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Sep 06 05 07:31a <br />Angela Metz <br />• 10 <br />2094685672 <br />p.4 <br />1111, - .. -I :' ,.� '- ... :�• .. ...�. .- � __ <br />prgwre.e. <br />a Comaillars <br />13. <br />14. <br />it US DOT Deunplwn flnclud rp proper S,t pmq Name, H zt Cr a arM 0 Number) <br />No. TM <br />QN f, <br />Unit <br />wWal <br />I. <br />Waste No. <br />,a. e11si�Fliri♦FO i • . are. n - <br />b. stihie11111i �a1e, aw11a, i.we.. 11.1. 1su111, w u, <br />er.11i.11 sae.. 1t�..i1..1. Nrea 111111, OrEa Twin/ <br />i O <br />10655 <br />. w <br />R <br />•l1�.81111m, rhmtl , 10=1 11. mom, <br />elpMseMs, Olasawt.1MO 11111. `,b 7wYq <br />e# - <br />� <br />d. �t,R �� �tT., 11.. a11tt1, Di 21, ONWy 1]1Y/i, <br />1iffiffoM AM. 4e, 744610 <br />a• <br />iwe usted A ' N itiae 74Mi4 L+, <br />K Fmergancy iiesoonse Inbrmation <br />N 31M 7611=111 N5S f),` j 1 ae LM 1 yYCF <br />1 <br />----------------------------- <br />__________________________H no alternate TSDF, return to generator <br />ft <br />16 swill Herding Weuctore and Add'nional Infamueon <br />sm Aspo"06"s w11 disi Nloiia11 le�oip. rr dI �t yt {O OR id•{M113i <br />,. pari � smear ougand e11 4 Y S 1711.10. 046 wwr - sisal 71,110', s- <br />1111 addamene r. and %M v Sam / i aLtde in , in , in <br />te. GENERATOR'S CERTIFICATION: I hereby declare that the contorts of this whsignnrem am fully and accurately describeal above by proper shglping came and are detailied. <br />in for transport by highway according to applicable inlemational and national government <br />packaged. marked. and labeWipla ardaq and are in ell respects proper condition <br />regubdons and Arken11as 111810 regulatima. <br />! it; am a large quantity generator, I certify that I have a program in place to red" the volume and toxicity of waste generated to the degree I have determined to be economically <br />pmdca,i and mat I have selected me preNcabte memod of treatment, storage. w disposal currently a wtritlt mirllrll�Zas the present and }uNre threat to human <br />health and Ihte environment OR, II I am a small quantity generator, I have made a go n to mirttmae my a generation and select the best waste management <br />method that is avadabia to me and that I WI1 afford. _ <br />Marty pay Yea, <br />petl Nemo <br />I ]. Traneponer t .d iaar a nam d Recand of Materials <br />icai t Oey Year <br />Rted Nmro Signature ,n <br />te. Tmspdner 2 Ad.Mdgemwt df Rrm4pt d M WWS <br />aldaar DaY Year <br />Piinted?yped Name SNfaNIB <br />19. Dlscraparuy Indcadnn SPacc <br />W. Foray OMwr a Operator. C,m,,adon of remipt or h,xxtOc , materia,, m aaj by mit marnast except as noted in iNm m. <br />P�?1� �e �1 rah� fYee" <br />1 Form 8711422 (Rev. "ll) Pr{ylous edition is obsolete. - – — — <br />1111, - .. -I :' ,.� '- ... :�• .. ...�. .- � __ <br />