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GENERATOR'S -CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, <br />for transport by highway according to applicable international and national government regulations. <br />noxa <br />In 10 11 1% <br />V <br />OIR <br />�. ntainers .13: Tota : 1 Unit,;r <br />U <br />a- <br />Wf/Vol <br />11: 'US DOT Description (including Proper Shipping Name, Hazard Class, and ID Numb®r) No. T e QuantitKid <br />If I am a large quantify generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br />have the method of treatment, storage, or disposal cutrently available to me which minimizes the present and future threat to human health <br />N <br />practicable and that I selected practicable <br />and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is <br />available to me and that I cen' afford. <br />waste, Iaqul <br />OPrinted/Typ <br />Name <br />('�oN � ��2 <br />Signature <br />�/` <br />Y3O'hazardous. <br />Petroleum, yr <br />w <br />T <br />17. 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GENERATOR'S -CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, <br />for transport by highway according to applicable international and national government regulations. <br />V <br />marked, and labeled, and are in all respects in proper condition <br />a- <br />If I am a large quantify generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br />have the method of treatment, storage, or disposal cutrently available to me which minimizes the present and future threat to human health <br />N <br />practicable and that I selected practicable <br />and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is <br />available to me and that I cen' afford. <br />OPrinted/Typ <br />Name <br />('�oN � ��2 <br />Signature <br />�/` <br />�ay� ®aSSl <br />Z <br />w <br />T <br />17. Transporter 1 cknowled ement of Receipt of Materials <br />oWc <br />w <br />RSi <br />p <br />P • ted/Typed Name <br />a re <br />Month Day Year <br />j\ <br />w <br />P <br />I k j 10 }� ( S® <br />t„! <br />0 <br />18. Trans orter 2 Acknowled ement of Receipt of oterials <br />0 <br />T <br />Printed/Typed Name• <br />Signature <br />Mon th Day Year <br />UJ <br />E <br />., <br />U <br />19. Discrepancy Indication Space <br />Z <br />_ <br />P <br />A <br />C <br />_ <br />C <br />20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest exce t as noted in Item 19. <br />T <br />Printed/Typed Nome <br />Signature <br />Month Day Year <br />Y <br />DO NOT WRITE BELOW THIS LINE. <br />Blue: GENERATOR SENDS THIS COPY TO DTSC WITHIN 30 DAYS <br />0 <br />DTSC 8022A (1/99) To: P.O. 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