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<br /> WASTE MANIFEST` A L Q fJ• -3 7:�#3 9�i ' J. f 800)4,24'�3[lU : . "�""�: � � JJK
<br /> 5.Gan Wor'same and Ma➢inr Address, 4anereior s S[fe Address:lif.dlfferanl ihan'rpeiliing address)
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<br /> 5: GENERAT61�'S10F,I EROR'S C�RTiFI"TIOK•I hereby declare Ihaf fhb aunien(s or this cnasignmehl are fuily and accuraiely,deaorlhed-ahova by:the proparsfdppfng pante,apfl
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<br /> marked'and l ieeiedlpladarded,and are in all.re$p"In pfopor condlllon for 11sartsryost•adcardfng m appirca6l a Intehnallartal`and rtalloita#gbvammdrstal:regu)Blforts.A ekport shlprn5nlaixl 1.ample Pdrtmrp
<br /> Expdrtar,I,cerSfy[hat rhe contents.of.this crtrtrignmenl conform to the terms of Ute affadhed EPA Aekr>o}vlodgafenhaf Consent.- i,.; f -'
<br /> I a#ify tha!the waste rninimizallori sralementldsnQlied In d6 CFR 262,27(a](If I am a large quanrriy p0ratory or•M{lf.l a. a srpm!w—uQ oomtalar due'' ;
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<br /> "'2p.I]e5#grrnlarl raeGify Oivr stet�peratOr:Cer1i calWn nf.[seal #hazardous rna#sdels COvtired;dy.>he onifest except as rrcfed in m•1$a::
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<br /> EPA Farm 8700-22(Rev.3-05) Previous edillons are obsalefe, ':; pGSIGfV''4T D•PA+ 1UTY,TG'G fU -RATQFI• ..
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