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May 28 05 05:25p <br />Angela Metz <br />2094685672 <br />Yo,m Ap"�vetl. QNB No. 2a5and39. <br />p.4 <br />Please prior or type. (FUrmdesigned for USe on enc t�c�•.�•9 •rr-^•-+ <br />21. Generators US EPA ID No. Manifest Document No <br />22. Page Information 'In shaded <br />UNIFORM HAZARDOUS <br />areas i5 not required <br />by Federal <br />WASTE MANIFEST <br />8 8 3 <br />2 If law. <br />31 <br />(Confinuallatt SheeQ C A )I 1 1 1 0 0 1 0 4 4 1 2 <br />L. State Manifest Document Number <br />23. Generators Name <br />AR. 1398423 <br />M. Sltate Generator's ID <br />n6r&J0AW1R( ��"T[ <br />Isla E i='ZC9.`r <br />ATTR: ALISON WM50R <br />- <br />STOCSf'D1z, CA 95201 <br />25. US EPA ID Number <br />N. State Trartsparters ID <br />24. Transporter Company Name <br />O. Transporters Phone <br />27. US EPA ID Number <br />P. State hanspnrlers ID <br />2H. Transporter Company Name <br />__ <br />O. Transporters Phone <br />30 <br />29. Containers Total Unit <br />Waste No. <br />28. US DOT Description (Induding Proper Shipping Neme, Hazard Class, and ID Number) No. <br />Type Ouantit Wt/V-1 <br />a. <br />Pr)aflCg912 Liguns, N.O.S., 9, IM993, L\7 11. (baso'_ -Inc. <br />Ucvoss): ,at.]: 124), CpE 6899]9) <br />� <br />0C) <br />trn <br />D M <br />b. <br />PA1RL Rf1.>'LP� pq{TC'RTAL, 3, UA1263, C I1, (0[9: 126). (p£; <br />4l-)•.�%/ti <br />744527) <br />Tut <br />D rt <br />c. <br />W:5?`c ALIGAS.I :.29V ICs, N.O.S., 8, UN1719, ^�� II. <br />t++r <br />(•an-psckl, (.�cq: rs4). (P£: 744525) <br />1 ^ <br />P <br />d. <br />G�USTIC AL?, T LIQDLDS, N.o.s., e, uM719, PG 1T, <br />(lab -pock) , 1�4= 154) . (pf: 7698115) <br />HI1 <br />D F <br />' 1 <br />VIA <br />lok <br />n <br />9 <br />Kik <br />NZ'!'n.U'•7%• ^ERTTLTZtTS, 9, tren]:, pG SLI, [eta: 140), <br />yS9>`•T'RI <br />IM <br />7/•'493) �� <br />Y� <br />D S ✓� <br />Q <br />T. Handling Codes for Wastes Listed <br />Above <br />S. Additional Description*orMateriiieh�s listed Above _ uf�m/� <br />�U,-A[5'50p17� ) — 284: 714527[ X�JrJ—[�/' • <br />• ?6A: 689979( <br />]44525C;JX'iJ rJr ) '• 2®: 7698145( <br />♦• 26Ca <br />291; 7l i3x�'�OC7r ) <br />32. SpecialHandling InstiWilionS and Additional Information <br />JOa•Y 1463-CS <br />WWL AVPcaprlatc e,, r,o nand11�4 hazardous 3atciial-,. rr <br />I <br />261.4(b) (1) ^-*cru<ion� Slee: 7650 5RA 2c'-,i9efoi`3 =c., <br />Ka. -ca i; n� eYrmpt poc 40 CER <br />w 49 CPA S7J _12b F31G (yi +ide 128 154 <br />141 14� 15: 15. <br />3a. p.�ckc:1 accar:.li.v4 <br />Date <br />T 33. Transporter Acknowledgement of Receipt of Materials <br />oath Day Year <br />Sig lure <br />p - Prmled(fyped Name <br />5 U <br />Date <br />0 34. Tran porter Aeknowietlgement of Receipt of Materials <br />onth Day Year <br />_ <br />Signature <br />t Printed/Typed Name <br />E <br />III <br />35. Discrepancy Indication Space <br />A <br />c <br />Y <br />CF 18 <br />41161x8 auu�°fmj° <br />EPAF 970a22A 10 9 Nil �vbtl%d4^i�'s We oosoe�a. <br />