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02/07/2006 17: 18 925634OP-A DILLARD TRUCKIh'- PAGE 06129 <br /> n1n1\1.."A7ARnnm WASTE MANIFEST <br /> Plaase pont or type (Form des nee for Una on num 12 pkchl awrkgr) <br /> MON-HAZARDOUS 1.Generator':US EPA ID No, Manifest 2,pada 1 <br /> Document No. <br /> WASTE MANIFEST c L.z 0 0, 0,-.2. 2, S•..6. <br /> 3.Generator's Name and Meiling Addrdi-a' LL. _.1M2TT CCWZ. PR031Q 8, L14, <br /> Aaco #595: -0,• . 31d1A00A AOQ��;h . <br /> 1100- N HIGNMY 99 r A3. VAZAIM TWJL . A= 92688 <br /> 8TOC7 ,=.,.,CA ATM:==. CSI '. <br /> a.Generator's P long t .. (114),670-5303 Hmr36010203r <br /> 5.Trnnsponer r Company Name 8, US EPA ID Numb& A.State TfanspartoTIa ID <br /> AILLMM >ZWIRO>bONTAL SW9. I CAU 9 6 2 5.2 3 4 3. e.Trarapartar 1 Phoma (.923)634-6830 <br /> 7,Trenworter 2 Company Name 8, US EPA ID Number C.Stata TrAnapprtarx 0 <br /> 1 D.Tren;poner 2 Phone <br /> A.0eeaaIgna�ted�mFaacility Nomn and Sitn Addraas 10, US EPA ID Number E.State Peclhwa <br /> E ID <br /> vwrra - IWC. LMT1LL <br /> 9999 90"M AUSTIN Mull <br /> KRWnWJl1L,, M 98336, F,Yaelllty's Phone <br /> CAL 0 0 0 1 9 0 0 8. O20.9y982-4296. <br /> 11.WA$Tr3 OESCRIPTION 12. Canfaingra 13. <, <br /> Tolal Unit <br /> NO, Tyoe Ouantily WtNoi. <br /> a. NOR HARMWOUS, SOIL. (PE 6087.). <br /> 001,. D. T, _ <br /> G b. <br /> E <br /> N <br /> E <br /> R C. <br /> A <br /> T <br /> O <br /> U.1 R d. •—— <br /> 0,Abdltlonal DescrVions for Maferiols Listod Abova H.Handling Codes for Waamt I_Nfyd Above <br /> M iib: 6aa7 - _. <br /> c <br /> 11d. <br /> N -_1 IS,Spacial Hpndling Instruetlons ane Additional Information <br /> a rriay Cont0at(925.)639-6830 DLLLARn, <br /> sob, 1 319•., <br /> 0 <br /> z <br /> 1e.GENERATOR'S cumncoiom r hereby certify that the cordontx of lhle shipment are fully and accurately dnzc ibgd and Arg In all respects <br /> in Proper cordi110n fof 1raM0oM The malerlali;dascrfbod an this rnAnlfagi erR not subl90t to federal hazardou_t w0.<fA rnqulatlrnq, <br /> s-' Data <br /> Printed/Tyood Noma gnat A Month DAy Year <br /> T 17.Transporter I Acknowledgement of Aeeelpt of Materials Date <br /> R <br /> A Prlrttnd/Typed Name I Signature <br /> gnature Month day Year <br /> S <br /> P <br /> R 18,Treneporter2 Acknawledgement of Aecelptof Meterlais Date <br /> E PrntedrTned Name Signature <br /> Month Day YRAr <br /> R <br /> 19.Discrepancy Indlcatton Spaca <br /> F <br /> A <br /> C <br /> I n.Facllffy Owner or Operator,CerUfla3t{on of recalpt of tha wnxto=MrIA19 covorgd by thio manlfeat,sxcet4 as notndl tri INvn'i q, <br /> L <br /> _ I Date <br /> T Printed(Typed Name 9ypfeture Month NY year <br /> Y ,R, <br /> CF14 02002 LARFi�- SMM (ado)921.51303.w Jadalmaater.com <br /> TMS <br />