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Pleast-piinz u-typ :Form designed for use on elite(12-0kh0 N'pewdter,) Fomi Approved.01MB No.2050.0039
<br /> TrackingNumber
<br /> UNIFORM HA7ARDOUS 11I.Geneiatc, !DNumbpt 12 Pazx (4 ",B"16"ficy R,'1r,U3-,- Phone, 4,Manifest'
<br /> WASTE MANIFEST CAL 0 00 09 5(99 6, (8 0)424-9 0 015481745 JJK
<br /> 61 Getterators Nam--and I whn3 Addmss Gpnemoes Site Address! d,fferent thrig mailing address')
<br /> aty,of Minteza
<br /> City of Manteca
<br /> 1061 NVes-t Ct-riter Street,Manteca,CA 95337 1077 Nfilo Calls tri Drive,Manteca,CA 95337
<br /> (20q)456-8415 Attru Greg Showrennan I
<br /> 71G'S EPVjNurtz�r
<br /> 6a:ls��11' I
<br /> Transperr:compiny Name LLS,E-PA'I'Nun-ef
<br /> A.Pe"nated Facky Name and Site At dress 35.E PA'D Nurnbe
<br /> II Buttoni-cillow Landfill
<br /> 2500 West Lokern Road,Britton willow.,"A 93206
<br /> (661)762-6200 CAD980675276
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<br /> iz pew PanTm iristtuciions and Addjtiu'eaE Infommton
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<br /> -']can Harbors Profile Nmirriber: C H 1 3 1 2 3 0 7 B w p
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<br /> 0-5% War appropriee Personal Protective EcIiI]ipment as necessary
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<br /> �5,HazirdousiVaste Ri,,pcq Colles ii nodes for haz,),,driuvuate it,,eanent disposal,and wc,JTN systems)
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<br /> 7-ipated�F-a i;,""y O'&nerot Operator of receipf d hazwdotis rnat4riats co end ty Trte mitrl;,,�s�f,.,xcvtp1:',i.inted Rem,18a
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<br /> E Pi`,r orn 'j 0-222 Rev.3-C., P re-viou s editions are obso'ol e.
<br /> IUICY 1O L)ES'Tj1,b6,-fKX! S11,D-411EL' fN- C-1EQURIED'
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