Laserfiche WebLink
RECEiVEC <br />115/116 Hta iksi 2015 <br />EPA Ff r n 57n22 (Rev 3-05) P2Rioue adilions are obsolale DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />ENTAL <br />QTli <br />UNIFORM NAZARDOU6 <br />1. GerMrela DNURbY <br />2. 1W <br />7.Emagwry Ria"i Phme <br />4.Ma I ru <br />A'LJ111 <br />WASTE MANIFEST0001.1 <br />S Gorwows Name nil i AdM.w Danerows sm ft'ss (rttlaYam nm Mang YM,eaa7 <br />0 rllwir CIRm PUBLIC NRK$ ffFA1111:1(f sm )MIN =my witic 11wt14 BEIAITIEAT <br />kill FAST 1w aym Now 11121 E. AIN16T 111E <br />owralWa Platy: snag I CA SR11 (2M)4il-Ilii LMI CA 9SI40 RM14M-AM <br />. IdapOda•1 NYna U.. 1 ID Num <br />21st Cantu Environmental Management of California LP CAR00O210617 <br />rYleaona' .mgenyNYne U.S EPA tDi <br />8. Ink FaUrtan0 SIR fiddlers U.S.EPAIDNumbe, <br />6EIEIRL MIMM fAL OT, (LC IN 14C EWIMNIBMAL SEIl1 k -r v2%; 4 <br />11155 am Mdi m <br />Fwl '8 PIIaC 83 <br />gt <br />tab US DOT Ca.mwm Qndutlinp Papw Shipping Name. ARM Cli ID N,mbar. <br />10. Cfl'wr <br />11. Told <br />12. Unit <br />,a yyyYa Codas <br />No. <br />type <br />NAI <br />andnamg ftm01md1 <br />OUY,Ny <br />MAADI <br />I• curia PAINT MAM TOTEM 3 1411 BIT-WI1124 <br />III <br />, <br />X <br />04 <br />CF <br />I <br />z <br />2 (1OYER511. "STE UWS <br />V -4 <br />OF <br />L.I1 Q <br />P <br />EMF1y I�P.tlMS FDr Rari.ltle <br />�� <br />P(= <br />zqo <br />� <br />A. <br />14%Wal NdaOiig aMauctw 1.na AaditI a lnlwaapm <br />(l) IEMISNI-11 - ENIUB) LOW= IL IME P 121 S313IM-11 FLMESM 101FS,1. ALL MM IS EM 1111sE1W <br />III7A�OIIS IIKTE M7 41LF12i1.41. <br />15. GENERATOF610FFEROH'E CER1WgATNN1: Ihmby dwJer•YY ke aNwt alma mnsgnmerA en YUy e,stl xeaalalY daambM•edm by me nmw sMP7bal nenW, du Yc dm,ec4 pueaawd <br />roof Yak Iabala tMCa,ded, and are M We Mspew N pICpY welldl for eYRpal w In*W applCable Inld,mgdtltrial national! powmmaMr ra911Maou. II•ewdshp,rwx aw I M Ina Riniq <br />inrP,, l 4Mdy Mai lad w is of Iasm vfnnanf wnldm'C IN M" of U allaaMd EPA AGAwAlOdgmelll of Canont. <br />IC N all the weYo minal-Wilm Si Will 1110 CPR MZ.211a1(if lamalad:puw,YYwd-Tald) or ei lit I oro Camel mmmy gorimim MM. <br />DmlYaleyIIOAYNa PdNaeyw Nome _4naWre Mmm Day Na <br />Z <br />memRtmel NY Y <br />❑Import to U.S. ❑Fawn hwr U.S. PM Of aaiyleYA _. .. - <br />r amntor utN (Wroawns duyr Des l.w„Q U.S.: <br />llft Admowbdprwn Cl Receipt ofat3wal, <br />ti <br />Tr m t PdWcar <br />W, <br />Manu boar l <br />lB <br />T ar n Yp 'MYM ai <br />AMM 0.m7 Yea, <br />116DamRi <br />10.1 DIWe"ncy Illtroim SDaee ❑ Dorf I, ❑Try, ❑ Ramat. El Piano RalMan ❑Fad R*,fi. <br />NPU' NRI nw N~lab <br />�p��� <br />Al.mala PaCYay(WCi0Ar)prl An raaUIIGW S U.S. EPA 10 Nwater <br />FatlaVsPWne �1�� (3�1 5r tl o <br />0 <br />lea. SPnlWure WNi Fmllr Wad Moron Day Y. <br />a <br />079. <br />Na Ye.c Men Mari CaCea Ox, miles lanMamous welt lraNmRll diapCW,salmtytlnysyslmMl <br />rad <br />1, <br />f. 3. <br />/. <br />A141 1141 <br />20. D•sgMMFWlhtyO aOFB,BWf. Gnywatn ol,waplW IM:Yda:s meMneM mwretl oy IIs menNMl eaCeplN noleOln nem tie <br />n trod 8gnalhe apn oaY Ywr <br />EPA Ff r n 57n22 (Rev 3-05) P2Rioue adilions are obsolale DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />ENTAL <br />QTli <br />