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Please print or type. (Form des(gned for use on 44110 (12 -pitch) typewdter. <br />f. GenerelorlD Number M„� ^Ntl Fonumbproved. OMB Noa. 24056{ <br />UNIFORM HAZARDOUS 2. Pagn toi 3. Ereergency Response Phone 4. Manifest TroGdng Number <br />,p <br />WASTE MANIFEST C 0002,21604 a h T A A n r`, n A n <br />1010 Wushial ®f Siafra Cherniml <br />SbiddiviniCADSM, 101011adustriat Lir <br />Gumnatorsphone: 209 [f7w7156 Staiddil CA 95206 <br />6. Tfanspoderl Company Name <br />U,S. EPA ID NM01 <br />6lgenir�ao ; XiE-Ls 67 ? � anol79747 <br />7. Trenspaiol2 company ame <br />01111wrd EWwrimarniali sw4fM US. EPAID Number <br />B, Desgnaled Fadiy tVame and 3ilerwdress <br />CAM2523433 <br />- U.S. EPA ID Number <br />� <br />at 30474 7N 19,20119 <br />nA; <br />BM3 37"642 <br />Dasonjouon(hoodig proper Shipping Nam, Hazard Class, ID Number,1O, Conlefnersroup(ifany)) 11. Total 12, Unit1B, waste Codes <br />No. Type Quantity M100).RAF9e�rdaaos Wide Lkyuid (®il)RAHOWas9a ! nilt,a61)352 <br />Nmor-RRAHirwrdaus Tax Liquid ( paint, Rugs) 201 <br />h <br />F.lee <br />wtvi <br />194 fr�Sw: <br />w* IM, Um washe : statement Identified <br />Monthr: <br />16.Disaepanry <br />tAa, Disaepanrylndic lion Space ❑ Ouantiy ❑ <br />Type <br />are <br />maiedals covered <br />m Item 1Ba <br />❑Full Rejection <br />oEsr4ra,�riot� sr�r� �(� ��QufAgo) <br />