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1 0. SAFETY—KLEEN 0," , S 01.7 PA03f7v I <br />PI -ANT z 891- LDR NOTIFICATION F(IRM <br />6LNE-RATOR NAMEt Ferguson MANIFEST 14 <br />OR SIERUICE=.NO. . <br />SK Ship ing #-. 221-990979. CUSTO -. F E I.` " 4 V, 3 <br />Pursuant, t6 40 CFR 268 7(a) I hereby notify that this shipment contains waste <br />restricted under 40 CH pil& P68 land disposal r*striction5 (LDR). <br />A. GENERIC. WASTE NOTIFTCATION <br />----------------------------------------------------------------- <br />LDR F0 N 101 1 MAIN111FEST PAGE/LINE41; 21 1 12514o;16--- NO <br />r <br />"3 -(DOT#-. <br />fR NY) <br />:?Rf3S'rVf- (,VlnRnCT - <br />f <br />r COD Ff� r �vv 161rTrE-'R'TSTTC 'WASTES <br />Ef'.41 WnPjTF C 0 1) L.-: 9' & -JORIEf") EF ANY) <br />7 <br />D002 C <br />Tre---.i ity T gryup: NNW Non—Waste <br />—i ;v Co5.;titup it Nntj f icatj on.- None <br />LDR FnRM L.TNE NO.- 2 MANIFEST PAGE/LTNE4 01/002 SKPRFL <br />NO: 1378249 <br />511-<1311TO. 7`321014 <br />EPA WASTE CODES & LDR SUBCATEGORIES (IF ANY): <br />P1001 LQ LIQUID ):= Ift TOC <br />Treatability group: NNW Non-Masto Water <br />Waste Coustitu-nt Notifiration: None <br />---------------------- <br />[.DR FORM LINE Nf,1- 3 MANIFEST PAGE/L TNF# 01/0Q.13 SKPRFL.. NO: 1.378155 <br />BKDOT4: 7920974 <br />J <br />01 r— <br />T. -,(-,FTrfr 7 <br />(PRINTED CIR TYP(--.D) <br />P AN': S CS, D REF -11 <br />TOP COPY: GENERATOI::? MIDDLE COPY: FACILITY <br />SW <br />BOTTOM COPY,� TR(ANf--3rF1,7R <br />