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Please rfnt . GENERATOR I. I L UNIFORM 11117.ARDOUS 1' Gellmbr ID Numb41/ 2. Page idf <br />. !arm Approve& Urgi No. Z950-0039 <br />WASTE MANIFEST CA03031 flafifil___L_____Azz <br />3. Emergency Responsa Rona 'Aseldng Manifest N sr. • <br />'IL JJK Ganaratres Name MAIng Address • -. and • : ,: :-• i • -• Generatate We Address Of Cereal than maili ng addraas) . egs act ''..,... w,..,•,, Ibt~ 1.11111122 Cilditan • KS Wiest , - - - • Sto <br />Genet. r.itePhonec <br />Transporter 1 Ccanpany • <br /> <br />. • , US. EPA ID Numbs!. . • . <br />Pod_ j______2r ____________.1Erkv2restvxntai Sodom ,. • • • . Transpolar 2 Company Nana U.S. EPA ID Number <br />Designated Eatery Nemo and Stto Address <br />CeEfornfe CS Trader <br />MO acess Rd <br />F. rtattdiato, CA NM . ...4 : Phone: - • r...__,..v...:- <br />US EPA ID Nuntst <br />, <br />: : <br />. <br />• <br />. . - <br />Ela RI U.S. DOT 6osatPlion (flau.53ProlsiStd1109 Name. Hord am, ID Nurnter.' . V, Ortdtam - 11: Teti . I . 12.110 ciftd Psdalli Grov (rf m1Y)) No; • Too . Quantity • MAU- ' 133 C°03 <br />1" PktilteCakitlialdtot$ VIftWileMpliattPCINtia6 ' • <br />4 i I i <br />• <br />. 144 I. • - • <br /> . . . <br />• <br />• <br />• <br />. <br />. . . <br /> <br />Spada, n' ..g. 1 . ,, ...., =I Addftnal laceration <br />DvaggeD ,:.• ,2).„).2. -01 cur • <br />.-17329143 <br />gabgnadee 1 It 1 (1 <br />ODIERATOR'SIDFFEROR'S CERWICATIOfh I h dmothat the content al lids consigunent rue fuliy and described by tha accurately above proper stippIng name, ard are classBad, packaged, <br />marked and labeMdtplacmded. and we tn all rapacts En pm per cautlion (or transport accord* to aPpka* totarnaltial OM nadocasgoernmettig roguktion tt exPort shPThrt BM I am lito PrtnoI7 <br />Eccatur, I cortily Uzi the contents al tht3 co:ash:men! ccalarm to the terms el Ole attathed EPAAtleureledgmard of Commit <br />I cerffly Ihat a& , .•.: mirinktien statement Waled In 40 CER 26227(a) 61 I am a huge twirl, generate) or (b) tti em a . -.I . ,. .1, generator) Is frua. <br />Name %Patio • Mont Day <br />7— <br />2 z <br />'.. <br />a <br />Intereagenat 4.171-• . . <br />Impart to US. 0 Ecrod from U.S. Portal <br />Transporter signature (tor experts arty): <br />IV <br />W <br />R. <br />Transportr Admersiedgrerd of Roca:plot Mated& <br />T ,. ...... PrIntelfkod Name MO. Day Year <br />NO 1- / De i Tot, a, 4--<`" ./'rig• I 5 Pt' zz <br />I-- <br />Traneporter 2 Feted/Wed Name strut= Mont Day Year ' <br />I- •I I <br />c, <br />et u. <br />0 <br />.52 <br />hl <br />I& 131scrapanei <br />Ma. Dtscrepancy Mallon Space I 0Tato il <br />Manliest <br />Residue U <br />Raferenco Number <br />• <br />El Futl Refecdea <br />Urb. gem= Feely (or Generate!) US. EPA ID Number <br />- <br />Facllitys Phcare: <br />g II <br />18c. &grebe? ol Allem= Eadlity (or GeneraIng ' Mo Day Year <br />Hazardous Waste Report Managamerd htethoi Was (Le., codes far hazardctra We= beatment. disposal, end recycling ayetems) • <br />1. <br />I 4 I <br />2. 3. 4. <br />DesIgnated Fac1By Omer Operator:Cellm theccdpief hazardous materiels mimed by ta manlfestexceptas ncted M I Se - <br />N=e <br />_ <br />Stnalvre <br />I <br />Month Day Yaw <br />C A .1v\-e/A I OR1,2al AP- <br />. - ON ODSOIStO.. TRANSPORTER COPY