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rwernora <br /> nclurn <br /> Wlgmen!that a 8,51.1 L'ar�pY cr tluAlrcatC. <br /> ad,1q has been Slued'I'd Is <br /> Shlnnnr CCva <br /> rn <br /> not Orlgmal <br /> N,,, <br /> PrEasa on„! <br /> F:­d. <br /> 'N UNIFORM I.IAZA Rt)OU- gried for use on ej�!e 01-p:lc <br /> WASTE MAN, d:q ID <br /> FEST <br /> I—Appp,,j C,f,4E <br /> 4M 'i ITn <br /> cll�Nu W <br /> t7l <br /> E <br /> A-0rdnSppnN <br /> C <br /> U S EPA ID N,-., <br /> Fa VtV Na,Ie Zild S:,, UNumberS EPA ID Number 71 <br /> S EPA ID rh,I, <br /> P-01,ty s Phvc, <br /> Nr:rA andP Group q shpp,h <br /> 0) , 9 Name Hazard Class'r) <br /> I ix 10 Coni—ws <br /> 0— 0 <br /> T- <br /> 0 Ix <br /> T 0 <br /> (D <br /> (D --4 <br /> IN <br /> IN 3 4 0 <br /> --4 <br /> Spec"4 Handling Instruct"13 and Add,bore!jr,f,,tc, <br /> t),AP"PRGv=c <br /> 7— <br /> —h <br /> 15. GENERAT 'SIOF 111!14 <br /> i . <br /> ma <br /> I I I Is corsgnmeent are fully and acculal <br /> Hied an 11beled/placalrded,and are in all fespectsm Proper condition to, "at `ly deswbed 3Wve by Irle PrOW shtpo,ng r-ame, <br /> Exporter,I transport accordirg to applicuole in: and are classIfied.p,kag�j <br /> 1 awry that the waste minimization statement identified in 40 attached EPAACknoMeCfgtOj Consent <br /> I'meoffyped Nam, CFR 262 27(a)III I am a large•qiAinlily generator)orjb)( <br /> U) d I am a sniaP.Quintly generator;--s tree TJ <br /> Import to U S. <br /> x Trans er S,nalurort &pon from U S Fort Of entryle,ut <br /> —0 W 17 Transporter Ach <br /> 101 Rempf of malenals <br /> 0 Transporter,I rinled7Typed Name ]^1/ <br /> Tansporj&Q p <br /> . I - nnlej�ypecl Name <br /> -C bTga —1------- <br /> 18 D, epancy <br /> 18a DSMpanCy IndicauDn Spam ❑Quanbly, ❑ E',Ricue Paa�v Reject,on <br /> (D <br /> x <br /> 0 18b Alternate Facility(or Generator) <br /> 0 —j US EPA ID Number <br /> Z3 <br /> LL Factfiry's Phone. <br /> ISO Signature of Alternate Faciffly(or ueneralot) <br /> it Man cay year <br /> 0 �9 hazardous Waste Report Management Ittelfuld codes(,,a Codes for hazardous waste treatment.0 Imeat.disposal,and r”systems) <br /> 3 4 <br /> (D 20 DesKjnated Faddy 04w of Operabbwi Irahon of rece.pt of hazardous matenals cove-red by the manifest except as nosed in item Isa <br /> :3 Y",rnp Signature Month Oft <br /> 0 <br /> Foriti <br /> Q0 8700.22(Rev 3-05)Previous editions are owlele. DESIGNATED FA iTY <br /> C> <br />