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05/•04/2005 22:54 FAX _ _... Z.002 <br /> Srola oFCel Fotnio--En.Irm uncal profadbn Asan-y 1YYC}IOF18 <br /> SCf IP50n back 01''peg Dpar nl l• aF Toile Substance.C01 (' <br /> lIc.Apprre'•d OMs No.2050-0039 lbpires 930.99) Sacmmanb,California <br /> Pkose prinr ar ypt,. Foan durgned FoPwe metre 112-pitch)lypinimetr. <br /> 2. <br /> 1. Gene c •iceoal's US EPA 10 No. M9ni(ad DoNnrcnt Ne. Page 1 Info ons Ibd 6Y shded Federol laI <br /> UNIFORM HAZARDOUS .a nal r w. <br /> i <br /> WASTE MANIFEST of Ii <br /> - rP d'I ;'4 ++ ' h ?: 'r1 " '( <br /> A Stale Mom[ws 0aeumud'T1um6er 24308951 <br /> -,8 Q <br /> 3. Gonerolor':Nome and Moiling Adam. '{T 0 8 9 5-1 <br /> 'ufanYfyil;::aN4iusslrard ` <br /> 0 <br /> {.}tiP l'{:F.i'IMr«:F._t [nCj,i•{;n, =rJ`.%-�� 8 S191p C-erabr a 1U <br /> Yui 4. Grremmr,s Ph.,[ <1'.7F I•"•'D ! �— <br /> & US EPA ID Number C SblvTmmpuner':ID[Aaserve ) <br /> N $. Tranpari9l I Campany Nome - <br /> Tmroporm ,Phone y <br /> m y Fo'dy'37+3m.r } iw '. •^: w a <br /> d �.,'sn4itl r9YU4iPEE'al_tt. <br /> DR Stale Trbnporrar':ID[JUI rvad] <br /> r w 7 Tranpar:er 2 Comparry N.- <br /> S.U$EPA ID Number <br /> i F Tyonpabr:Phone <br /> G Srole Fo !lly'r ID I I I <br /> `✓ 9. OsNglWled F II ry Nome incl sok Addrps I0. Us EPA ID Num6or J <br /> 'Zi01-fr"<:ci`nYBf'k <br /> rGF'I/.�. �. i2EGv self r;. y +n ... -q ry rr' ✓ n+ _r se H FPedaY�4 Dhon- .1 - r <br /> Z.rQ r'+ICI. "%' ,._ - <br /> ^ 12. Conlosrrerf 13-Toenl 14. it , <br /> 4 11. Us OOT Dexripspn(including Proper Shipping Name, omrd Clws',and ID Num6arl Na Type Ouonli Wf I ;SNW9eta Number <br /> V <br /> Iyi}!'fgaC�J� r7�Fvr n.i`''«_ CiCtt:I;r it 53 evModw . <br /> r f l h.,tr. ..^+u.1� .Ij✓'� In <br /> "$ G I_}7<1[�i'i >_S?^ L ' r.^•l1(�_ "/ " ,state <br /> E <br /> e A a 'Ssot <br /> p T ! +EPA/Other <br /> eg O <br /> R rSreq <br /> d <br /> 2 I ,EPA/011ier <br /> V I <br /> w K IVandling Ceder For Wo4ea l'al•d <br /> J Addn rnial D er,pl ons'Fur«„M l ali L I¢d'116pub I b <br /> be <br /> d <br /> a r' <br /> 0 IS Special Handling Inarsxvo and Adddla=al Inlmmallpn i IV ,� `a:a_, A - <br /> 9cimd, <br /> 16, GENERATOR'S CERTIFWTION: Ih•reby declare oho the -tent of lhisemei a hinranfully9 daaerol• deevibed obara 6y prepnf chip Ing-ambo arc douified,p <br /> g P <br /> Q m9dsed,and loWed,and era in oil r hints in prop tanghmn for haneperr by high.ey according fa app ieobio inrcmafianal and naeanal gwarnmenr gublions. <br /> ul <br /> If I um a larg q miry gmamlor,I certify Ihm 1 h a Pr amj in'loce b redact,fl.•alums and laxiciry el waaa'anamled to Ilia degree m rmbad Io be .mao heed <br /> ii pr diee6le and that I a.a ulened the praNita6le Ihod of haelm•nq:enrage,or disposal currently owilable ro me which minimize>the present and M1ae lhrmt to Kumon hs91fF <br /> r� and Ilia endrenmmG OR,if I am a small quaniiy g roarer,I ha4e made o grad fallh ef�an fo minimise my loam g.nerolim and salxi dsa but was onagemem medlod Ihe1 n <br /> "' evaiiab!a ro me and that I can aHard. <br /> OSignoNrii•� Munlh `Day Ye <br /> y Prinrod/Ty`pt,d Name <br /> T 17. Trane rl AdIm emen of Remi lot M9leri s r r <br /> 'Manlh Dry Y. <br /> PrlrrladyTypd Nap. , i Slgnarorc <br /> j �=f 1 1 <br /> IF <br /> LL g18. inns ortar 2 Asknowl•d emeFr eF RrAi r aF Malars a Mamh DoT Yr <br /> O i Nin ed/Typed Name 5gn0lun <br /> � R I <br /> Q R <br /> V 19. Diuieponry lndimri9n spoor <br /> A <br /> C <br /> 1 <br /> L <br /> F 20. Faelli Owner or rotor Cersgmtian 9k races F eF amrdous malerioif mrared b Ihb maNFacr exc m-old in)tam 1 q. Mmlh Day YI <br /> T PAnld/Typs <br /> d Nome signature <br /> r <br /> DO' NOT WRITE BELOW THIS LINE. <br /> DISC 802U(1/99) 'raae{:I OSuCRAt:)i; aF.!,i:: <br /> EPA 970D 22 <br /> I <br />