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984619 87828 <br /> Freese print Doer rted[or use at (�2 ate+) tec Form roved.DME No.2050.0039 <br /> UNIFORMEIAZARDOU3 1' Ntrnbe< 10l 3EmergencyReserPfwrre 4. nNestrrackktgNwber <br /> WASTE MANIFEST 0 05614105 JJ K <br /> Ger <br /> 5• s Name and Mo*g Address or s Sqe Address(d ^ 0-Mailt�adMese) <br /> Hone!°Depot'0/0:'PSC Mir.. Hone=Depot C511 HONE DEPOT 111111116 <br /> 5151 Batt Felipe NONE URPOT 41101116• 251 CONBERCB An <br /> 313-7344 <br /> 6.Transww t Company Nie U.S,EPA @ Number <br /> 21st cox ENVIROrnMAL riMGEMW OF MgnR1?< LLc c,NM164012 <br /> Mew <br /> U.S.EPA ID <br /> OFly Name artd Sita Addasa U.S.EPA ID Number <br /> HUBLINGTON UnRoxwTIL, LLC. SEDT FACILITY <br /> 21245 11TH AVM SOUTH ITM!U81167 <br /> Fac§YsPhm:M- A 98132 11531 liz-8131 <br /> geI 9b,U.S.Dor o Owltrft Proper g Name,Hazard Mo.ID Number, 1o.cor"Iners 11.Toth 12.Unit 13:Vyaste Codas <br /> ljM wrd Padcng Grote(9-y)) 140. Type Ou y wwd. <br /> o P& 1.1111951 WASTE MR03OLS, FLA1lNABLE 2.1 BGT--ff-*M 1Q(DBB7=lel Ur <br /> ® I1 ao3 - 111 q1@fi D117 <br /> P <br /> Mole 0135 -331 <br /> pr <br /> z 2.1111993 TASTE FLARMIN LIQUIDS, N,O,S, (ACETONE, METHYL ETHYL D@/1 0835 391 <br /> I2Q XBTODE) 3 FGII (FLASHPOI11T-20.86c) BQ(U111=118) 0 d <br /> 90L3.1H281/ WASTE TOXIC, LIQUIDS, ORGANIC, N.O.S. (2,4-D1 6.1 PGII116 DBifi 331 <br /> 'TOXIC' BQ(D116=18} 00 0®�'2 P <br /> 4.UN3266 WASTE COBRDOM LIQUID, RABIC, INORGANIC, H.O.S. (SODIUM D882 122 <br /> X HYDflOXIDB, FOTASSIO>1.HYDltOXIIlEI 8 PGII RQ(D8@2=11@1" ` Q® , �' ��� P' <br /> 14.i4RWwdN bstrucdonsandAddlons!Wmation ) K r 1'F S'S" '3 1)f 3 u, vk)!K(. ` <br /> (11 2.1-/4 - MUM AEROSOLS-ACCUNILATIO (2) a=3-@4 - BBG(128) n LE LOOBBPACS (3) HON96-IL-14 - KIG(153) <br /> T08IC (LIQUIDS ONLY) (4) HONBBH-05 - EBG(154) ALSALINB/CORBOSI9B'L'Pi{0P0SAL#1 <br /> 15. GMERATt1MMFFEROR'S CERTIFICATION:I hereby declare Thal gta coolants of ddb carsig IMM reludy aM aocwately described above by Ire proper Aippng name,aad are classified,packaged; <br /> aretked and labeWplacarded,and are bag respects in Proper rwrd iron for spat accoift b applable I and nabial gwAMRfflMragas.g mqw opmem and I am the Primary <br /> FVotbr,t om ty that gw=oertts of M mnslgtrrtent conform to the terms of tfita adm**d EPA ofConsent <br /> 1 f#W Ste rwhia"SwAmWidmaki In 40 CFR 26227(a)(d I am a Sage quandty gemratar)or(b)M am a slid quantity generator)Is lora Mont Day Year <br /> 1 > D kryert to u.s. ❑Evora from u.s. Part of <br /> � T,a,rsporter s�aaae(fa exporR buoy): t> lea«+ag u.s�_ <br /> X 11.Trot VW" t of Rede(of MaledmbManta DDay Year <br /> a Transporter 1 Piloted V"d Name �th q Q <br /> � Month Day <br /> rensporlar 2 Pd"Iyped Name Year <br /> .� ,, , <br /> 1e.DWaoper" <br /> lea ktdIwft Simco ❑ l ❑IyDe ❑Rem ❑Prom fi*obon Q Full Rejection <br /> a Marr3est Raktrence <br /> 186.Altamata Facday(or Goo®retry. U.3.EPA ID Number' <br /> , <br /> U <br /> u`C. FaoTt1/aWrar� Day Year <br /> Q 1 Siprebre of a Faalih+(ar Genwabr) <br /> hH 19.Hazardous VYaete Report Management Mathod Cedes p.e.,codes for hazardous waste treaUMM,&pasai,Wd racY B nYsbmsl <br /> O 1. 2. 3. 4. <br /> H1.41° 136=1 HI-41 I 014t; H14'1 <br /> 20. FacNly Owner or Operabrdiacawof rece44 01 hazardous materials covered by t �mmft $as m Iam tea <br /> By <br /> EPAFonnS7W- (Rev.3.05)Pravlo fda3areobeolete. DESIGNATE ITYT STINATION STATE((F REQUIRED) <br />