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' 01/24/2005 15 01 9256340931 DILLARD TRUCKING PAGE 14 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> Ptease print or type (Form deal And for pee on alfte 12 hd,)typowrlterl <br /> NON-HAZARDOUS 1 Ganquac sUS EPA ID No MEniieat Pane 1 <br /> WASTE MANIFEST Document No <br /> 01 <br /> 3 Qenarators Name and MaIIIrW 4ddraest7 W NXW coa FR=V <br /> AM #760 pQ am W240 <br /> 223s g T.MM �w fRY.. _ STA, Ch <br /> 4 GonerFtle p cl t ��x: cmzsv;_ <br /> XTEM <br /> 5 Transporter 1' ComPany Nemo 6010 05 IS US EPA ID Nunlbnr .f A Stat*Tmrwmrter'a ID r� <br /> DIZ D a 1 A� �• CA-D9823 2 3 a 3 B Traneponerl PhOeq 9Z'f lG3a-6 <br /> l< 7 TrsemP-let 2 Company Nome 8 US EPA ID Nlrmber <br /> c state Fransportcr•a to <br /> D Tranepaner2Phone <br /> 9 DeslgnWM F-JIly Natme and Sde AWFwa 1D US FPA 1D Number E Slate Ftacigtyg Ifl <br /> RIO VI973L, CR 94371 F Fadlty&Phone <br /> %^ f 1 WASTE DF5CRIPTIoN (53017.53-1929 <br /> 12 Contalnnim <br /> 13 11 <br /> Tolyl Unn <br /> w a � -rvPe f]uanthy WINoi <br /> C 6 12) 1 UK <br /> E <br /> N <br /> E <br /> p � � <br /> A <br /> ILUT <br /> a <br /> R d <br /> I� <br /> il} " <br /> G Atldttlonal 498Cnpaon�r'�lkueti AdDVA <br /> �J H Handling Gotlae for W"as LNad Above <br /> lib. <br /> Ilea. <br /> Ilei. <br /> N 15 Specht HendBng lRgTmWna end Addjtjon t fhtwmattan <br /> sea6 1-306 evo, mm 2co1LY.aatf <br /> O <br /> �~ MFAWAFAWAFAWAVAwAwAWAVAVAWAVArAr <br /> l8 GENERATOR&CEftTIFICATtIp„ I heyy Cgs lh60 the Iy <br /> T m Proper Wndltlgn fpr lrarlSpprt The awterlele tl0.aycrlbetl on chis mgl�f�tia S not u*C Oflpdr d�"g� ��M nR rameci- <br /> Por <br /> AN AWMM IN= BpDale <br /> ure <br />' l++Anm19 dr <br /> RT ea <br /> 17 i rant�orter ed9ernent of Rwelal of MatsrlaL <br /> ri <br /> SMlnature gate <br /> p h Year <br />' A to 7n3nepef%r 2 Atkt"Metlgement W Race pt al M-,Wfw <br /> T PnntowIypou Nemo <br /> RSignature D..& <br /> Moalh Day Year <br /> 1Q Df�vwpanyti.Ir�CgUon Sante <br /> 4 <br /> C <br /> 1 24 F'tc�lily Owner or Opnri top Cnrtryferetm of recarM ei the wayta malnrKle Covnrad by thh rnaN4M <br /> eYCbpt No ruled In Vern 19 <br /> Onto Ne e <br /> Y Data <br /> Xt"h Ll rY Year <br /> CF14 912002 4SfFROfe00?0215909w,. IabelmwararCom <br /> .wnoaMe+etm.«eR]�,�; <br /> wMl6nt.�.+� �s�a'IhK <br />