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a. <br /> Form Approved.OMB No.205D-09 <br /> Please piwi—cro PM 14 MdanifestTrackingNumber <br /> ii- <br /> �NIFORM HAZARJ30US11 GmmwD Nmnw T7 <br /> CADQ9 11 4 916 02168213 ELE <br /> WASTE MANIFEST 702 <br /> &--m-Orland,and Mailing Address Gieneirabor's Site Ail rest ran to-Im I <br /> 7-5sven lic ine44 317 <br /> f2 v SOX W74 1 272 5 T9.! CiLlie 6i W3 <br /> sl�OCXTOM c,A 95^3lq, rtj)d,:c S azinia NJ v�ts. CA 02658 <br /> Oweri Phone' US EPA ID Number <br /> 6 Tgds t�152i10 <br /> ionsportar 1 ompanyNo- <br /> 715hinspomwMinpNarre U <br /> S EPA ID Ntmber <br /> /V7-- 1", &t '� 0 l i till 1 <br /> & us I M c Number <br /> 20110 N, Alav' '605 vL V0 10M i;13152 <br /> csnjr-4.l ro. 63222 .410-3-37-7 113-0 <br /> W Is <br /> rit <br /> So 9b U.S DOT Desc*ton('AdUffing P101)"Shiallifli]Name HourdClass IDNumber 10.0ontaIrm 11 Total 12 Unit 13 made Caries <br /> HM and Packing G=P(if IM16) No, Type Guanfity NMI. <br /> I <br /> t I <br /> w tl�,dtiine'AltiAM 3 ON 1203 PC' 11 Ll. J <br /> x 4-- <br /> TMS WASTE STREAM HAS BEEN QUALIFIED <br /> 3 FOR REWHIN&TR <br /> DeMENNO/KERDOON FACILITY IN COMPTON, <br /> CALIFORNIA.THIS FACT TY <br /> PERMITS TO RECEIVE YOUR WASTE STREAM A <br /> DIVii 1FIED OUR EPA NUMBER IS GATORnAW <br /> W—hd-1--eaMcli—int-aW APPROPPWIVE <br /> 15 GENERATOFSIOFFER—OFrSCVKnRCATION! I hereby declare that the mntw%at Ul'OnSignmeng we Noy and o=Mady daavibad ationo by the proper SNIPP119 AGM Pro one io5sliecl,packaged <br /> melded grid gooledleammed,and min all respods in PmW=Man AN b2gi m0rdingto applImNO iniamodanal and national govemmandal regulkillcils lf"portintimenjarcil am the Primary <br /> ExpD,or,I a,rPy tat the contents ofthis constimodific0olOnto bike herli laded EPAAckin,mlecivnerit Of Consent <br /> —70--r <br /> GenershieWildlerai's.PmdodQypw Name <br /> 103 1(,7j <br /> Lai ry hiOdhiiff" 0'SE5 <br /> 16EIE*.IhmUS' Pw-f-41 t <br /> Trans der sitiedure(for LJ naw to v s <br /> ad17.Tmnspo*rAcbowjgmwtofRmiptofmawaks <br /> pay y9k, <br /> Trans Jeri nmcifTyPed met i <br /> Y)cl,to, vil MOW <br /> Vlondh Day 'few <br /> one, Pfinte4dff No V. <br /> 16 1�Y"e"" <br /> Dischipancy <br /> Itis Dtsmancy Indlogb011 SP= ❑ Quaribly ❑Type Pthl Rood. ❑Full Reject. <br /> US EPA DNumher <br /> 18b Ali�Fdhy(or Genenni <br /> cirr"M Rim I LA II-) <br /> FadEV8 Plions: LA -?Lv r.-s <br /> Mwlh Day year <br /> lac S�gaahure ClAlternale F"Uhl(a Geh"im) <br /> 19.HazenjouoWasi Repo yhMoi Method Codes(i.e.,cadeaferhazoXfOUSwedtil Iteadlawt-dsPWW-and recycling systems) <br /> 4 <br /> q 3 <br /> 20.Diiqmded Foollity Oyrwor Operalor.CerlimbOl 0ffMjpt Gj hazui materials Maned by ft ffigni 64CgPl go noted In Sam 1 Day Year <br /> M <br /> IT 1:2 <br /> NiFfRAICR <br /> EP)Vm—8700-22(Rev U5) Previous editions aiFobsolete v <br />