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11/29/00 WED 10:56 FAX 707745 ONYX INDUSTRIAL 0003 <br /> t <br /> NON OUS WATER TRANSF—ORMFORM �MUMBE <br /> s <br /> Name: p,�S,r' —J%Jyl1 ��1�i/�1L1 <br /> r <br /> Addms: F-� t, 3 1,0 1 <br /> C-a State , Tap Coda: <br /> DBSCRIP'I W of WATFA: RWSATE <br /> NEON-HAL�RDOUS WASTE WATER, MONITORING WEM PURCH WATER ANDAM AJETM IMISATE, TANK <br /> RMSATZ THIS WATER MAY CONTAINDISSOLVED HY0ROCAR80N'3. I CFATlFY THAT TlM M AW NAlWW <br /> MATERIAL IS A LIQUID F7mwr FROM RCRA PEA 40 CFR 261.4(0X10)AND DOES NOT MEET Ma IMUM RIA OF <br /> HAZARl=M WASTE AS DESCRMW W22 CCR ARTICLE I I OR ANYOrHERR APPLICABLE STATS LAM'. HAS BMW <br /> PROPERLY DESCRMEA CLA5M= AND PACKAGED Bd COPD CIN FDR TRAI WMTATTON <br /> ACCCRDM TO APPLICABLE REGULATIONS. G( I{ <br /> ATOR/ALRIiORISED AGENT SIGNATURfi OATS <br /> STRAIGHT BII.L OF LAD G <br /> OItIOM4L—NOTN66OTIABLE <br /> Nub==Olr DZSCRIPITON O!ARTICLE$ZMCIAL MARKS.Alm ZXCZMONS W=Gw <br /> LnI <br /> TRANSPORTER IIOFORMATMN' <br /> NAME: nADC ••i K, T TARE <br /> ADDRESS. L I O 1 NET <br /> CITY STA Zap: <br /> PFDOI18# TOTAL GALLO ilt CC <br /> DMPQSJUAMCYC=FACUJTi WOxMA=W. <br /> NAIL .. .. MAA OUT. <br /> ADD :- O dJ T WE IN. <br /> CITY STA Z W: d TWE SPOM <br /> PHONE# <br /> E&Ei�0 I <br /> AFF3tOVAL 7W. RECEIVED BY: Trm ox rnDr=ML WAME AND 31CWAn= TDATl: <br /> NOV 29 ' 00 10: 55 7077450510 PAGE.003 <br />