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lApr-22-99 10:02A P.02 <br /> Appro•Yd OMB No 20Sp 39 tErrprres 0 10 99} mm rinTrviman: an Il mz or page a. Doporlmeal of Towc 3ubwances Conlrpl <br /> erne pr.rx w typo horn dem pod fru uu on Nth 112 pr7ch)rypwrirsr Socramw" Colilonun <br /> T; <br /> Generalor's US EPA ID No Manrhrsl DeevTon!No 2 Papel tnformatsan in the shaded area' <br /> _ UNIFORM HAZARDOUS is not required by radwai low <br /> ' WA5TE MANIFEST ( ,, 1 / ' ' } r� -� o< j1 <br /> 1 Q,eruralor's Name and!Marling Address A. Slow Mmilea Doomm rel Ntueber <br /> VVI �. t~,� � Mu.:Iry Coar. Y1m 9- 972 <br /> 161OF z.. rMZLLT-X-,r :,'ll�r:T'Ji I P CA 95205 L 9.ee Gewrom eo lD <br /> 1 a Generator's Prone I <br /> S Tronsporw 1 Comporry Nome 6 US FPA Id w Sk"Tesztsrpeelsire ISI <br /> _'Xjlt ChL UIL D. Iimsspes9ere then. <br /> 1 7 Tiviisporler 7 Coarpatty Nome, 9 US EPA ID Nkrmbw F.. arrBe Teaenpo Wgls fa �+ •I¢, <br /> Yz Teersporfers Pow, � + <br /> 9 Deageamd yacillry Nmne and Sime Address 10 US EPA IC Number � Slsln e t <br /> I.,JLZI-IT=1P... >J>=:J1::�: OIL Me 1, <br /> r S ♦ rr. <br /> i�o� -I,. ��. .,r. 1L reewe Nana <br /> y 23 A U U ,-, '2 fi s ' ' Z 'S�rs <br /> 11 u3 DOT Deuripwan llnelading Proper Shipping Mame,Hazard Claw,and ID Number! 12 Consal"M 1 TOW 14 u"11 <br /> J Nc guarw, VA/Val L Waw Nltrniter <br /> a SIo1Brr+��,L <br /> r�+fl►.— '.�,A rlFti7.F+RMUv r AcTI. LrIQUIr. <br /> G {WAIT.1' & SUIrr-i:) i 13 �� G �_i r _•�`�,- <br /> y N <br /> RO,1i6'.`} <br /> a <br /> Ac <br /> c <br /> a <br /> R Mmd" iq, <br /> lotd <br /> e!A/kC1Aem s.rc <br /> 1 IddlTratsal Dasemrpdama feu MaMrlola&WW/14oeo _�,,.+* K. 1lmrdlhm Cads for wasmas lie" <br /> + it ? J, . f a <br /> 15 Spec"Hondiing batroctkm*W Addiliasral b donation <br /> COH-rACT' (209)541-9145* <br /> 171 <br /> 16 GINW101'5 CE4nACA= t I herby declare dial Hie oontonh of this const are fully td r and accusaugr desrn�ed a"by proper shipping Puma and ore dasuilod,pecked, <br /> mrtAW,are nd Fob".and oin al msec <br /> pts in prapw cohdihon for wamparm by highway occordmg to apphcablo inhrnownpl sa6mcl garernmeni regulallons <br /> If 1 am a urge quontiq gtmwotor,I cwhflr!hat I how o rom in plan b ndueo dra volume and toetelty of waste genwoted b die depree 1 have daiarmhred to be eeonomica�y <br /> prroelieobla and 1ha!1 haw'aleeted Iha gac�Icable arerhod pearmam sloraga a dspowl curveerlY ova!able to ere +hkh minlr.iisn 1lta p rasenr and futws Ihntr6r b human!match <br /> and tha envlronmmir OR,if I am a w all quantity Verwabr,f!raw mode a goad 6#6 Ain to minimise my waste gonrrWbn In','-'ECF tha bed waste manc9 menr malhod shpt rs <br /> available No me and dal I can afford f' <br /> Printed/Typed Name Srpnalitm.f Day <br /> I7 1 ter 1 Acknawl marl of Recat ! Malwials - <br /> v PrinledlTyped Nom ` Signdure /Dario <br /> 013 1I TromMor 7 Acknowl mens of Recei of lMaterlvls <br /> iPunted/Typed Nance Signalam M lu"01 Doy Yea. <br /> r 19 Drvrroppacy Indication Space <br /> A T <br /> 1 ocllr O reification of regia of us mater.n cow e a 1 19 w _ <br /> T Printed/lypad Signature r Month� Year <br /> 4 <br /> K I <br /> DO NOT WRITE SUO THIS LINE. <br /> DTSC B072A 141971 <br /> Greer -KAN5K')RT=D WAINS <br />