Laserfiche WebLink
12 b3 1`!yy )2:20PM FROM SEMCO TO 4683433 P.02 <br /> ed OMs No.MSO-0039(Ecpiiv,9:3099) 500 Instructions on bock of pri-re A. Otpormrrnr of Toes Sobsrances Control <br /> Plg • ype. form do pmd Ipr aw en 6'rc(rzprmbl '' _ Sacromanro,Cahfeen e <br /> UNIFORM HAZARDOUS 1. "er ser's US EPA ID No. Mantic='6m,.crane Ne. "-'—•' 2. Papa I Inlarma�on:n dy fhodod areae <br /> WASTE MANIFEST riser reVu^ed by iedervl law. <br /> r r o of <br /> 2. Geenoro%s Nome and Mail,,Addrea <br /> �o J7� r ,;L L$-t'.1 CP�'•Lr '21,'XFIi +�l �J3i/b- i7J' ' � i <br /> hA. Gernraro•s pho 1 >;•. <br /> N 5. Tranvpane,1 Compaq Name 6. US EPA ID,c'xwrNembn - <br /> N <br /> W <br /> r � <br /> ). ironrparMr 2 Cemppny Nome _8. US E IO Number <br /> V 9. Dwilnond 1`01:11y Nome pad SIN Addresf 10. US EPA ID Number <br /> la ��`fSis�'J R)Ll �Af LRC_'. <br /> iO 210 -m7iaal stmat <br /> Q " Ill. <br /> enrornan 17. Tocol 1e. Unit <br /> 1V I I. US DOT Deeviplian(including limper Shipping Name,{bsord Class,and 10 Npmbpq No. T Oaamiy W. Uni <br /> iz <br /> airy'e:ie:i <br /> �- 'k!(1-ri(SZOt (.l'.•t, J : .Lcit3 T <br /> 1'S 0 WatfLr mini 'i_/ci;) ')L) (10j 1 'i C: <br /> to N b <br /> m F <br /> e R <br /> v A <br /> o T <br /> m O ` <br /> = R !1 <br /> W. d- <br /> z <br /> Z <br /> V <br /> W <br /> N <br /> Z <br /> N <br /> W <br /> Y <br /> Q15. Special NeMlrp wraceonf and Adde�onal Inbrmalian #' L9105 - <br /> `a cine sr.:6:xLaz2: s1;..Y:, -irxaTltirirl's zctti -:vz*i,3r:i .T*:. �;ztQ '.F7cztlm <br /> z 24 iVxtr v'acility (416) 427_3773 6-133 <br /> w J I:. •It: :il.^:?t3L <br /> F <br /> 24 :IA1.li kicT(F3:,1G-)Z iG0))) 599-2121 <br /> 16. GENERATOR'S{ERi1iKA210N: Ilarsby declare d+onhe cvn4nh of Mn can>iynmenlon folly orrd«mroNlY de KI; e6om yproperahippingname and an<leuihd.pocked, I. 1 <br /> < marked.and labeled,and are in oil respects in proper veePion for vonspW by highway ee,wd1m9 ro.pplimble iMematienal end netivnal genmmanl reg.lprians. r <br /> If I am large V In" raM N_rM degree I ham dnmrmiV.d m be seomm;wlly I. <br /> 'a woe icoMa and he,I lore---red the prw.cable meth d vl tenement,storage,a,disposal ,irrondy woil.bl.'o me which mimmrze.Me p »n1`and lo.,rWam 1p hump"health <br /> and the ee•:ron ni OR,if 1 am a-anll <br /> acovon6ry generator.I hove mode a Bead faith alba b minlmrn my rrosro geroronon and mlccr,he barn wm manegemenl method that u <br /> owiloble are e and Ibef I On oifo.d <br /> O — <br /> y I nNdRyved Name SigndN p Mamh Dey Year I <br /> L7 f 17. irons wNr l navTwill,men-of Reui of MpMipfs r/ , I4 <br /> w E Pr:nwd/Typed S:gwnrre Momh Day Yea. <br /> W S . If' /- - / - .1 <br /> I <br /> -led Mo <br /> ted/T <br /> O /T 1`m 2 Adnp sme 1 d Reuel r of rwial <br /> iPrinyped Nome ,i $Ignetere mh Day Y"? <br /> U R <br /> E 19. OncrepancY lndi<mmn Space i <br /> Z A <br /> C <br /> i <br /> 20. f.ijI.N Ownac or On, Per CerGscm:on of eccw r of h zndam mmnroh rorwed lethe,mandaN ri.cep res nacd in 1rcm 19. <br /> T plinn-de' N4,r • Sfgnmore Mpnrh Day Year <br /> DO NOT 46TE BELOW THIS LINE. <br /> OTSQ 0022A(1/97) G.aen. TRANSPORTER RETAINS <br /> EPA 6700--22 <br /> l <br />