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rlay ea u0 UD:cGp nnge)a Metz <br />Arkansas Departme ( Environmental Quality <br />Hazardous Waste D,—. ,on <br />P.O. Box 8913, Little Rock, AR 72219-8913 <br />Telephone: (501) 682-0833 <br />... _ ,c•,•... wo<;wd br use on elite ((2 -etch) typewnteU <br />g 1 1 -1 0 0 1 0 4 4 <br />1810 E pi.L.P: AIISOH ai11U50P <br />ST,,C ' G 95201 <br />(209)658-3056 <br />(209)668-3056 <br />a. Ger¢MeMa PbonO - US EPA <br />5. TvnSCo y Name "S Z 0 0 0 0 9 <br />a U$ EPA <br />T. Tanspa 2 Oompany Narre P D 9 8 6 3 <br />ami LL 34lLmf 9'SWyQ=i <br />2094685672 <br />p.3 <br />L <br />Farm Appoved. OMO No. 2150, <br />;r 2. Pe9c I lnpxxe tll by mf d=re�law� areaz a "ot <br />pea 3 re <br />al <br />A Scare Menden OocvmeM N ^bar <br />AR -13 7 5 L' <br />8. Sau Ge+ierata's l0 <br />G auu Transposer'; 10�___ <br />B 6 0 Trencpanw's Phpne <br />E.SIare T,anaponer 1D <br />PAYSOO• 122.. <br />309 NRRI�rP cnP <br />Q, D�+ano, 3hR 71730 A R D 0 6 9 7 4 6 1 9 2 <br />2.Co <br />tt. 11S OOT DascOptun (/•+a'cdin9 PmPa+'�'�"^9 Name. llaeard Glass and IG Nvmbarl No. <br />G aPUlet9hBLL: T -LW .0.5. � -• - -pa <br />E (e --y: 128). (pt: 744520) <br />N <br />E <br />fl a s�IDS, QYWwIC. tl.0. s., d.1, Ved32S. p0 It• <br />A (LmaErn9 •.-e, adAeliva+). (erg: 131)• (p6: 7665211 <br />T <br />cl <br />F -.-..-.c r _ LL. <br />w az.. •• 131). (pF: 744522) <br />(pyc thrin �.l�dene), f�r4: <br />(670)663-7173 <br />13. <br />Tout <br />unit <br />I. <br />Oua"°�' <br />WW01 <br />Wash¢ <br />R <br />MM1 <br />r <br />21a <br />La` <br />x <br />teA <br />�L <br />t4*g!4e1 )DXt7DF ) •• 119: 7645211 4J 6Am1 Lim Z1gil <br />++ IIC: 764522 ( 7-7 ',155 DM ) (000) 595-5053 <br />---------------------------- <br />'rf no alternate TSDF, return to generator <br />15. $petrel Nasdaq lnslrucYen; aid AdtlitgrW lnfolmaUOn Q <br />wear ePpropriate PPE abet• h4adlAnr <br />9 haradcus mabeatiale. ,lobi 1483-0`72.0,1 <br />1Taare ie meted P� 40 Q 2E1.4(b) (1) mvivaavn- S>_m- 7850 5. RA Bcida)nfoed St., Sraekten, G <br />was pecked avvacdie9 ba 69 133 . 131 <br />16.are nsig y Y P op iPP <br />pa P['kage or Mo EantlFlMbeled/p ararded. and are in all Mspcetsrin Prope condition fortransport by highway dee tlmg t0 applicable interllalional and mlional govrrg na. and are vernment <br />regulations and Arkansas stale regulations. the degree I have <br />Mlam alto be wornon't"ally <br />arge quantity 9enemtor,Icerti5y lhall have apaogiam in place to reduce the volume and toXitily of waste generatedldt+om nim es Thep ¢sent. lUWre threat to hu man <br />pmclica0le and Net I have selected the predicable metw0 of treatment, storage. or d5posal wrrent <br />heats and the MAronmenp OR. if I am a small ouantiy generator, I have made a good faith e 0 Hdnbb' my west¢ eraaah and sates tre best waste rr2na9omaee <br />Irletlod that is available to me and that f can afford. _. _ Monts Pay y¢ar <br />T 11. TiaK.paler l A<kMWetlgaxmt of Re[epl of Mahar'rae <br />R <br />A PdniadliYOed Wme <br />S I ue NA9E <br />P la Ironer 2Aclavwbe3ement al Reoeiµd MaiaWs <br />F <br />A <br />c <br />T20 F rM Qana Operator C -fiormirn N M of narafdws mmmats wvared by Ms m 10sl except as need in Item 19. <br />Sg <br />Y I o—rrrru•mn Name <br />con <br />