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PIMO print u tg! e. fF'orm d4slgned for use ncr eRie, f 12-Dftohl NDCwrItOr.l <br />Fnrrn hnnrr M 4')UR Aln '3r 0-r'.MQ <br />L- ri rorm 6ruu-rz tKeo suw� rrevrolG eamons are obsolete. DESIGNATED F'ACU Y TO DBTINATIOFf STATE �IF REQUIRE=D] <br />UNIFORM HAZARDOUS <br />1. Cerra -&N I.^. <br />-16 <br />J. imergancy Nwxne Pbcr'4 4, Wnileat Traciing Number <br />WAMEMMIFM919790174 <br />1 FLE <br />5 Generators Namd hlad <br />Name aanlg A'c <br />nereas Cfl n re*s (I zifbamm than marling addre5s) <br />Staplers Retail #1341 Staples Detail 41341#1341 <br />(209) 2-3-4045 249 Conmerce AVenae 243 Commerce Avenue <br />Genoaal.&s Phone. MnN TF"ca _ ._ F -A .' I h9ANTE '�i _CA 95-3:3z <br />it Trensporter pmpany NBdne 4f � F.PA Id Nrrnber <br />specialty 1425te galutjOP5 <br />7 Trarrsporlcf 2 Company Name US ERA IO NT.1W <br />4a-s'Ppa"Fadlily Name ane�eeG&e3sGeneral Environmental Mgt, LLC U.S EP IDUumber <br />11855 White Rock Road <br />Rancho Cordova, CA '35742 <br />Far irly Phorp�C! <br />na <br />9b U.S MIT O wrOon ?OfkdmgPrupdr Shporr, Nene, Hamrd Craw, ID Number. <br />10. CPuners <br />11. Taal <br />12. Ung <br />1Rd <br />andParking%rMpylfano <br />UuarAitp <br />WtlSct <br />13 Wasleccdes <br />H, <br />T� <br />X <br />%17G3, Waste Corrosive liquids, Tl_ a_ s_ <br />1 <br />CF <br />00010 <br />P <br />791 X002 <br />(Sulfuric lucid, Muriatic Acid), 8, PG I1, <br />Q <br />L3NIT50, Waste Aerosols, [flaumable, (each not <br />�6 <br />K <br />1 <br />EF <br />MOOD <br />P <br />331 8001 <br />exceeding 1 L capacity)] 2.1, ERG#12e <br />4 — -- -- <br />14. Speoel HanNing ImImOwsaMAddibenal L-rrannabon <br />i. 103084(f�cidic Cd}rx'usive Liquids) 2.103090(1erosals, <br />Flazsable) <br />15 GENERALTDRIXFnMFZ'SC€R-r]R ATII Iheww&clafaawl [he CxxgmLu!"WScuaagnmentasek4yord8CcirCVylFaitedaWYDby" oto)aMippngfiane.and are dammBd,parkaged, <br />rnwW and I plawrc!W, and are in aA X45peits in VoW condition for imns of a=rdirtg b3 appliratle i1lWnnona1 and naWml gmrlfVL mal "dawn. If exW shipmarrt and f am be?Iimary <br />5xpnrer. I CeN14 tho(N codgrts 0 M carsgr¢n.eflt mrdprm to the def n Gd U* mIG ao6 EPAArJ wgedgwem of Cm,% M <br />I certify that the waste millwawn stabarner!t idurHed in 40 CPR 25'f, 2-7(2f (f 7 W a lar o quarYQ vg2nerabx) or {b) Cf I yrs a final gwo*y pwfatdf, i.4f io <br />�errer2Ssfs'.7lfgrors N : iYrea Name naoP.a1 ay ear <br />K f On Behalf ata les ,- <br />id[ { <br />� <br />1'. IrA9rr1ati6naf 5hipmerr� � r� <br />LJ I , WL W U:3.rFzrOn ftW US. POriof CAI)p exit. <br />Tran r5' Wrcror wL= anh- Nhleavin U.S.. <br />Lu <br />1i TrarspcxiuAdn WedgnentofRectiPtdblatMals <br />1— <br />� <br />Trensporknf 1 PrtnUPS t+k31�1e ratre <br />`� pngrl D4 Y4;ar <br />ccF- <br />rar�paGer7Frra$tl r."U) { r <br />18 9greparxy <br />1 I <br />19$ DWeAaKy IfIft-abon Space L) r2uantlr LJ Tyepc 1-1FRsidue :J Partial R,aetlan : _J FrA laejertim <br />Wrihq. tReffnEq[sNumber. <br />18. Aiernata Faollty (of Ctrzrator} U S. EPA IG Number <br />J_ <br />ii <br />Fera Phxk!. <br />I.rj <br />113c.5ignausudAlienwleFwlq(*rGencrabar) WrAh Clay Year <br />r- <br />d <br />19 HazankusMOO RepdtVwoe r rfflMe r dCrxlas'�o.oaW&hrYarxtlorurasaemmtrnent.+1sprrasETj:�dhgsystr s) <br />2D. Clesigraaed FadlilgOmwarrpporatorr. CvtificalionuEM-�ptof b0WXJWS mase 1507 srea by Uffi Iilanifed Gxnaptas octad in Item f8s <br />Prrded%pedNwTa 5ignabire wim Dad Year <br />L- ri rorm 6ruu-rz tKeo suw� rrevrolG eamons are obsolete. DESIGNATED F'ACU Y TO DBTINATIOFf STATE �IF REQUIRE=D] <br />