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Palm A"Pp-c'T�-, See Insllrvoiom. on boclk of poqe 6, <br /> 1 - " Deparialent of Toxic Substances Control <br /> 4' <br /> Sacramento, Col;forn;a <br /> r,eicicr US EPA ID v- 2 Inle rmuticn in the shaded areas <br /> HAZARDbUS <br /> 1r'Ll 1equi(ed by Feclefal low. <br /> WASTE MANIFEST 1J 0 6 10 111 1 i f, 'J <br /> rs� "A <br /> Pte. <br /> `ilc� lu <br /> 3 c rill r, <br /> U.*1 EFF ID NuOlbl <br /> 10 US r P A tr.) <br /> _j -7-7777 <br /> cod 'U <br /> NU <br /> pe <br /> T <br /> it. f"'01 Ift, IiJ141 0 C� t <br /> -r <br /> 06, <br /> co <br /> Z <br /> 7 <br /> J <br /> 0 <br /> Ad'j"l,�:�i <br /> < <br /> f-. T,� <br /> f. <br /> t_ _ A' J­ <br /> ,orl":Js'f 0 <br /> "d J, <br /> ',j ro ')i J'd x;c ec <br /> pj, % <br /> t""" r!y C'uJohl,Ic '.e ;"'e <br /> OR 0 n" <br /> me <br /> J 1,'o Yeor <br /> r <br /> f1 i Signature Day Y*ar <br /> io- of. 'If 0ZG(JCI;S 16N6CIS CC�Cej y+.'i e^r 10>."epf 0� !T­ <br /> Vnth Day Yeor <br /> f-Ar') NOT WRITE BELOW THIS LINE. <br /> EPA <br />-- -- ---------------- 7--------7 7,7_77------- ------------- - <br /> _7 7Z-7-1-�,7 " — ____ - I A <br />