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Please pnn;cr;Ype IFwm designed for use on este f32-pif&%+yrewrter) Form Approved.OMB No.2050-OD39 <br /> UNfFOFti HAZARDOUS t.Getty b tNuml er erg: , l c 4.Manifest Tracking Number <br /> ' WASIE MANWSW JJK <br /> :Fraratces Name and Maim Adtess Generalo s S to Address '^Nr.reart than mei'.n9 address; <br /> Ger .-tr's Phare: <br /> 6 T a ,aper 1 Company 7arrle U.S.EPA 10 Number <br /> " T•, .•0or2C0mpanyNwrk U.S.EPA ID NGrnher <br /> a Des.gniled FaAh Name aed$i!e Addre85 U-S.EPA Ip Number <br /> Facd tys Roane <br /> 9a- 96 U-S.OOT DesuipFion(tdpdxg Proper gticping Nems,Hazard Gass.11)Nrmber, 14-C xila creta t1-TOW 12.Unk 13 won Codas <br /> HM a-'P-drg Grout(if any)) <br /> - Na 7}pa Cuenlay 4ytNot <br /> O <br /> r <br /> Q <br /> LU <br /> LU <br /> LU <br /> C7 <br /> i <br /> 14 S� :ra.Handling htshuctrons and Md.tmnal Intpmurwn <br /> T� GEN VLATOW&OFFF ROR'S CERTIFICA71pN:I hataby dentate that the coliertp d lhre-c^s girnei!are!Wl and actaralely dt!M'be-_abeee by the Proper 61100M F0110,a d are dassi6ad,padraged. <br /> ma-kec arc falM.Jedrplaiwm.and Win sh rsspegs in tYnperowdilfon for tanspurt aopMAM la appl'rAUe intemaburdai3 rational <br /> yavarrmentai regulatlaas.Kexperl shiprrrent and i am tl>f PM1rsar}r <br /> F x,"r.l Certify that trio MdoMis Oft*consgrmenl c~r'c,^10 the temp of the atllOW EPAAck-ooxrl%%rnent or Consent. <br /> I Cerrf'r that the waste rr*n WMign statement idem led in 4d-,FR 262.27(x)(p 1 am a Fargu quantity gsne'a"or(b)(61 sm s smar quantity re neralor t is true. <br /> Geennd';':r MemelPr.nrc-TrwdName =i^ahtre "-rt7 Dar Ye8r <br /> -1r. -'a!Shipment ❑ II----�I <br /> i- Impart b)U S. 1J ExpaK tram U.S Porto}erlbyraldt <br /> .S..wTransF::1�1;grature(ror ecports or1Fy); Cate leaving U.S.- <br /> 26, <br /> ;17.Transpc4TerAdmededgntd 9 d Reoelp!of MaWi& <br /> w TranSo;rter'Pr[nt%7L ped t4atrlb 7igrkabda ?,1:r;r U,; ?'aa• <br /> O <br /> co0. <br /> rr.::.sF^nar -rjtedTypad Namesq-mre Mo•uh D.-,, Yaw <br /> lea !]1sora0anCy Indw6w Space ❑ Q�ntdy type ❑Residue L J Partial Repoli .J ru 1 F gecbor <br /> AllmIteal Refww"Number <br /> 1 By Aran,a Fedllly[er Gene elorl U.S.EPA ID h <br /> J_ <br /> U <br /> u� FaolitysPr=-e <br /> w 13= $3na aofAlr2rnaleFaddy{prGarMratar) F,tnth pay Yaw <br /> S4 Ha a does MW Report AArtsryp+rkvk Mee Cads,i.e,codes fpr hatmdous waste 1rca:- dts--j ar:d rec}'rfir5 systarnei <br /> J <br /> 24 Qe° 1-a';d Fadpty Owww or Operator Eedfitatw of receipt a naurdom mat?nal,catered by Um maw'%s except as mored in hem 16a <br /> -pa nted.Ty tiarre -:^orate MG-dh Day Year <br /> EPA Form 87ON22(Rev.3-05) Previous edificmamohs*tq. GFNEFIATOR'S itslf"1"1AL COPY <br />