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EXHIBIT 9 <br /> Please print or tytre. Form Approved . OMB No. 2050.0039 <br /> UNIFORM HAZARDOUS 1 Generator lD Number 2 Page 1 of g <br /> WASTE MANIFEST <br /> 5 Generators t1arie anzl 1,1a ilno Addre-�= C- rof oof , Site a 1 Truss (1( dilir, renl than mailing address) <br /> Generators Phone: <br /> r: Tr ttgi:)rta r 1 C1nnpany Name U . S EPA ID Numt7ar <br /> t2 t <br /> �) <br /> i i �m,1;&its r t r.1a.a❑y Name ) . EPN is'� tvumistsr <br /> US EPA ID Number <br /> ga 9b US DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10 Containers 11 Total 12 Unit <br /> 13 Waste Codes <br /> HM and Packing Group (if any)) No Type Quantity Wt Not <br /> r ,z r , r. - <br /> n <br /> 71 <br /> nli <br /> 1r1, It <br /> LU <br /> 0 <br /> t <br /> 3 <br /> 4 . <br /> Epactal H'rnriliog Instnrr,A •ns and Ad<btwnai Infotnlatlan <br /> 15 44@SNERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately describove by the proper shipping name, and are classified, packaged, <br /> marked and labeled/placarded , and are in all respects in proper condition for transport according to applicable international and nationel governmental regulations. If export shipment and I am the Primary <br /> Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknovdedgment of Consent. <br /> I certify that the waste minimization statement identified in 40 CFR 262 27(a) (if I am a large quanyty generator) or (b)fill-pm a small.guanfity generator) is true <br /> Gen rralnr'.r. _ tlrr ',r'sPfIrdodjyperdName Sigoattne t,`ttnih Day Yet:[ <br /> r <br /> it lnlerrrat+'onaf Slilprn its " " <br /> � Import to U S. ❑ 6xprrt ftn,ri I� S Psar{ o( eniryc At <br /> Z Date leaving U S,= <br />`s <br /> I W 17 Transporter Acknowledgment of Receipt of Materials <br /> tFw Transporter 1 Prinledfryped Name pmonth Day Year <br /> O $ f <br /> CL „ <br /> aTranspodeP2 Printed/Typed Name ' Signature,=' Month Day Year <br /> F <br /> 18 Discrepancy <br /> 18a Discrepancy Indication Space Quantity El Type El Residue ElPartial Rejection ❑ Full Rejection <br /> Manifest Reference Number: <br /> 18b Alternate Facility (or Generator) US EPA ID Number <br /> J <br /> U <br /> um Facility's Phone: <br /> W 18c Signature of Alternate Facility (or Generator) Month Day Year <br /> Q <br /> Z <br /> 19 Hazardous Waste Report Management Method Codes (i e , codes for hazardous waste treatment, disposal, and recycling systems) <br /> � '' 3 <br /> r � ! ' 4 <br /> rr 's <br /> Ll20 Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nc(ed in item 18a <br /> "nnle� yprdh;alne 3+gnan.re Month Day Year <br /> 4 :' it F ti, t I I ` t ,; , <br /> EPA Form 87o0-92 ( Rev" 12- 171 Previous editiuits 'are obsolete. DESIGNATED FACILITY TO GFNERATO <br />