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/Ple so print or type,(Form desi nod for use on elite(12•phoh) er: Farrri". ad:Oh49 No:2050039 <br /> UNIFORM HAZARDOUS f,GanePator ID Number 2.Page f of '3;Emergency Reaponsa Phony m g <br /> WASTE MANIFEST C,s n Of7 4,772 <br /> neratar's ame and malliq AddressGenerators SM Atbltl ItfdtftMt#W <br /> S .SVC; V Mft down <br /> 3 : ,E) <br /> m,CA, WM <br /> Genaraws Phone; <br /> nsporter y- me <br /> union Pwft Lines c <br /> 7,Transpoder 2 ComMy Name UA&EPA ID Numbsf <br /> �nated FacllityNa-m--WM);=! U:S:EPA Number " <br /> 2,-4 UT64MUM <br /> Fa a P 1 East{ [l USA <br /> ga. gb,US,DOT _ (Including Proper$Nppng Name,Hazard Glen,ID Number, 10. 11.Total 12 Unli <br /> HM . .and Peckln4 Gnxtp(d sny)) 13:Waata <br /> No, Type Qu@" WtAbl, <br /> WN-RCRA,WARN sow ftm)o <br /> 2, <br /> 3, <br /> E4, <br /> 14.SpftW Ha;MA 07=711 <br /> MIX Pt 1' R:SM <br /> 16. GENERATOR'SIOFFEWSOMFICATP:if}erebydec{erotlietineconteritabflltfecondgrmeMerotvlXandaxuadilydasriitiedebove:byteprapeiA014 hfg.nmrta and am . <br /> marked and tebeledlpd Wded,snit as In aH raspedstn Proper innd M for tamper!ecoorilFlpianpp 1ix61e intamationel andnational ga+emmei>fet rogutaaau,p export <br /> . and l am d�Prfmsry. <br /> Expvtar,l cu*Bmt dre wonts of He misignmem c ftm m ft tarns of tm aftid tRkA*joW d�maritot fionsent. <br /> I y Ufat the waste rdntrnf.ztidn kiendec!In40 CER 2d2..27(a)0.1,am a*p 4uanbty a:(b)0.i Sam v*qj&n*Wff8tDq is true. <br /> ra, e Fdritedgypod NamerMun <br /> {� <br /> bJr <br /> %464M-anal ShOWda <br /> ❑Import <br /> to U.S. Q Export from U.9: Port of entrylext <br /> Trans r ' for only): Dais U.S.: <br /> QZ 17.TtanVortarAdmowledgment of Reoeipi of hlaterias <br /> OW <br /> r 1 <br /> Transpoder2 Nan%--LT— 5r <br /> Y Year: <br /> D'aepancy <br /> 18a,DisaapancytrWratkx Spats Q ouentity EITYPe ❑Resldue 0Psrtiak ❑ dR*ctlon <br /> MaWastReferencs Number.. <br /> 18b.Altamsts Fedttty(or Generator) U,5.EPA I!?Numt�ar <br /> Fad! g Phone: <br /> 18c. 'nature ofAltamsteFackfly(or narata) Y� i <br /> d <br /> t 19:Hgzsvdeua tiasla Repart t!snagatnratt M t odes{i.a.,rodeo hir hazardous waste baatrrA k dfapasal,and Pacycb"syb tPq} <br /> 20. F Ovmer oe Operabr C st d tlaE8fdOS1e materials G by the mardfaxsapt ea. hr Item 18a. <br /> 6n YPed 8t Year <br /> EPA Form 8740- <br /> ( 5) Previous edidona are obsolete, DESIGNATEQ FACILITY TO GENERATOR <br />