Laserfiche WebLink
From: 1 / P.007/008 <br /> ' Zi:NON MA <br /> k- D S, MIFE <br /> 8 its. <br /> t?ease.Rrint•or.ty RONF.orm.r estgnetl`for�.use.on elite(�12 pitch)typewriter) <br /> .1.Genera, -A,ATIDPUS <br /> tor's US EPA'fD°No. Ma'n.ifrye�st .2.Page 9 <br /> Q'o „ p(h <br /> -.,W. 'AY� AN S. of <br /> :-3.Gae�mrr-atices•.Name:and.`MO91ng Axidre�^sr� �yt� <br /> IA T OM:TRACY ... <br /> 4-Generator's P or►e`:, _ ' <br /> 5.Tren'sporter.lornparry,fVarite US.EPA ID-Number A.State Transporter's ID <br /> B.Transporter 1 Phone 1 <br /> S <br /> 7.'fransportar 2�ompany`Name 8. US EPA!D Nurn�er C.Stets Transporter's ID <br /> D.T'ransporter2 Phone <br /> 9.Des.tgnated.Facsiity Rtariie.end Bite Address- <br /> NA <br /> cictress 1®, US:EPS I®Number E.Sta 'Facilt `s'.i0 <br /> :r: i6;t`�. ►:�;. :':' F,FeiaWs Phone <br /> ► '0 :. . <br /> 11.wAST'E DESCRIPTION, <br /> 12. Containers 13. 14. <br /> Tota! Uhlt <br /> NO, Type Quantity' y1tt. lot. <br /> 74 <br /> ,'i�►cidit(ar�ei,:tiesc pb1io416r materials U.6t aUA <br /> H.Handling Cbdes for Wastes.Listed Above <br /> Got <br /> �1 <br /> 15. pedal!-►aticllin.g Inst udoris,and:1dci'rtio+zal,ir�torrratiori <br /> 'EY 14M <br /> l OiMVIS <br /> Wa <br /> AAWa+ 71!• 1 1 <br /> AWI .AIF AW AW!AW,Aff.`AW' Aj, AW,' <br /> GENEFtt1 O t'S CE # GA�T1C3�l:i t hereby. rtify-thatlt%e gor,ten%of this st)ipma4; a-full,an -Aceurate4y deseft6d zf{O re'In.a{t respects � <br /> in confit ion Yoe rari poi/t.':Tk�Q rt atertals aestxi�ieti on this manitesi are not 8u �to'federel haiarricrus waste reguie�ons. <br /> Prq of <br /> Date <br /> Printed/T"O.Nprrp. 5.l9n MoMh Day. Year <br /> .r > <br /> ;; ► +, <br /> 17,Transportor i Acicnowfedgei rfit�bt Reca�ipt of,+la�terials Date <br /> LvL <br /> l Print 'I'ped Name Signa `� Monthaay Year <br /> yrsL"S <br /> iS::Trinporter,2 AicknorMedHement of Recslp;6f M+�tet�ata ©ate <br /> Name. SignettUre lb4orrthNY- <br /> 5 <br /> •�1.A;C�crepiricy lndicetoh <br /> 20.Fa ltlty.Ownsr•or�Opai itdt;Certlfi!cetiorrtii r+e pt:ot the waste rnateri$ts.covered b this rr ifest;except`.as°noted•ire Item 19. <br /> L.l; Date <br /> •Pritt#ed�Tlpe�Name <br /> 6"nature Month Dory Year:~ <br /> a <br /> * 840 821-5808.w�vw.labelmaster.com ED OnRfCYCLtDP.N 140 MIN. <br /> F14 ®20Q2 CJ1ili 'L�►.S7F3t t ) usor�w•err <br />