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YOM ceslgned'a use on efde(12•;Ach)typew+Tef) Form Approved OMB No.2050-0079 <br /> UNIFORM HAZARDOUS 1 General 10°� n m0er � �� 2 Page+of Ertx+gMcy Respons°PMne {. <br /> Mal <br /> Tracking NumDar <br /> WASTE MANIFEST 0 P`OC� Zcfl�v/7/ -- 003623313 G B F <br /> I Nr+e aM Matllrg Add2ss GaneraWs xVI Add ss pt rn' rerts than maMrg and m) <br /> 4-rz-- Bea) F -leSt,D y O� <br /> Gene^az+ts Pnma.. r 7 I/Z I / <br /> 5 1—�±COD.rMF+"I'Name U 5 'A)D Number <br /> Trar3M a,2 C"-W7 Nan <br /> /� U S EPA+l0 N~ <br /> E Desgral-Fla i I Nama r I Sna Ad0'eas T l <br /> U S EPA 10 Number <br /> 2�3o C. 1� ST[�Yv,l,�„� X}-� �.3G•S 1 �1 <br /> CIF&,-u SPM/� 7 — 37 <br /> 9a 1 9-V S DOT D",050,(-*dn9 P tm shil Nims.Nazary CMr,t0 Nunftr, 10 Cowmmmra 11 Tmml 12 Unil <br /> HM B d P26IN C+'04(a MY)) NO T OuantRY MAN.. 13 waste codes <br /> tpe <br /> Soclp Df� <br /> W <br /> W 2 <br /> 0. <br /> 3 <br /> 14.Special handYnq kwAKlma and Addga rmi Monraaatxt <br /> ?- <br /> 15L GEMERATOW&OFFEROR'E eERnFICATWN: I IIreDY OeC1a7 ttit ar mn!ln1l d M mru.grnan+ara I+IY and acmrany d"cnbM above C dy <br /> r+uked an!lafxmdt.I^.arded.and an n tll respects n proper Oordlton for VanspOrl aomnl3 b Y DmSer srvppnp name.and are tlasmhd,padagrW, <br /> rig appbcabh Imemab b <br /> Esporam and national povcmmenty n!rrAahont If esporl shrpnynt erd I am!y PAr+vvy <br /> tcr.I rnrtti Ral^r oen'rnb of M mrngrvnMl oorlarrn he Yrnls d the a3aC+td EPA AdcnoracdqIers d Comer{ <br /> I cerbfY Tat the-aste m'vmt7alm staWW%denb!kd n a0 CFR 2f12 2Y(a)(K 1 am a Mrpt WmbtY gena+alor)a(b)(KI 19uanbty genera+or)Is brut. <br /> Gena_�tdf ObvlaPnnlM'TryeIINam � /� yyy� <br /> IF✓~ \^7C�.�F`J\ /A-k— <br /> Month Day Year <br /> ,J 1d imemaorry Sh�en� <br /> 2 ❑knporl b U s ❑Eaport hom U S Port of entry!de <br /> Tra^spn•er I"tu+a(for on"arto <br /> � Data kaw+g U S <br /> W 1?T rI%P0 V AdO12-4edrsy of Rem"of MawW, <br /> p~C T 1 PnnkIG7 red Narm Sol / <br /> * ! Month On YeAr <br /> aZ Transports 2 Typed 1 Name t1 <br /> Month Oat �Yaww <br /> 1l <br /> +S Oisatparcy /O 9 �z <br /> tNI Dt"l In a lcn Spas ❑ taantlry ❑Type ❑Raw. ❑Partial Rel ❑Full Rt)ectidn <br /> +Pb.A`emafe—e y(a Generamr) Mandest Rek+ency Num <br /> u <br /> US EPA 10 Number <br /> U- F"tl I Prey <br /> tdc.S'italae dA'trnass Faac7r(p ) <br /> 2 Momh Day Year <br /> C3 t9.t+a7=dcu yt pm RepOr(wane9�McOtbd Cedes(1 a,cedes hu Nesdots a`KM treabnnA 63POSM.and recycling sritems) <br /> L:21 7. <br /> Oeegra41d FaoTAy IOtms a ODwator Ce*hmbm d retxpl d haradous ntatartya mvered 6Y tM mwkst <br /> nay YDed Flare erapl as raaad n Item IM <br /> ��� Marrh DeY ear <br /> EPA Form 970x}22 f Rev S p5) Prevlotn edltloro aro obsolete. <br /> nCQInmATCn 1:4(;11 ITV Tn nVCTTMATIMM QTATC rtc mcr%l IIt3 <br /> Scanned with CamScanner <br />