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<br /> Sole of Califarnio�Pretecrfen Agency,
<br /> Form'Apprpyd OM1 No-2056-WN(Expires 9 to-04, i See Insirudkne on (>tlhti,.O,�pags 6. Dpw" rugic Saha C.
<br /> KW"pM*br type- Fors dergwed!ee y f a,aliro(7?-p1+t7h1 r�yyr�rksr. Sacra nmda,Cauker.0
<br /> UNIFORM FIAZARD4U5 1_G.,r.r,�eers US EPA ID Na M-if-t Dom,wl No- 2- Paget h.forrrragoA Ifm shaded groes
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<br /> WASTE MANIFEST �,.noF uirad by F.d.rel le v.
<br /> 3. G*ftrt*fir Name and Mating Address R _ nr�, A-Skye U.�a N�
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<br /> 5. TrrmsporteP 1 Carrpory me - _ 4. L15!YA fl)N4rr�er C Sdrro• r
<br /> 7. Tnarcparier 2 Compow Nome S- US EPA III TLa$w
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<br /> Y. Denigrated FaKPy Name and Sile Address is US FFA ID Nunl>wr F3cMWl4D1;eq
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<br /> 41Wf I. IAS DOT Pexryt"oa{rndadnq Proper Shipping blame,Hord Gass,and 10 Nurnbw) 72. COntdnGn 13_Told( ]a. Unit
<br /> Z No" Type 17varrtitT Wt/Vol L W'gft Nwritii�^r,�•
<br /> Lr= 4-„_ _ Sr• ;i_^C .y�,r.'.�(.;F:L'v r':i«T.� =Y`✓.'� Sf�r+�'y .''I '”
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<br /> Or Moiab lislw!AbaA y+'° IG F1✓:,dCotiea Waori liiirrrd.Abow
<br /> n z:EXP Y TRW(S) tM FIBER fes`,STEEL PIS o:
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<br /> Q 15, SpKiiol HOnding Insttuc iom and Add'irionat Information
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<br /> 16. GMERATOR'S CERTIFICATION! I hereby dedue tl.ot etre taritents of the cenelgnmem oro fully aril deruraeefy described above by proper shipping none and are dra3ilied,
<br /> 4 Packed.marfrad.and laboimL and are in Off raepecri in proper mnddioa for tra F rt by Wgh ay accordeg to appfrJ>fale Federal,slab end inhveaticool Igwc
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<br /> 1 If f r: o Itage gemdry,geeerak,I ceniy Nur I hove a program In plea"to reduee No.otume and Ruidty of-erre ger.erotad to the deg.ee 1 have deter"w d to Pse
<br /> 4 economically pracsr.6le and If”1 hove;zleded 4m pranimd,le method of noahnem,storayr,or ditpoml carortly,awailahle io me which mnimaes the preeear and future
<br /> of Ibrear to human heollh and#m eericarrnerd;OR,if 1 m,a"mall quantity gerwroror,I have mode a gaa>t font,aifaet to mfi:mi=a trey weps Sti,yrptien gtrd salter ffie herr
<br /> wean"mora emetrt method that is available to me and#wd I can afford
<br /> Primed/Typed Name Sigpotare f ',of :_ `'fi r C
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<br /> Z r 17. T rte-1 Ac of . of Mate wl.
<br /> ry N I'rimed/TyPed Narne Month Day Year'
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<br /> wR 18- T—pqryr 2 Atkr,7%A nI of Pw@W of Mom&fs
<br /> T PrinMd/Typed Name siww_re Month Day Year
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<br /> N 19. O'eoepancy Irrdiaotign Spoce
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<br /> 1 u 20. Fofi.vrref or Operpsar Ceff"cadon of rami of t.a=erdeus nwMviois Covered Iby the aaniiest exoW as noted is Item 19_
<br /> 7 Pr n4 Irped tJaure "v- a YeQ
<br /> DQ NOT WRITE BaQW THIS UNE.
<br /> _e. - _cw]5 •-i5 2{"`FY ;O EN_P.ArOR •NITriIN 30 DAA,
<br /> DT5C 8022A(12/41) ars -ra-brnh ia_crdo,.s-yasx tar--cnror. cut-al`-stare,
<br /> FPA 67OU-32 - _d, cid- ;Op+, :i �i%,L:SDy:n0 ;anrf ra ]TK wahin 30
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