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des <br /> se p (301793960psc '�,( P 36.91983-001 <br /> Pleasini QC lyge_(l=4rrn �n�for use on e�(e{12•pifeh)typevlriter) .dam o(m Approved.d�116 Noe.2[1�€t-0ti39 <br /> E: WAU(EA <br /> ORHAZAliDot1s 1.Genefdtcr ID Number 2.Page 3 o; 3.Einer pency Response Phone 4.IitanifesSTratking Ifumher <br /> KANIFES'F CA1.�as1Qa3 {8Ti)s7a-2&Sg 001793960 PSC <br /> �- ra;orsNameandMaiingAddfess Generalors5#aAdtlress{iTtlBerenith,,Fr wgafthss) <br /> BIG Lt3T's S'rQRES Bf LQTS X57 <br /> 3W PHILLIP FID ATM.DENA FE13ARU M., 'r <br /> : 2681 N.TRACY BLVD. <br /> GOLUM13 lS,OH 48228(614127&4614 TRACY,CA 95376 2o9F3306812 <br /> GCneT0b(S Prone: <br /> fa I ranspater I CaMany Wune U,S_EPA ID Yainber <br /> STfE13ICYCLE SPECIALTY WASTE SOLtITIONS INC ASAfSO0O1109211 <br /> 7.Tran porter 2 cmipany Name U.S.EFA ID Nr rnher <br /> 8 Designafed Facilily NaMeandSiteAddress U.S.EPA IpNnrr�er <br /> 21st Century Environmental Management of Nevada LLC NVD930��338 <br /> 2085 Newlands Dr.East, <br /> Fernley NV 89408 (775)576-2760 <br /> Facdi s Pbona: <br /> ga. 9b"U-S.DOT DesOptDa(axtuding PnTerS)Ogng Nave,Hazard Class.ft)Number 10.f antainas <br /> HM and Pa-W g Groep(I a y)) 71.Total 12 U Iit 18. SYasie Codes <br /> 1_ UN19WWASTEAEROSOLS2.1 <br /> O X Na. TYP` Fh' lA''LfVai. <br /> � I <br /> DDDR <br /> DF 15 P <br /> tte <br /> 2 UMZM WASTE COAROSIVELJOUl11,BASIC,INQRGANIC.N.o.S(SODIUM HYDROME, <br /> `Uj POTASSIUTAHYDR=OE)8PGIF ORDS <br /> 1 <br /> Or 35 p <br /> f <br /> 3. LIM314 WASTE TOM,UaUItDS,ORGAMC.N.O.S.(2,4.0)S.1 PGII <br /> D41f, <br /> x t OF 73 P <br /> 4. <br /> 14.Spetfal Fafnf ing hsfr rc" sand AddFRml lnformalion <br /> 0)BLAEROSOLS-N-ERG(126)BLAEROWLS-0-AEROSOLS(2)OLCORREASIC-M-ERGOS5)BLCORPSASIC-64-BASIC CORROSIVe IJ 3Lrl:)S(3)GLTOXIG-M-EACIft5s)83.3-CMX W3- <br /> TOAIC LIWAUS LOOSEPACK <br /> 15. GENERATWSIOFFEROR'S CER'flFtCATION:l hereby dadare that the Contents of thiso si Dm r6.are ii1y and=wMy descntred above by the propersfl ppmg nartfe,and are cfassffled,paska3ed <br /> rna(kW and!a IedfpFaq d,and are in all rspeols in pmpertond6on forlrarspxt according to aptlic&e iWemaltlrral and nabialgovrmrrlental regulalians.ffexpw Aorient and tart Im Pdrnary . <br /> Exporter,lcodify Thal dre Wnlenls of tt*Gmtnn>errt conlorm to the team of ft attached EPAAc ntaf CMr$esf. <br /> rtrf Ib4ft waste rninimira6onstatementaentiGedin40CFR26n7(a)gflama4srgettuanhtygener or0)(10amasrnailpvantlygeaerster}>xtruc. <br /> eratflr rot k- Nene <br /> ear <br /> 13 <br /> El� t .Internationa+5hipmenls � <br /> fmpori to U.s. ❑&,Pori frau u_S. Port of <br /> TranEBer Z -nature For exDads on Date U S <br /> i7.Transpa#erActnotaledyrften(ofReCeiplafMalerats <br /> TralsporberIPrntedffypetlname gnadtre On y ea <br /> n Darry4 Johnson 3 13 78 <br /> Tr r2Printedffypa� e� <br /> k 1,A MmIh Day <br /> 1&Discrepancy � <br /> 15a.Discrepancy Indication Spate D 4uantiy Type Q14esidue Q Parvj Reject en !_i Nli Retealfan <br /> i <br /> Manifest RerezaarxeNumber - <br /> I6b.Atemate FarAity for Gencratof) U-S.EPAID Number <br /> 3 - <br /> r Faeiil�F'lWne: <br /> 18c.SgnaluararAltemIleFaeMy[orGar—or) Wnth Day Year <br /> C i <br /> 7 19.Hazardous Stl<astE Re Mares mens t+Qytod <br /> a 5e Cod=_s{ie.,cndesiof h rtreutment disyosak and r�x3 ct ng$ystenls) <br /> 1 _ <br /> H040 3- <br /> i <br /> HID41D K040 <br /> 20.f?e5 gnaled Faafty Lhmeror fJperaiar:t erlificalion of"I I by of hazardous maleriats wvered tale manitsstexcept as now iff Ilem lea ' <br /> aNnq�cdtTjyped tette Saatu e o hdatth Day Year 1 s <br /> A Form 8700-22(Rev.3.05) Pfftld((IS editions are obsolete. t, <br />