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•k'744_i!ol.j!)F,I.()t). F'tit 1W 10 l0 `,'t►to ! <br /> Please pmt or type.(Form designed for use on ekte(12-pitch)"Wriler.) Form Appmve&OMB <br /> UNIFORM HAZARDOUS I t.Ornerata ID Ylweber 2.Pap 1 of 3.Emayaxy Rem Phona 4.Van r <br /> WASTE MANIFEST A f 0 0 0 .14 +4:3 9 4 j ('r4o f)i ,T t r"? I t t 0 112 215-7 3 <br /> Y ,#lSQfi t ,t�ialingA cq eraPo.s da Address tent than ma+IngerldNgl <br /> ,:r()Vrnt 41f+440; 1014I-xpy <br /> GencrHbr'sPttone t%tt9194':31t"160 <br /> 6. tanVotter 1 Name VS.EPA 10 Number <br /> )>'•rot?l.,.fur: . i -.mc rtalaNFlCiti qomfjos. 11G iS, % I` i t '.a a P. t9(I <br /> 7 Transporter 2 Cemrany Nm* U.S.EPA 10 Mrmber <br /> sslg mod Faclly Nnme ar'4 Aaaasi U.S.EPA ID Nwnbar <br /> ')fltrnrA 01 Ove Iit?hOw 4"0 fdutlr"1 y golf 1. <br /> 4 N 1:)94o kt!d(A rove A"nuo <br /> t.unaaltlati Mf 4523? <br /> Fad Ays <br /> ga. 9b.U S.DOT Desrf p n(:neiA ng Proper Shlppmq Name.Hata Class IU N wr.ty. 1 C.CoMaitas t I TOO 12.Unt <br /> Hh1 PodPnWgGmq(it atty)) t3.YWauC <br /> N•o• Typo Luanky Wt,4et <br /> � �•tIN:31�t;. •� it�'.t ,rtJlgiNflidii"t1NE2lKiiYkF.lcr . <br /> o iifYlllrr.x;Hi!►F;�� �� In,';n►t>alNlt nr•r,�)1,fJ,9'(�a ,, ,; • <br /> z z <br /> 301 CCR 66262.34(d)(2) Facility not maintained to minimize the release of a hazardous waste <br /> Violation 301: 1 need a statement once the battery area has been cleaned. <br /> 'The battery changer/charging area &the old sold forklift parking area has been cleaned and the waste from cleanup <br /> were all picked up by Clean Harbors Environmental Services on November 2,2017. We are placing an oil drip pan under <br /> the oil-leaking area of the forklift and immediately clean all stains and place all hazardous waste in a proper container <br /> for proper disposal. <br /> 6 <br />