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,FEB 29 '96 08:28AM RMC L STAR �_— ----���————- , P.11 <br /> , <br /> stair of c°rten,ce--E�,� n,.�fei Plo 'nae r Ser matmefian9req'-bade 4'� i. nepenwoaTeKW Subd°numg0wal <br /> Far!n�Afrprered.OM$Naw 2058-0019(EaAin�9�609AA' Rapesnpnley Coloornai ` <br /> PleasrpriMertype foetidNiOfwdkrviieha1*111pftPr}rSPe • <br /> 2.PoOa I <br /> l 6eneratat'4 US EPA ID•Ne: Marl"",parArme Na: IrtfannatlortIaNtirShaded end,;; <br /> A LJNIFCIfl1Vf?;NAiTAiRDdt#IS " i is roof regeired b%n fidRiaF.Idw;1 <br /> Mame:•di 'Mf1ol1 Address w <br /> M' <br /> '4:t�3inervteds Phone'' � '� ..' <br /> Y5,TreropoA-,I,Company Name 7j:70 EPA ID Nwnber . <br /> In. ' �°Eli�AI�MFN'�AI.SI:NVI>G� ,' ' <br /> 7.;TranspeMe 7 IC <br /> Compa"Name 8.US EPAIWNumbrr <br /> V <br /> natedifed1hyName•and SINP.Addrees 10i US•EPA.IEYNumber+ <br /> tewa : A 9tlEGt3 �►', 18'18 I� 8' 7. 4 1; 8, <br /> V,' ,.1 IZ„Co 13t;.Tetal 14.Y* <br /> _ 11'. US DOT DexripKen(inductaq Proper Shipona Nome,'ifa7arr�Class,and ID Numbx) Na. Oyp Wt al <br />'�Lam•x °• <br /> a NAM-GPA <br /> PM A LIG''UIV 0 1 0,'j 1. T. I T G <br /> b. <br /> e' <br /> T. <br /> e. <br /> UA 'R <br /> �u <br /> d. . <br /> V. <br /> � � Yf .! �v " y�6�7� '�Qv�a�M1..r *^w I... �f •+LW.� n <br /> � •.+.<gre•�„ew";,-�a .. °•+ 311e it*> q'1'..'e.- a 'r;?. n..4f,ik,,, ,a.. S" � ,� .'�:: * , <br /> SpeG.1-M AMMARand Additional Information <br /> IIIIVV`CCIYICl46�CINLLiif�• `r'�I}��. <br /> e' CALL CNEM'�FIE4' <br /> a 1-800.424.9804: <br /> W 04T ER031 • WEAR PROTECTIVE EQUIPMENT ' <br /> r. <br /> 16. MNERATOR'S CERTIFICATION) I hereby declare that the canten)f of this consignment are fully and occurateiy.drxribed above by proper shipping name Brod or*eke>�slpedA: "r' <br /> packed,marked,and labeled,and are In all rispech in proper condition for transport by hi9hv+oy Oeeording to appilagble Irrtemailerwl and ngtWowl goven+mem,rogulatlane.,5•'+ <br /> II I om a large quantity generator. I certify,that I how a program in place to S cluco the volume and toxicity of waste generated to tho degree I have determined,to be <br /> economical practicable and that I Nov*Seleesed the raCHM111e method of fr*at;j",storage,or disposal currently available to me whieh minimizes the prawn and fuwre <br /> '� throat to hymn health and the eWMnmenh.OR, H 1 am a small quantity generator, I have made a good faith effort to minimize my waste generatlen.and 1e1W thr best <br /> waste mane4effient methad that is available to.me and chat I con afford. <br /> O tinted/Typed NoSiIt Mon* Dey Yrop/r <br /> Z T M T'►an rtar 1•Acknov0scloomat of Receipt of mgt&k `�+ <br /> R Printed�T d Name' .� Si9naRve Mme' s <br /> p1 '%rant r 2 Aeknowledlewent of Reeel a "as►., f <br /> ••R: , . alg Mont► � Yti,r•' I <br /> T. PTitNed/'Typed•Nome �, <br /> Wy 6 19; Diseropeney Indkofion Space r�tr <br /> Z' <br /> j 2Q Facility Own r- ab of hazardous materials r• this•manifest exec as <br /> Men►h Def," Yeei: <br /> me ' <br /> T Printed/Typed•1Vaa . sigttafyre ew""" ° ;�. <br /> ITE BELOW THIS. UN>~ <br /> DO' NOT-WRITE '} <br /> Blues GENERATOR SENDS THIS COPY TO'DTSC WITHIN 30 DAYS.' <br /> MC 80Q2A {9/,?A1 Tei.-. ..P.O„Bax'400;Sacramento, CA' 9$8%2-0400 <br /> EPA eTMA2 <br />