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NON-HAZARDOUS i.CaosWwlDNum RF- 2.Page Iat 3.Emwgnrrx A.Wale Truking Number +'}q ,} <br /> WASTE MANIFEST ++77 ��sA 21 3 0 <br /> S. p,g Address Gerway 4- tlreu) <br /> Ciwiw0lors P1avio S ,CA, <br /> b.Tm R6r i pompe meWSd US.ERA ID NU <br /> 7,TBmgWw 2 Company Name US.EPA O Numkw <br /> 8, J A U,&ERAIDNurrAw <br /> law W. lftsbwd CAM8400le <br /> Faa1n Is Phony <br /> 9a, W.US.DOi Desnrahw+imcwasg Propw Bhippiig Hamel 1g. 11 Total Total 12.Una <br /> No Typo OrenM'/ WI.AU <br /> 1 -7 <br /> WRSW <br /> 0 <br /> 7 <br /> 4. <br /> 13 HBMeg wslruogou Me4arpl irdopner� <br /> Y aF of H1:y <br /> 24 1agmty , 27M -� <br /> PR f: 71006- a <br /> 14.OENERATOR'S CER"RCATIONr 100"ate m W40 dowlibW some on the puniest wow suyem 10 bdwal regdauns fs reporug pmpw e%pual of HeranlIVA Waste. <br /> GwwatalsfOlerw's R tWTyped Name 91pulwe ! North Day Wmr <br /> Ns an bwad of Ge"Out" 71 fib' if <br /> 15.imwrMOmd Shipments El"w a U.S. ❑Egwrt irwe U.S. PO"of <br /> Twwowr SlpneWte(lw OPOMY). Dee kM"OS.' <br /> I&T�nerAck dRocagx d Mahmis l <br /> Tr ru 7 Name Slgr�alwa MaM Dry Yaw <br /> ThinsponbalanmOypedNium Month Day Yaw <br /> 17.Decrepancy <br /> 17a 0iwepl my iMwAllon Space ❑Qua" ❑Type ❑R.M. ❑Peoe Roalmon ❑Foa Re*b. <br /> Mutilast Reew"Nunlur: <br /> 17b.Artwnate fully for GmeuloN U.S.EPA ID Nwder <br /> Flolws phwu: <br /> Wp 17c.Sguntre d Almrnee Faddy{or GOMUri Mom dOy <br /> Z <br /> ii i i i III I I li <br /> la'DoOOV dFadMy a0p0atot:DetUgceSwidrecdptd melerels camredMIXa manded.¢a0apl es ndM Aen 70 <br /> Pnnlod%*Nene f S;Gnalur0 Month�1. <br /> 169.81LC-O 6 11977(Rev. ) } TRANSPORTER#1 <br />