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V <br />UNIFORM HAZARDOUS I. c""r"°''' ePA w Na. M"ri w oacuaaar No. <br />WASTE MANIFEST^ 3 . " G (�, n & <br />_3 Gosrwds Riess Mriep wddresa - _— A, Sams I <br />?fin G`AA'4^%4:P ate✓ �'�i�l. 2 05 , -4A1J /wAAA ; C'.A sraft <br />A. C mmaWs Room X5,0, �3-98�3 9V'S83 14 <br />S_ T� °11°` t Gzepsy Flda b. LLS EPA 0 NuebQ T <br />pq I SP!0—p <br />7. Trac -parts 2 CAwm .. Nova <br />S US EPA <br />M <br />s. Poye 1 <br />MAorma bm in ,he S%ac6w anew <br />of <br />is nor mquired by Facirrd b.. <br />ass <br />foriloll <br />19 <br />s ID <br />F�i����i F. Towav ws Hecate <br />9 C� 1 nc� Sm Ad&,, 1Q lS ®A 10 Numbw G. Sutte.so <br />255 Parr Blvd. e JV-1010Aq*-bi3 <br />Richftn id,CA. 94801 Nr Y Phme - <br />.:..::i510)23�-1393_ ':._•. � : <br />11. Ib DOT DWA0 860 (nda s Prow Sbyping t1o�G ted Cori. ad 10 Nwlbw) 12 CaP>te:reas 14. Taal 1L Lb* <br />No. T Q— tip V*/V0I f ;Mfaete ft"b" <br />ISN -MCRA _ Nas,�'�rdais ataste Solid <br />Waste DgptY Storage Tank. T P S p�► <br />a --_ <br />S.oi. <br />EPA/G11bsn.. <br />51ate - <br />C- <br />d. <br />Shoe <br />1. Addeiemw Cae0cm for Alsyer rb I k d Abwa <br />_ .:..MY• --L- tY Storage Tmk(s) t 32 r � coda far wnzos aa.d Am.. . <br />have _ been Uwrteld with 15 b <br />lb6.Dry Ice Per 1000 Gallon GapacitY. t t. d <br />15. Spsd i" I do Ie6hsdaPs and Addfi=W kdw miim <br />KeeQ away frem sources of ignition. Alrnna s wear hazz1hats men work=j around <br />U.G.S.T.'s 24 Ir. Contact Sa Zr Phone-65,b)E,'2-3-%7// I& C-ENUATCt'S C3 UMATM Mc 1 hereby dodo, the[ to tags of tiic eantrprmma ars f Aar and .* d..*.d abo.e by proper stiippi^11 Paine and are dawfied. <br />p0a . rsortcod. and 6bsisd, and oPe in as respacrs itP'ap- a m"— for tnosp— by higlPa".9 c.,&V ro <br />oppliaobte :tPcrraPioral and nerar`al go.errrwera regulmietn. <br />d 1 ago a ks9e pspn"Vy Wr'ms, I Cal -SOY tine 1 hang a w ram a p6ce to re&jm the •okras and tonicity of wane 9enworsd to she &9rse I hors d9oo mesad to be <br />P0=m0bb WW that I hoes miamd Eta Pacle6is ou►od of traa`se- dotage, or disposal cwmaty ow7able so Pr.r `.hick mm"Q" *4 prelrtt ad I mese <br />dw— - Irani bnaaib —d the —mmom, C& d I a. a small w w, t kra.e nnde a good lash effon to minimize my vmft gsnmonim and ssiset the bag <br />. ease ered-d taps is ora'1ebk to on and #..0 1 can affa d. <br />/Typal Mm> <br />A Pie /Typedmmc <br />H <br />s <br />O ffl. T <br />TNomd/Typsd Nora <br />T <br />Lltcepmey Ltdresiaa Specs <br />V F <br />A <br />C <br />I <br />L <br />I 20. Fecifft 0 war cw Opermar CA, <br />11'sc 8=A (9/941 <br />EPA 8701--72 <br />rdor s rProseriols caved this maw ca" r as a <br />DO NOT WRITE BROW THIS LINE. <br />`�_;1- 1 _= ril.L- <br />A44M ow- Yaw <br />Mardi pay Yew <br />I I I I 1 <br />Marsh pay Year <br />�>i / i;—,c,1,$ S <br />