. aproved,IOMB No. 2050-0039 {Expires 9 -JO -99) See InStiUC Foils Ort back % �Lo�S'S Department of Toxic Substances Cont:
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<br />�1 � 1 Generator's US EPA ID No.
<br />Manifest Document fJo. 2. Page I Information m hhe shaded areas
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<br />WASTE MANIFEST �1 �1 j s i) 8'
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<br />16. i!GENERATOR'5 CERTIFICATION: I hereby declare that the contents of this consignment are full and accarately described above by proper shipping name and are classified, packed,
<br />for transport by highway according to applicable international and nationagovernment regulations.
<br />I.�marked, and labeled, and ore in all respects to proper condition
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<br />IN I am a Ierae quantity generator, I certify Chet ! have v progrcm in place to reduce the volume
<br />'practicable and that I have selected the practicable method of treatment, storage, or disposal
<br />and toxicity of waste generated to the degree I have determined to be economically
<br />currently available to me which minimizes the present and future threat to human heallh
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<br />environment; OR, if I am a smaquantity generator, I have mode a good faith effor
<br />to minimize my waste generation and select the best waste management method that is
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<br />available to me and that i can afford.
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<br />17. ii Trons orier 1 Acknowled emeni of Receipt of Materials
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<br />20. °i_FaciG Owner ar O erator Certilicohion of recei t of hoza rdous materials covered 6 this ma ifesl except as noted in Item 19.
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<br />.,-„ h j Lo -R_ PJB DO NOT WRITE BELOW THIS LINE.
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<br />`rh;ie. SCF :E,`IDS THIS _i.PY 70 ViTHIN
<br />DTSC 6022A 14%971
<br />EPA 6700-22
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