|
•rE1lT'At
<br /> PAN CA�it:; . ' • . ,r AN . . ' :c' : ''S s ' : to
<br /> `1 =' ' 11
<br /> ;• t15 11 1 1 1 It 11 . , , .. 8)78)
<br /> -7F
<br /> ; .
<br /> F.ok
<br /> P- V _ •i
<br /> ±�Flow A ya?Ali FAArr�tic, ;s:i•S.a1�w .r'>_:rJ •Ji :•;:}�,�: v.t7nlly7( •{a.rrrrww,L.I 8:y5 'J ' n. , `y' ANN
<br /> .
<br /> AN
<br /> AN
<br /> =,t r . reuy.> t � : sff+ nlv'mt I we or :im ANN n. R "tk ?7PA' ihilc s"
<br /> '• RV •� y� F '' 1. , aJil:• . 's,'.'d r . � d .1i!r,Goso ;�e� ..-iIN 1 s;i'� 7r: � '. . ;
<br /> u�6lliAf;T�? 1Almost
<br /> ?I�ilC:"i7• .•tl•+^^+r-,z••,•:','•"YsC^n,• : , :-< d , . ^:6.:�r� l:a iK••,' �•�:yn.� ' • .. _ C
<br /> 1 -154 ' ,:1> : , i.:<•: mlAtoakan
<br /> I I , I?, ,rl 'r:�a,-N:6 : �rfla: ui•„vi ;Gra:rlC � 'sn1.44 " IN •,:% i't�c `• ++3�',6r�1 .
<br /> . I�dgs',in.,A :;2; �?nv4 ; ,, .:. .•,, .�n :i PAN � ;L• . : e •:':.,�,`t.:.:• • 'D' . •
<br /> Vis- .c V. . :µ 2r;+•7•. {r ,., (n•.'Se . ' •� ' a !'Yf'3}Z,At titvi :x 7( ' Zak, • J u; a "Oil .�..h •:so I �C:. . • . 7,..; ,, : '� ' Fit A
<br /> .. . No,' 1/I . N'M { p. ? ;t,<' •: ,�F.;,u ?o, . 144 e4: ; +ts J' iAN '.ttoo 144
<br /> ' v . ,ll 'i�4 r�"' 'i? . .o :t ' % ci : rti% ..et. f•I AN 11 ?;y ' • >• o%;em•;;r,.r'i11 a?es.� r �%�• ' !
<br /> rQ do, :i
<br /> �I . :J�t }TQk I : 11?l ' '} ' ' t ` Fe34d. R�t !?Wlkl{' D) �t.85g2�i: : . . f: ( ;r� : : 11 A
<br /> " 4 AN', 00
<br /> 1. 1 ': r ^',. : : s iANN i! N y6cv j
<br /> P. .. ) W1Y' . ,rr : lv: �� iu�wit, 7 y): ( sf , n ! r :Ill : .. . :i. lti . a ' Ad
<br /> t grl''We*P), it 5 i,:v:,: �� '. ,� ,:• i. : u :;. •,. , ' F, Jr�} � 7 ; i7 .1. ,' afl�
<br /> . �, �iAd :0 . l $ Ad 7C�Ar k '. %41� i ` r: ,: . . } . ,:u.'.! :, :•. . _t ;,;irs ' '. ,ra,t7 IF Sid: ' :
<br /> � .00 • . r:a>Jw•r.,.;.r, - ::Jotit ,tt -W air� �o! � � .
<br /> 0 ' 11 d tj , A4 • . 7 �9H it rb:Yt
<br /> in,
<br /> 1. :. A • �Src ' � pVJ4rltAe;i •J J. 4o,rl:: ly _r �;1� ; ; .t•. . _:.c� 11 S . nF �.9 ,
<br /> . , . 'V : . , n. . .
<br /> 1 No
<br /> ' :. 11 , , "-� '- : t : , ", 1,'u,: rtlfa ,»,�,,.tir�(.Sy`:Z'l fetl:•i"SM: %:;3r'1••1:n. : '
<br /> .`.z'i+ R1_v: +.ri.rJdaw,'.n:W .B i,t iuu• rt7 / f•„ et iri:r. . :stir. :, •' " ' �. , a . .
<br /> gg n ei yyrs� :iU1t::Y� :e: Atr o. f 2.wni.i,a1: � ' .Inv+ . •z:7:. Y.:d ii' .. bit � , ,.. :• �� +{:� a sea..:, •_i. . •. - '•. ' : '�1'
<br /> .Ir . J :: �l� �Aa 'W► J •��`,C ,f.:.: A ANN 11 r � ;5. d . : ; .
<br /> RDER4 ' TE "•'�RIUt K• # ; : T:NA�IlE • OR 40.
<br /> ;,,r•
<br /> , .
<br /> tElg ,� y: :
<br /> b7 . �'r•5. 51 wJ! Aa :r:;y :gnnd)!A^ K•.+. I.,. iSYS••• :F, `(.? : tinS'y , i d4-. lrn"ii a5 1 J'ia' :x -
<br /> 11 ♦:�•� •� 1 Ltr .f.'a!' Se, '_' Pu •. lf . ' •� . ' :' ,' <': .: r . 1. . a '•
<br /> MA'�'p:'etr . . . . u . l� .aa,iP'., '.:.1R ,wA.1,1.1{si sc.• F:., .i ' 7`.-_.?•-C>,.•{y,
<br /> 4 pL'FF — , 'DA'T�`I' ll JAI t .ENo1'ERED. ;'NEX,T• S�R•Y.t,CE °f�A"1' " ', ' .�. , , I ill
<br /> i;p . � . : :
<br /> I ' ll, pit Volvo
<br /> • ��fi�,l . � ;?i•: Y;'q'n ' ?d*,lA/ : z{�nG` rn. y,LCi.iYi •i.1: AN
<br /> 'li:llirR ls:,.. lia;:}.)v:iatc' n + '� 3' �
<br /> Now .. , '7` .4: �'4 .4,,�7 �� ;@1•r,,li: : �),i:f op :x AN �" v::r.,t• �f•-„ .+q/1, „ 'i
<br /> w. A — _ o ' :a. SIN' Jin . I >PM& ;.;.1+, c= ± ` e !r/ .ls.'c:Sx►M: ,:.x,) : : s? '
<br /> 0 JA AM Fit
<br /> do IN
<br /> l� :dt1�(f FTJIRSVI�n. niu: z,dvr . :x%,f , r^• . 17v:xr.ixi; e: a,a'>. i a v :T . •r.I1rv -AN • ' �/Jy��
<br /> i�p P G .r`::v • I r. rl to ) 1',./' i :A• �1JA)`,/! '(• Il IFNANI :�L .- IL
<br /> r'� J y ,' ' . ., y :�J�•)•• ' N.t.A ••. .
<br /> ' '. • 9V4„ ?�0 its
<br /> ow• - •�•Ni ! .f:n+a+,: d yr
<br /> , • 1 ">'tn0y,. yrr• it 4r.1•: , i, :n .n,ayr..+ b:u ', Jr ; , ,pt ):y i;+ r1uvlrcl4J , 1 • Yv.1 AP's r,• • Sa ,
<br /> _ +,• • . . - � Y<. •.G S,a. + .b . nnl :rd •;r �•`�r„ig� rN,al• i�., ,: � : -
<br /> L4 A ;Ak .;: • . ;: :�J . 4't4r. g „dlta,ta %�.Ye:•.".tr,.rPrll;cCk,!., '. , r:002`, 1 ' .,�.: ' • rat ' e r . , :i;nAN ,� ,
<br /> so No • • h , f::;. nL:g' : t )4 . '%1.�ui:Ft. ,' •c-t ' ;4s'f:?' 0..i4 !•M1. .t: :}•,r.'r I
<br /> e A Ad
<br /> �'F,i '�,(. .� ..Sl' ;jai{'S:f.'A' , p, Jy. .ail . • ' :S$r. Ju Ai - ::.Y :y ; J1_+ •K. •i. ..y n' ' • t .
<br /> ! : '
<br /> . «..
<br /> _ ,• .x.� ,vr• _ 7.1 .
<br /> . . , , . g ON
<br /> , '.C'tl' 'G;YJAI A
<br /> ... :r,i. ?a�A: : :,r,w . . .. ,.7. ,.. ., . : _ N°•; .. fi "•8: .: r,
<br /> t 7 ,.;: ,;, , .. t, .. • r,c <y-:r, � a�.i+;-•Vn ..i•, . :-zirt::>1iA'::. xIN A�.v4 I�ici "' , ilon , gi`" ;;'' _ I'll oil _
<br /> r,F'!feT�•=+a','ww+" •4J'M,li�.rr-iY. r 'fi'r:,r .l::rn•G 1� eV . dy '41or. - .. .
<br /> .• n � ::. ' i.t + ax�c:d' ::o: � . W,t ':Yrs d: .a1PtIc•: •t ' y; �•, . old
<br /> No
<br /> , ' , .>x, ? � t: •+:., '�1 :') �+ ,I+., ,.411 0 J! ,': . ..
<br /> ., ' �. , it i' Gill b�' .: . '
<br /> �' •:6 Nov. • ' . ;i a:,'• -%/JJ, >atal tH:-r � •1 • .J,. • . ,; i ' ,�
<br /> r+ w ' . .
<br /> - _ a'yA b',.. E,:oJ� u;ut, :<F91 ,1 . .4rr. • salo..li :: t. .
<br /> . . . . ,. ..�, � . ..,i �r'^I4� , . .. I . ' �. .". Y::if:l.5r• 'J}�Slj, v ,ii )V,... 'r''l,S 1iT 1
<br /> ":
<br /> J .—� r ,.izii ',LbuS a �c3}•t!r > ' s� S , :• 'J
<br /> }.r� r: ryen,. :! aa - ax.r •v •4,ns, 1= . vV •,..,4 .,:o•;n , '.r. :. •'.� • , �a. 1 ,l.. rb:A •,irv;h ._r„„rivet^: E{ ' A 1
<br /> .
<br /> A. • ,hj'•:' bi rt„ r .A y •' y q 'i' C” er etas.,: ,•.
<br /> 1 >W 151 bL� 1 a.
<br /> a,' 41 A
<br /> W fiAATi 1 r N 1: •:e,.1. +.. a: . ,• . ..� y : A• sr �z � ryN
<br /> ANN Add
<br /> r;o.l PAN iii Ad
<br /> 11 it I I
<br /> A* :JIM WAMI
<br /> AN I
<br /> im
<br /> AiA
<br /> 1 4 AN No ANN /IiST r 1_9QUID (1�HYL ki t 5; :�>
<br /> „ L,SC�1Lti' „ f.
<br /> _ F : , •. P AN
<br /> 6A`t �'
<br /> 'U �1 NAl (r�r.`nnAN :1i
<br /> to MOF; LE . : a. �PXINNGRORAF.PAZARDOUS ! i�O E 223 . .
<br /> f� �Cyj'.,�, FANrJ:: ial•:'rr . :.d: , ,,: ., . . .7.: •rIF 14
<br /> n •, . .y ,' i
<br /> '17K • _ .,. i r • ;•' . ....i � L l � . ) .•. s N � .:' i12 •v:' )I.i:1.4 �i .f , +j :1 +5
<br /> r ,.
<br /> IN
<br /> r • . v . .. y , . .. 1 ..�,;i•'f' ,. I1 `i. r +'Y 'ol�. '•I,,.. ✓i• , �
<br /> 11
<br /> 711 ,07 A
<br /> A% ' Ned, / EMPTY X75; FACILITY. HSC :`: .Its Aid I
<br /> '. ' ,
<br /> -1,:
<br /> oil P
<br /> _. ,... . .. AN ,,.. . . K
<br /> 11
<br /> o':r7en' ttor:» ' AN VIS to 1 � VF11714 11,A� s. .,....•
<br />! . .. . 3> • fV11dS lief ' {at�l tt )LEM lif�K TWj= ": • .
<br /> hwaby oarttty that:.,
<br /> By evirfif . Fit A* A 11
<br /> (Waste oii ' erieratoricu6tomel MUST cher E of the foliowlr7g. thCee ' box8s)'' ! }Y '
<br /> A
<br /> bK�06!
<br /> 1t 'PnY, f)I Meribpd. an h .
<br /> tltl • NitIts is a Add ods�JIM
<br /> "» rstwoov I>ro !� ! isI «ps►do 'F!aetcl �" 4� � Are JONVIIJAlto S to . 0io a� rthl�ne fiDi` I.�>�iod{aa"� ; a. � :" 1 S;+,y PeEee;,i
<br /> N ' 6AN,
<br /> .. . " so AN III "S
<br /> IN
<br /> r •
<br /> K,l have not mherl any of Hfu waeta. tleaprlbed atlov$ vrlttl erry other hezardoue waste; ftte lotai ¢�vllde is GR"All Man 1,000 : ' " • ' , ., It ' :: ;1
<br /> heve 'ptoli(ttD9 prriper tloaurr)etttatlon to tNeritl 011 Eravitenmonta► Sar, IoQy to rahtrtthe Ppayw+d the waaty4oee noWonteld ” GCBs. I .�
<br /> presutfiption lbat this waa mixed with other hug= WON I agree to 04 Wth%Nott .
<br /> �ta>yee for17►e.d[sypg8t d tltta weete >f the Ntformetion I h provfbeLd ptwul MIA M sate
<br /> Is rrn byrectIN 1
<br /> �; t�j rfiteir 'Ibrno;meternl �utiicr,:e�,v�crn asatedlt*atiE' hongt ' ;°8atcyb �nriry�ald_rNo ' let AN A
<br /> cw iv : ,t ' low
<br /> ' ' : �
<br /> ii +ty re§�rblr2oiN�lh6dFn;rn'y �iYiCE�iQ6 "� ' l� witeyrPl�*n efnFt 4winifryaOiiatBrtCE6QG)tB40CWtflLMa66elst�tliry '
<br /> (,,�
<br /> no' r " � 1 °� ' +fir . _ tleldunel. 4{j�c�p8. n l 'o i1Hp 1b to 1 1 � ��g” ed'{tll�swes_tr Yfi1T any pj As7D9frgbl�a >, kWO7a.yl to o?I,
<br /> t.a
<br /> • - - . . .: . ,1.. . t:. 'J ' .?+' t . t . • • , ..tM',,??. . : . . : r, r . ._. . .r . A�; , y. : .. �''tbl W'agteleihrebl7` cta :Jr, •r•:, . .. r � ,
<br /> .= 1•
<br /> (Ai ! generators/ • customers MUS ad the following text. ' ` ' ' ' ` ` ` ` 'to
<br /> Sx+11ry that 1 have a propreln In pteCa to rcGoce Hui volume and EO,EI{ ,ty of wagta garter ne0,to the degree 1 h a Ined !o be economical ' " ' ' _:. '; . " '
<br /> arectbcwble motttDd of tryeDnent, rata e; or disposal c IY prectics117v ane 1 flava setec&xd tfe
<br /> ,.:7AN5,, . • : No . . , �9 urrenfry avnl{yble to mawhldf knlniritiZee tANNhe pre0ertt a re Mreat tb human Itfo ond .ttte ¢nNronracrtt•: '
<br /> Mla1kWhv'duW:el9hlFtriOneWaco set;tot-th' belowonpetiaH'ofouatomer• r ' � :: • ore ' ' '
<br /> mosdMa nii; primandnacuret&eaPxke2ed. maffiedt.and yam ° � and \rarrantrttesthev t3�aauMof9tysobindcliatoaler,.rhatirrefargorn dmnrtpHonaclwacio . '
<br /> rocstY for trir7eportaHon In acco.d
<br /> zY the StZIndaed3egoB and Condl ofm,on jt!a reverse elle et this , . Iee Order, rvhhePWa tp etate•and federal rngUlatlons,,a)t that ouotornar ahall.phtrte
<br /> ;etvree Orders with an age ug waste manifest (eithti• 'slte specific or eonsollttated are
<br /> )f th eMenNest Pro9 ase vary based on I Ienitest loable fees will's ) eu41 o n EPA Fee, T v r fire EPA para •through fee and adriNn n
<br /> fYPe ApW appear on'your'D lfn f olbc. letrel{n .
<br /> ��•
<br /> :us24mer Sign Date r ver gna ur pe
<br /> E� 7
<br /> trtnt ' Neme - rG-�� id s -r, '
<br /> . i Print D'r{ver etrte A ' .. . , • A A .
<br />
|