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Please Pdnt Or type,(Fon des nod for use on 41fte 02-Pit ) .) Farm Appmved.OMB No.20504 <br /> 9.Genaraair ID sxnbet 2.Page 1 of 3. PW* umbar s <br /> UNIFORM 6U5 t <br /> WASTE 3ANiFEST d <br /> 5.Canaraws Nama 80 McA�9 AWr $ <br /> Stla y <br /> . S vIc <br /> Ch Z <br /> Genereta'a Pt�;ne; <br /> &.TranwrW I Company-Jame U. .EPA @ Number <br /> 7:TransparW 2 Company Nates US:EPAIONwbw <br /> n <br /> b.Daatsd Fad ty Name and Sb Address U.S,EPA 10 Nuffkw <br /> Pay'a Ptxx : , <br /> Ba. 8b,U.S.00T 0wvipW(!n* PmW n9 Nwm,NazaW Gtesa,10 Ndtnbar, 10.CmWnwo 11,Tref 12 Unft 13.Waate Goalies <br /> y <br /> HM mdPack* Gawp(dant)) Na lypa Wtnfo#. <br /> . <br /> uj <br /> 2. U/yg <br /> T- <br /> 4, <br /> 14,Special-€a xsg , s ark itl a <br /> t TL 4 <br /> 15. GEHER&TOR'StOPFEROR'S CERTMOAl d:I tete tit bre,r�xttesltg of Ute sro tt stW e3 a-ry lhs and iso <br /> muW andVlawded,and are In a9'`. In proper mttdit for lanspod&=ft b and na&"ONWMtw MOMMW ad I am tiw <br /> Expautar,ice(*that the oontenta of this man-eaatiorm 4he iacros of#%vbohWEPAA*&WpWofCwwIt <br /> I cer#fy that#te.xa tbn ata in 40 CFR 282 7{a) i am a IaW quan#ty , YA(b){di mn a a Is I[W. <br /> Gsneratd a Otlacot s PrinteffyW Nam Day Yu <br /> a 16,tete s n ❑kr i to U.S. ❑ew ham U.S. Pod 0f <br /> i <br /> Tran:psrtar alPatu<-a(for o puts 0'y): 0a8a kvft U.S.: <br /> 17.TreMWWAd=wIadPevt of RecW,of Misr <br /> Tram pa t yptd N L}ay Yea <br /> :a Ttar,4portar 2 Nntaiff)* ams Mm My Yea <br /> r <br /> 1 n.Lssrepznoy ��----t{ <br /> Iia.01wepattcy tr tion Spam La .'i LJTypg 1�! ® . Fu# ' <br /> z trsan5er. i <br />! <br /> 18b,Alta nam Pac-1 y{or C�err�rsrl U,B,EPA i0 NufNiet' <br /> t� <br /> Fvt1{'a Pune; <br /> 18c.S?pnatura eA mmitaiFacly{a <br /> 19.Hazer kis Waste Repot Ma nt magwm codas(i.a., hx hazarrbus ) <br /> p 1. 2. <br />' 20.➢ .2d Fatty Chmee ar .Gdlifital�tt of t# by the _ as #t item 11�. <br /> Psitt'-dTt1W Name nalaxe p bay Yca <br /> 1 I I I <br /> EPA Fon 870122(Rev.3-05)Previous are obsalata, <br /> DESIGNATED FACILITY TCS IDESTINATICI STA (IF FTEDWE <br />