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Please print or to ge. 2050-OQ39 <br /> UNIFORMs ",��«`s 1.CleI <br /> umber 2P3JkuyAw <br /> of 3.�sa r � X1rMT35169 FLE <br /> 5.Ge7erat&s Na A � x 1 Iltf&i�s(rf dot tfusr rrra�r g address) <br /> GeneratorsPhone: �. _. -- - 'J r A <br /> 6.T1W. L � '.t%i 9fsl'7Sms bW nC#PWm wit I V <br /> wis IMIT-10ft SCR - <br /> T Tta mpoRer 2 Company Name U.S.EPA if3 Number <br /> S U.S.EPA ID Nu bw <br /> tern t t 7 Ar�a' t+ et s a&l st <br /> COMPTM,CA 90222 (310)337-7100 CAT$W13352 <br /> Fad <br /> 9a. 9b.U.S. ; - : '.. � 1lg Corisrs✓ s : kms ,. ," <br /> .NM apd Padam9&uup(id ay)) "5xr._, ., �. Slyasta Codes <br /> .LU - - _ <br /> Uj <br /> 3. , <br /> 4 <br /> 14.Sr Hand mg Instrudons and Add"Vxmaton <br /> wilow (kw' <br /> AW <br /> 9 3. Emwenrow paare Numbw(w"w7n T <br /> 15. C ATWSIOFFER3WS CERTIFICATM: I hereby dedwe hat the wrrteMs of Ibis cartsxjnwfl are fatly and accurately dela ed above by the properstr R;7m re,ard are ciassi6ed,packaged, <br /> marked and hbeladlpLacardW,and are in lI respects ism proper condition Tor transportaccor ft tDnpk2ble re9ulappns.l aeon sent and 1 am the Primary <br /> i=xporter;I certify ft the=Tterrb of this consigwerrt=*m to the terms of the attached EPAA*&Wedgmarst of Cmsent <br /> 1m"Vaat the waste mgr r shadement Kk%bfied in 40 CFR 2B2ZI(a)(d i am a large Quar&y generator)or(b)(ifl am asrrraR GLwh 9eiw )is um. <br /> Gema yped Name ' MaM Day 1Yew <br /> y 16.Irr�matinrial Shipxrreirts <br /> ❑lmpoRto U.S. ❑Eqortfram U.S. Pat a€etttryle>at <br /> ? Fra signature(foremxts m*): Date Wa kv US.- <br /> w17.T Mxw4adginant&Rerx#of t�aieridl5 <br /> li Tans 1 Na a MxM Day year <br /> 0 <br /> I <br /> 0. cj6j <br /> Tfgnsporter I Pmttedffyoed Name Signelrne Month Day Yew <br /> 18.Disaepancy <br /> 18a f repancy hkabw Space ❑ 1]u,N ❑Type ❑llssidue ❑Pastia) ❑Full Re)d. <br /> Manifest Relgrerm Number: <br /> 186.Altemate FamTo(or Generator) U.S.EPA ID Number <br /> J <br /> V <br /> rar. Facit4l.Phone: <br /> W 18c.S04-ofA118mate FwTty Or Generates) Month Day Year <br /> 4 <br /> z <br /> 19.Hazardous Waste Repot Management Medmd Codes(Le,codes for hazaWous waste frearrenf ,and mqcfiN sysbeIms) <br /> LU 1. 2. <br /> 20.Des'919tiRd F-Tdy Owner or Operator.Cerd-bort of remipt of hazardow malerials covered by the raarmifest except w acted m item 1 <br /> PrintecuTyped Name Sigrahxe month I3ay Year <br /> EPA Form 8700-22(Rev.1217) Prevk)us editions are obsolete. TRAPORTER C€?PY <br />