Laserfiche WebLink
M fA _U4�- p <br /> �• O 2 1Z 0 <br /> (D — <br /> -0 � Nv <br /> v (D O CR <br /> -n o a* mm <br /> Q oho 0 <br /> o _ o <br /> 3 N) <br /> � fined for use on elite{72,pttch)typewriter) t <br /> JS i Gane2tor 10 Number 2 P e F gf 3 E ne FOr h Ap pved OMB NO Xi56f1173g <br /> AT ag rgAncy Response Phl 4 1Nrdlhst TM ki Nvtnlssr <br /> el Mal 4.i&�, 005888068 FLE z <br /> Grnnralru'-c.rn AddrESS{ Mlhan maNrg 1 � <br /> M <br /> W <br /> (n <br /> Phone <br /> porter 1 mpany Name 7 <br /> U —E P—A Ia7 Kft <br /> 7.Transporter Z Company Name D <br /> rl5 EPA lU N6"i (p <br /> 8 6estgnated Faality Name and Sloe Address - <br /> !S EPA tD Nsrrrber 00 <br /> 0 <br /> _77 <br /> Facility's Phone O <br /> 7 <br /> ga fib.U.S.UOT Description linduding Proper Shipping Name Hacard Class_ID Number, 10 Containers <br /> HM and Packing Grouplifanyll 't T"' - n <br /> No. Type <br /> 0 <br /> a <br /> lirz I <br /> w <br /> I <br /> 14.Speual Handling Inshuclions and Additional Infarmaton mry <br /> 15 GENERATOR'SIOFFEROR'S CERTIFICATION:11 declare that the 00hi of this constgnmanl are fully and accurately described$bgve by the pfopershppurg name,aM are amled.psc WW <br /> marked and labeletllpll and are in all respects in proper tenditipn for lransport according to applicable internal al national gdvernmemal regulations.Iishtprtl6ni and I are eie <br /> Exporter,I cattily that the contents of Mrs consignment conform to the leans of the attached FPAAcknowledgment of Consenl. <br /> t certify Nat the waste mrnimizaton statement identrriied in 40 Cl 282.27fa1{d I am a large quantity generator}or(b)lit I am a small quantity generatprl is Irm. <br /> errenatofsl eros rinte yped an* signal Mailh IM ,s <br /> 15 lnic.a5onal Shipments <br /> 71 Z Import to U.S ❑Export horn U.S Port al entrylerif <br /> Tran orter si narure(far ex His onl - Date leaven U.S S. <br /> w 17 TmnspoderAckno"rrientMReMplof Materials <br /> Transpaner 1 Primed typed Name <br /> tynature � <br /> Q <br /> a <br /> N <br /> 4 Taansporter2 PnntediTyped Name <br /> Signature <br /> H- <br /> I} 18 Ds(repancy <br /> I 18a 0iscfepancy IndKahon Space f' <br /> LJ quentgy ❑Type ❑Residue PaRul Ramo �II <br /> rBsR,�bar <br /> t8d Ak <br /> Marl}eat Reference Number 0 X <br /> lemateFacsltyforGenerelorl US EPA C M <br /> a 0 <br /> U � O <br /> � FactlA's Phnne. D 0 <br /> Lu 18c Sgnatwe oFAllemate Facility for Generatoq xaiY-T x * Q <br /> z <br /> r, 1 B Hazardous Waste Reppn Management Method Codas tae.Lodes lar hazardous waste Nealmanl,tlwpdsal,and recycling sy,,(i v <br /> 0 1 2 9 a Q O <br /> O <br /> C 00 <br /> W <br /> 20 Uesignaled Facility Owner or Operator:Cedifcal of rempl al hazardous maUanils covered by the mandest except is noted In hem 1 M d r y%JO I I�. W <br /> Pnnledfrypad Name <br /> (D Ignalure <br /> <� W <br /> I (n <br /> 00 EPA Forth 8700-22(Rev 3-05)Previous edi4ons are ahsalele. <br /> o 1 M <br /> GENERATOR'S INITIAL COPY <br />