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02/24/04 TUE 07:44 +FAXy 9121231997,17 SE USA NY2 Z 006,/006 <br /> ,FprmiApproJed OMB''o:•2050igf139nsf�u• Fons on backof e'6 ' <br /> t. , � • Doporlmenl of Toxle Substances Conn <br /> P(ebee print or type, irii dmighbd kr Usti Nt elite{12-ph evriler. <br /> Sacramenlo,•Califoinla. <br /> UNIFORM HAZARDOUS 1; nor Ipr's US EPA ID a o: a t' shaded 0raar . <br /> • G4 .9 ('IQ'• .'ManiFosl Dtieum nl N '�2.`Pti e 1 .InFtxma tan in clic s ado <br /> 1MASTE �ii1111VIFES ;! .�. •'1' 'ham! is Pot mquiredbyFeder oflow. <br /> 3. Generaiarfa'ma and Mdllina Address <br /> 1,A <br /> FIb d i�I 7 U�G11fe p t.r q,'i.+,ti ly„+C jc hl r; '"4 sf r:: <br /> 151 <br /> UNq 1A t, ,�' <br /> lk r >1 lip <br /> •'" A. y <,f „�+ �•^ .rc4ra•r t'r�Sl:-+yr>.r✓r-Fnra� •,..•;; <br /> ` d. Generolor.'sne ,, rrr• r rY � y: 5 � /d r r� ",'r., <br /> 'Pho •(�/!rF I y. K 4p Wil•" • "C✓";f r 1/'•' i' �`'S:i 'r�7�"'��',J,,;�,,,,%' +a'Ky,�y +- <br /> CV S. 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Sp'eelal Hondl;ng Inns! clion and Additional Infermpaallion D }� <br /> d t.//S-e VY✓t l' <br /> Z <br /> T6. GENERATOR^S ERTIfICATIo : I hereby deflate that the contents of this consignment are fully and accurately deeerl had above by proper shippipa home and are dossifi@d,paokQd,, <br /> lel rrdrked,and labeled,and are In all respects in propar rondlllon for Iransport by highway according Io applicable iniornallonal and notions!government regula(ons, <br /> J <br /> rt If I am a large quantaganeralor,I certify that I have a prayrom in place to reduce the volume and toxicity of waste generated ra rhe degree I have delermitted la be atone [tally <br /> H practicable and lhal I Nova selected the practicable melhod of Irsaimem,itorage,or disposal currently available to me which minimltes Iha present and fulura threor to human h6glth <br /> and tha environment;OR,if I am a small quanllty generator,I have;mgda a good falth effort to minimize my wasla generation and select the bast'wela managemeot method that is <br /> available to me end that I can afford- <br /> Printed/Typed Name Man�j Day_ Year_• <br /> Z •L/�� /•l: C:�.�r r / ' . %fir '`'+�^` / r •Q (_? 7 �r �f l_1 r <br /> 3 R 17. Transporter I Acknowled emeni of Receipt of hAafari !' <br /> of <br /> A P /Typed Name Sig - Mo <br /> N t R n D Year <br /> S .r', ,! <br /> W <br /> P hPa 1 <br /> LL 0' 113. Trans orler 2 goknow(ed amen O( deet t f MaFerials <br /> Q Pr nied/Typed NameS3gnalury MonlbDay Year <br /> W <br /> Q R <br /> V IF <br /> 19: DiscrepancyIndicalion$poca <br /> Z C <br /> . I . <br /> 20. Facility•Ownar,or O orator Corti' t0 f fecal t of ardous materials codered this m ifestexca os noted In Item 1 D. <br /> T Printed/T me Signawre. Month— Pay Year <br /> DO NOT WR TE BELOW THIS LINE. <br /> Ycllow; T5DF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. <br /> D' 8022A(1/991 (Generators who submit hazardous waste for Transport our-of-slate, <br /> EPA 8700-22 produce completed copy of Ihit copy and send Io DTSC within 30 cloys.) <br />