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is Name and A4ailing Address ,�w LiG a Manifest C 9 Hum <br /> � 1I39-8�•�-;�"03 <br /> LO,JEZ CUSTOM COMF50SrM Generato(s <br /> 4221 E. MARIPC3yq RD Site Address(if different Phan mailing address] <br /> hor209 614-93103 8TOC:KTON, CA 95215 <br /> CarrrRanv Name — <br /> H ZR 0 SWA <br /> TE <br /> STATE & FEDERAL LAW PROHIBITS IMPROPER DISPOSAL <br /> IF FOUND, CONTACT THE NEAREST POLICE OR PUBLIC SAFETY AUTHORITY, OR THE U.S. <br /> ENVIRONMENTAL. PROTECTION AGENCY OR THE CALIFORNIA DEPARTMENT OF TOXIC SUBSTANCES CONTROL. <br /> GENERATOR INFORMATION: TELEPHONE <br /> NAME <br /> ADDRESS <br /> CITY _,.,�. STATE ZIP <br /> MANIFEST ACCUMULATION <br /> TRACKING NO. START DATE <br /> EPA WASTE NO(S) EPA ID NO. <br /> CA WASTE NO. <br /> CONTENTS, COMPOSITION: <br /> PHYSICAL STATE: HAZARDOUS PROPERTIES: ❑ FLAMMABLE ❑TOXIC <br /> ❑ SOLID ❑ LIQUID 113 CORROSIVE ❑ REACTIVITY ❑ OTHER <br /> Ix <br /> PROPER D.O.T. <br /> SHIPPING NAME <br /> UN or NA# <br /> f:COMFOR PLETE HANDLEWITH CARE! FORS <br /> TRANSPORT ] CONTAINS HAZARDOUS OR TOXIC WASTES STORAGE <br /> ��All A– Mr. I — <br /> �� <br /> UNTIED BY;MESA LABEL EXPRESS,INC. PCWAY,CA (U8)668-282 FAX:(858)668-2858 wwwmesalabe <br /> Quantify ---. <br /> Type <br /> Residue <br />