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'rl5.5 <br /> r ci' e l . : � f FormApi*bved. OM� )`f0. 2 3$ <br /> 4. MinbestRacki Number <br /> r6 4* SKEw <br /> . + .r z € c s r ,+ + r "Genera eSda ie . ` rfdc rant thanmailingi s) <br /> ::t�ts''::`. .� • :. <br /> 1 r r t 'KwIl. V WEPAI 4mbar <br /> Trtttt <br /> u „' ` : yj� . . . U.S. A Number « i <br /> ( *W1• LLC <br /> U.S: f f'Af13Nurhber <br /> iii 90144 C�4►44 � <br /> 310-83'5-9998 <br /> fabiliprs.ptiaile: ... .. - - - _ _ . . . . .. . .. . .. .. .. ... ........ .. ., . - <br /> ya gb. U.S, DOT [3aodoon (Uidudirig Proper Shippkg Nairne, Hazard Gass, ID Nud ar, 10. Conta 91: Total 12. Unita <br /> and Paat3ng Groujf#ttanY)) No. ., 'type . " Quantity vltJvoi. <br /> 13 W ste Codes <br /> )ii44 i : . <br /> SOLID <br /> r �T � p 223 <br /> HAZARDOW 2 300 <br /> 31 <br /> a . <br /> s . : . <br /> i . HandBng ntdruetioilsaiidAdditionall 'on. ; ?. '� 77451 8011 3 <br /> KR6I �Y 111- : ` .76LT <br /> TFD <br /> _ " p L C I? CARRI Rd <br /> M <br /> pr rl,rr 1$. GENf?fIATOR FRF s$ dna txxiiei>is of ihlb cafsfgnrrient are tulry and sodirataly described above by the proper slitpptng name) aril are classified; p <br /> markbd and liibbI6d1Oaci IW: -and # fn effl�: bT}s i'ibnd'i1�h I& ftn3port a06601" to apPircabie IrW+rtatioilal and riationai govemmerstal ieguiatidiis. ti export shipment and ! am ffie Primary <br /> Expbiter, t certify ihatti9a ctinll�r itrit;7ienf txm#omi Ib tda (anas st itre attached EPAAckrioivledgtnbrit of Consent, <br /> I certify that ilia %Weminkalx i`st,6 ., ' ,._ . _ .,. CFR 2df}7r s) 4118m a large quantity generator) d (b) (If f ani II 9Uantity gen ) i3 tine, <br /> oPsfOtfierdr tom' " : Signature Mon Day M Year <br /> _ <br /> ElExport from U.S. _ Port of entrylexlt: <br /> .. Oty e... .. . Date ig iviriig U. : <br /> Tt Cikieftr' finghf of tYetEf A#afsfiaiq. . . .fr <br /> _ . . <br /> -'F , cl4tl/I Signature Month Day Year <br /> 00 <br /> Vi . . . .. Morel . p <br /> Tta f�ri ' arch r <br /> Slgnatu <br /> o ay ear <br /> f <br /> 1$,trap�ncy <br /> ik; t3fsci epariq Iedk atitxi Space" " Y❑ Quantity El Type ❑ Residue ❑ Partial Re)ecuon 0 Full Re) <br /> ManNgReference Number. . ... <br /> �"� 101i, PJteinete Facility (or Getteraior) U.S. EPA ID Numbei <br /> FadiltyePNone:. <br /> 1 (k. ignatureofAdemate.FacilKy {otGeaerab>� Month Day Yetir <br /> 19, Haipidous Wasie Report IAanagament tyieifi6d Cdtes.(i e, codes tot hazardous waste treahnen( . disposal, and mcycfi systems). 11 PW <br /> i. 2. 3. 4• <br /> ;O. Dei ifaied Facility OwNat m Oparelor Certification a< receipt of f)3zaidpbs materi s rbvered by the manifest expept as noted In Item 18a <br /> - r".� : � Signature on D <br /> Vill <br /> VA <br /> } i7F . . .. .. . . . . . <br /> d I <br /> . ':nous; adlti67is �t�. otSsdl te. D $�G1ATr ' " fiAG1U1 YTO . 3 � ItAi� [~fA # `...:; . _ : ) <br />