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KA a]v 1011 <br /> iiii iiiiiisl= <br /> SSL SK SHIP# 2P9584211 <br /> Please mist of type. 1 <br /> UNIFORM HAZARDOUS Coemaro:ID Nan,bel <br /> WASTE AIIFEST CRL000375509 Irapa l° Form AVV�ond 01Aq No N '4, <br /> �:s None nnU Alabpg Address 1 I )[-tltltl fly{p11�yB 4.M,nl wH re wlnp NumMr <br /> HQ Lab Rubner Co. Inc, c""°:,Ipra'Nlp Andma lumnn,pm lnaa,m,u <br /> SKS <br /> HAZW <br /> L t-1 Nd "gaava,n ARDwOvUvvS209-836-0365vw <br /> CR 95304•-9109 <br /> rmnra "�S,La"K9f SYSTEMS INC. <br /> us EPA IO xpmba, WASTE <br /> r T r er 2c°,,,pallx.a. T%R000081205 <br /> CLEAN HARBORS ENV SVC INC. n� <br /> tl pasgnal,p FapLly Nam°and Glla And,ass U.S.EPA IO Nurnta, `` <br /> CLEAN HARBORS ENVIRQNMENTRL SERVICES, IN MAD039322250 <br /> 2247 S HIGHWAY 71 us.EPnlD xpmDe, 4sN STAT <br /> 308-235-4012 HIMBALL c <br /> Faol,IysPnone: NE 69145 � ,�, E <br /> Ha �u�tlmesonp, (mapningP, ,sM1i p„„amen NED981723513 �:_ $� IF FOUNDDC <br /> FEDERAL LAWS PROHIBIT IMPROPER DISPI <br /> hl a P _ AUTHORITY,FFNONTACT THE NEAREST POLICE OR PUBLIC SAFE? <br /> �gGmap(d anyp me°nM�pe,: '•'°„' 12u"" y' �,, ' "g r THE U.S.ENVIRONMENTAL PROTECTION AGENCY( <br /> p X ' NA3082, HAZRRDQUS WASTE LIQUID, Np. Type °aa""''' THE CALIFORNIA DEPARTMENT OF TOXIC SUBSTANCES CONTR( <br /> fLERD), 9, PG IfI DM +"P.�b"� \$A 5b <br /> I P neeB 223 � o o�s�c GENERATOR INFORMATION: <br /> NAME <br /> �yua,-re� <br /> s� RO LAB / /NG <br /> so <br /> ADDRESS t7ZS3p �A�. Lahn. 2eA PHONE 16q 636OSI, <br /> g8 }�� a ,A., s p �.2C� ��STATE C4 ZIP q.53-7-- <br /> X.,r3 �o r 'OSFs''`.`• EPA <br /> �� IDN /MANIFEST`yc�0 O. /DOCUMENT NO. <br /> l4.spp,;al Handenp msw:noas ane Atldip°naunlp„rey =y. R. o•owe o d o EPA <br /> TSDeKP 81081167 °i.$o CA ACCUMULATION <br /> I)ERG#171• RO11429 CSG: T1 ^' WASTE Q <br /> 2411EMEWNCY#800-468-1760-CH/SK/TFI-Contract retained b FrN �� � s � NO.�WASTE NO. START DATE <br /> y generator confers a ency authari y $ " P CONTENTS,COMPOSITION: a I L <br /> n GENE-011'se)FFEgOq'a CEq 1111 'iI,1 IM1ereb * !4 o:G <br /> li M abekNlPa b Ilre re h'y rcpr,ei 1 IN'0 5n I yap e , Z = O c <br /> Exppneral avpry caro In wnsgn rom,mma Iv,e na aE'nA w°pw dp lore '° g °v r oPersbPPM game am are aaas .aaaa9ed, �ws PHYSICAL <br /> apry gnat lne waste rM1 - s'annns le.anrnpmemard:am ammary '� �” p��� STATE: HAZARDOUS PROPERTIES: Q FLAMMABLE TOXIC <br /> ceer+alarvoeemrs Pnmedrt 'iae lin d'4o cvgzaz.2ry)fn,.ma uvea uN9 )rlq l'am smalpaapuy J-w fs = P`�OLID <br /> cee Nam <br /> signam,e wP ?, o Q LIQUID <br /> _ Q CORROSIVE 0 REACTIVITY O OTHER <br /> Momm par cl Tso <br /> Is.memacpnasb p,\,•„,a N (vea <br /> ❑ImPpdpus. Ir; a a <br /> � Iran>ppner signalure(Iorexpoe,pnlYl' ❑ExpM lrwn U.S. :I pp 1 DYI �-- 3 <br /> �Ir.Transposer ACWPwleegmentolqeeeiPl of hla edak a.e leav:rg U.a..--- _—_— — ,�(;7� f <br /> �? s r 1 PdnledRypen Name o <br /> � Slgnalure - <br /> rn .1 ^ (, L�� /• J Mp,N p,y rea v LI O T.PgppER SHIPPING NAME AND UN OR NA NO.WITH PREFIX <br /> pMer2 Pdnl Name <br /> $pnaldre - ICI LI I r O J <br /> }�,e.Diarrepanry Monp <br /> Day <br /> HANDLE WITH CARE! <br /> I 1aa.Osvepanry aaae-Spare r irc <br /> ❑puanury ❑iypa ❑gesAue ❑Pa,tial gejxupn r <br /> JFpl,gp,e<wn �� s-17ass uunc 1-eao.:wssslo <br /> r_ Manire:l galere�Ne wmoer ', <br /> tab.Allemate Facility(or GeneralorJ <br /> U US.EPAID Number <br /> LL Faolity's PM1one: <br /> lec.Sigrvlure plNlernate Fapliry(or Generator) <br /> Q MpnN Day e <br /> H19.Ha-011 Wall,Repos Management Method CWes(i.e.,nines lorhazardpus waste Vealmenl.eis <br /> QW I 2 ppsal.and rerydpy systems) <br /> 1 20 Designated Faaliry Owse,or OperaWr Nl apn of ceipt olha do¢male cover dDy Ne man tests plaznadnitem taa <br /> Primed yped Name SgnaNre <br /> Adn Oay Year <br /> EPA Form 870022/IRev.12-17 Previous editions are obsolete. <br /> 1)653889 /171)@ 08 GF.1211A11L t\'151ALCOPY <br />