Laserfiche WebLink
Rloaso print a typo;{Fam dos(gnod for use on elite(12-p 6•typo Or Form roved:OMB No:2054 D039 <br /> 66 . <br /> UNIEORRE tiltZAR!)Ot1S;: 1.Generator ID Number IZ Page 1 of 3.Emergency Rnpwo Ptw d 4.Miro uA xr. <br /> WAST7 MAAItFfST_. _ . A1001f5S717 i 4tM -8772 ': <br /> 3 Name and Ma Addross :, ta'a, Addrtss(d ' nt•Ihan ma.'ng eddreoss <br /> E,)Fti VERSALSVC RECyi U14G Ain VWftm t+e Mclddn0$ <br /> ` :�f � 82t1a S EtETGisdo s`t. <br /> 20S8404 <br /> G eratofe M° <br /> U. ,EPA I t kxTJw <br /> 7.Trattspaler 2 Company Nano U.S.EPA IpNumba+' <br /> 5:Desfgnatedfaoflty Nemo end.' Address U.S.EPA ID Number <br /> ECDCEnvittm entd).• tJihia�xac�i <br /> 11 i 11i` xt F11ChV43Y423: <br /> q fast danbR i,UT P520 UtA <br /> k <br /> Faa�ty s Phare.. <br /> gb,U.S,lJOT Descdom WWng Pqw Wong Nanta,Hazard Class,ID Number, ie.CoMeinera' 1t.TrAat' 12 Unit i�;Waste Codes <br /> M and Pad w�P'Ig gro) <br /> tb.. Type Qi�tity vVuvoh <br /> a MIS W ftn-DOTMCP ODI PG.'.a{y %'T <br /> 4. <br /> T4i Spadal Handlry Urshucfioru and)Mftel Infogratlon <br /> UFl <br /> 9A! E I:i)t'2 Pt2Ck1i E41E CAR NO " <br /> � CsRA$hTAGtfEJ:R@Sidl:l@:"`�.. . <br /> E Prodi#4041 i8 . <br /> GEN Ff$ATORSrOFFEROR'S CERTIFICATION:I hereby dadare that the contents ofyr�oor*rvigdo fp 6*'erkl acWmteiy desdik above'by ttia Prapershfpphgname,and aro Packaged,, <br /> meikeiPard ed;and.>�6�atl respods M1 proper cortditlat for transPgrt akxart�g to ePp6cab(6'iniamptlarr4t 4ad natbrmr gav6mmaikat reguns.11 expel sNpnkard and 1 am gn granary <br /> f spate,i'cerdty ihef the oantenia ofd$an ent oaibm;to gi4 temis of the a6died EPAI�JaaNiadginant afCgmatil. <br /> i t that d a> min mtrsdon&tarnent Identlfiad h 40[ R 262 2T(a){d I e1rM a�r94:5bY.9tn@r} @)fid i bm a ori a�4uan generator}is tnro <br /> enara. aame on earAn ' <br /> t <br /> Y <br /> '�� J 1g.Inteme poet <br /> P Import tts U.S. [D.FxP«t <br />} a; T aiora wwports oN <br /> P—T, <br /> ar>sporter" krtalReee�tofMatedals �; <br /> Gpor�r tK, vy.s s By <br /> ': Q� <br /> Z:Trenapatar Pdn ypad Nerna '; t' Y ,ear: <br /> qMpancy <br /> 18a Duaepsnq lndSmtan Space' 0 ❑Type 0 Re 1M 0t l Re*U- 0 Ektlt Rejad err' <br /> Manifest Reteranca Nkimber: <br />' 98b.AIL�maGt Eat$ty{a Generate) U.S.EPA ID Nomber : <br /> +a <br /> 77�- <br /> F a Phoria: ,r <br /> w tfk Slgktahtra of.. to Fey(or We>etor) "th Day' :. Year <br /> f.•,: dam: � <br /> .t7 19.Hexaada+re Waw R4Port.Managernent Maihad Ca es'@a;sodas k*heardotia'" tmerd, and rasA$N syaiams) .. <br /> U) <br /> Gni t. 1 1 2, 3 4 <br /> 2t1 T)e�gnatad fas6itY,O±mer a OpwaUa:Cffat d rscadpt of hazardous mads awaraEtry tla rnariNast�Pt as rratad in•}4am tae . <br /> WWypad Name year <br /> r , <br /> EPAForm 87tm-'22(Rev.3-M,P us editions are obsolete. QrSIGPIATE 16fTXTO`GENERATOR STATE(IE QUIRED) <br />