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" ' L-- 3 D�. 6 3 6 5,. .Sj , 0 <br />• 91236-15 i � � �.,,3 }' <br />. Rr6ft•Allype. (Fonp designed for use «� eel@e (12-v�jL Yet,) t.J2 <br />2355036 <br />FormApwowd• OMB No_ 205041039 <br />EPA Fain 8700.22 (Ray P1 NrfkGrs e0ans infabWEL- —' - ` . — ]/ r� DESIG STATE (IF HEDUIRIED) <br />12376.012516 <br />018FO HAZmmw 1 Gomm 10 Nwram i . <br />2. Pape 1 of 1 Emergency Rasp—Prate 4 <br />Mantlest Tr rift Number <br />CALfl a4 "3 752 <br />l (1977) 517-213rao 1000 <br />12 8 5 7-0 DAT <br />L <br />s. Qrmerelots Narne.nd Mafihp Address ' V -�'r _ , Grhaiters sfeAddras {d dl8aera than hrha>lirhp addrus} . <br />Smit ft111f1tis 5ePffit:e3 ;r' Stela it Wing braces <br />705 IBdustnal Park Drina 105 lc&strial Nrk Brute <br />G—mftls1209)02§-7042 himtem CO 95331 12091025-3042 <br />8. Transporter 1 Cam"Num US. EPA 0 Number <br />Environdental Hanaqement o.f California LP CAR0(10210517 <br />7. Thamporter 2 Nero US. EPA ID ikenbs <br />5 <br />0esgni W Faaiy Name end Sft Address U.S. EPA ID Number <br />219 CC= EW1GL- Il EL IMMEOI 4f CEM, LLC <br />2095-talm DME us - <br />F=WsRwoe? _ I NVD9D0895339 +� <br />9a. <br />9b. U.S. b0T D (idudinp Proper Shp M Nam HjxW Ctass, ID Number.' <br />10. Cartaiws <br />11 TOW <br />12. Unit <br />19 waste Cada <br />Na <br />Type <br />HM <br />and PacWi9 Graq {deny)) <br />Oumly <br />WWaI. <br />1 G►nI49 BARE ARMLE LIQII , C.D.5. {01L'm splamr <br />11041 <br />Belo <br />FNI <br />RQ <br />3 FI?ll fi0(1MI=IOOLDs1 <br />DR <br />P <br />216 <br />z <br />1n-kcah wmis ME, L nim (OILY imm) <br />221 <br />D11 ' <br />l%O4 <br />P <br />3. r <br />I <br />F <br />4. <br />14. NardiglruhumsmAndAdddlCnallnlGanatial <br />(1) 153122 -00 -SMUG) HM 5GLEN5 (21 752190-00 - OILY (NITER <br />15' GFJ4ERATOR SfOFi�ROWS CEfiTIMTiDN: i haiby dw2we to the mntend d this ami raM an tty and acmmtely deahtlxed above by the proper yl"N name, and aro dasaiffed, padraped, <br />marked and iabetadrptkanded, and am In of r qmn In props mrhd' for tampon aocoduhp 14 g0mbre ftmafionaland nat al perm mnW mp Addm. t expert del wl and I am the Primary <br />F.h�aner I aNy that the harrterhta eT rhes cxmlprenent oodonn b the lemq d fee *=dwdEPAAdmwbdpmod d Canerht <br />I ehrtily fhil tea waste mxhinintion entuhruht ldadifad to 40 CFR 28227(5} {d I am a hrpe quarhtlH 9�+�1 � Ib) {dt am a smau Ov+rrfH perorawr) is bue, ' <br />Pdhrtadff Month Day Year <br />18 WerrHtiorhd <br />❑ fmporl to US. ❑ Fart 4an US. Pat of <br />— <br />Trinsporterdpnabue(brespotsahy): Date kffA U . <br />SOC <br />17 TompoftAdawAftmad d Ramo of MffWiah <br />Trenspurterl ypedaame bee MonthWy <br />7Yasr <br />ev r— � ti/1 oVl .% 1 3 'Iil <br />Month Day Year <br />411a&- <br />. Mchimelld <br />1a mmmpaecy <br />1u Di cmpwcy hS atw Space ❑ 0.0Y ❑ Type ❑ Residue ❑ ftU Rulon ❑ Fw Rejecy. <br />maraca Rehmme Bauder. <br />r <br />186. Afemafa Fae ty (or Generatoq U.S. WA f0 Mm6er <br />ri <br />Faes'dyi Plwne <br />I An of M mma Fa ft (ar Gerte Wo <br />tAontr Day You <br />a <br />x <br />14 Hazardoha Waste Repod Manaparhad Method Coes Rs axles fm hazardous waste bulb" dtsposd sd reeydihp systems) <br />C <br />1 2. ` <br />A <br />4. <br />2o. 0es%mrad aa3yy ar Opaabr Cmtftb m d mc* d huwft i maWbb mvered try the mah>✓I ' erm$ as rn fan 1u <br />pm—ewypw Name Year <br />EPA Fain 8700.22 (Ray P1 NrfkGrs e0ans infabWEL- —' - ` . — ]/ r� DESIG STATE (IF HEDUIRIED) <br />12376.012516 <br />