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02107/2006 17: 18 925634OP74 DILLARD TRUCKIP" PAGE 07129 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> Plesee prnt or ,pc (Form deslQned for use on Min 12 itch)typgwrlter) <br /> NON-HAZARDOUS �lGa�nmtoeq U3 EPA ID No, Mhn"Ant 2 Page 1 <br /> WASTE MANIFEST DocurnwiNo, <br /> O 2 6 2, 1- 70-- 9, or 1„ <br /> 3.Generator:Name and Mailing Addm,r MKIL:8p 1fssY CORST PRODUCT$, LLC <br /> ARCO, #593 PO, BOX -90249- <br /> 610101 K HIGMI Y 99 RS MRVA MIT11k CB 92600 <br /> BTOCBTOW.- CA ATIN.0 87L! .12=18119- <br /> G,Gnngralor's Phone),. . (71-4),:670-5303 .... :. UMP36010203 <br /> 5.Traneponer 1 Company Name 6. US EPA ID Number A,Statg Transporters 10 <br /> DIL1,3M, K IROMWNTAL SVCS. C.A,D 9 8. 2 S. 2-3-4 9 f7runaporier1 Phone <br /> 7.Transporter Q Company Namc d. U3 EPA ID Numbgr C.State Transporters ID <br /> 9- horin <br /> 1)4n'"Ted raCAlty Namc and Sita AUa,gge 1r7 D.Treneparter2 P <br /> ��/���T� '�uy/� **fi�g�^^ * US EPA ID Numtu3r E.State FacIINy's ID <br /> 14 <br /> '..9999. SOUTH AUSTIN R(W <br /> 1GWE«r--C&-93336,. F.Facillty'n Phanq <br /> IC 'L—t- 0 0 0 1 9 0 0 8 0 M09)Ase-4298 <br /> 19, <br /> t t.WASTE T€DESCRIPTION , <br /> .k '. Containers 13 14, <br /> Total <br /> a. <br /> NO. Type ouanttty tN1 Nol. <br /> NOB HA2A"OUS SOIL, (pi: 6007) <br /> • s. s r <br /> 00:1. D T, Y <br /> G — <br /> E <br /> N <br /> E <br /> R C. <br /> A <br /> T <br /> O <br /> ui R d. <br /> [11 <br /> G.Additional Dggcrlptlone for Materials Li-fod Abava H.Handling Codea for Weetes Listed Abovn <br /> Ila. 6087 <br /> O llb. <br /> Cal1� 1A7 <br /> 15.Special Handling IngiRlCtbnG and Addltlana}Information <br /> _ Coeilsras(9?,'�)634�68"SO,DYT.r.�on:. . 1.-r-)_•7; <br /> Z Job•...6, 1--319' <br /> _. _. . <br /> O <br /> Z <br /> W AV JW Air AV MF JW AV AV AV AW JW AW AW AW AW AV AW <br /> 19.GENERATOR'S CERTIRCATION:thereby earthy that the oontantu of this srllpmeM aro fully and accuralely deseibod and are In sill respects <br /> in proper Condition for transoort.The matonals tlencdbad on thlq mgnflest are not cubjecr to <br /> }adoral hazardous wu>,mguhtlons. <br /> Date <br /> PrintndRyped Name n AS <br /> X. nnom�== onM Day Yoor <br /> T 17,Tmnswrter 1 ACknowledgamgnt Of pecelpl of Materials <br /> R Data <br /> NPr"00/Typed Narno I Slpna}uro <br /> S <br /> !I Monro Clay Ygpr <br /> p _ <br /> pR la.Traneportor 2 Acknowledgement of Receipt or Maleneffi <br /> T PrintedrTyped Noma Date <br /> igrrw <br /> R SlurA MaWh Osy Year <br /> 19,Oscmpancv Indication Spoc6 <br /> F <br /> A <br /> C <br /> 20.Facility Qwnar pr Operator,CortHICalkon of rucpipf of thq Nesta materials coveratl <br /> 1 by this Manifest,except as naetl n item 1g, <br /> T PnnfecL yped Name Date <br /> Y slgnaNre +Norah Oey Yeer <br /> Y <br /> C1`14 *2002 LAAC MA5TM® (ADO)621-5806 www,Inp.Irrlaeter.COM <br /> 1/K, <br />