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RON•HAZARDOUS + f3enentpr IU tvumber 2 PAP <br />WASTE MANIFEST <br />879 <br />� 0 °" <br />PO BOX GS Mining Company LLC <br />+4Hress {A dakmrl kcal mating address; �— `-� <br />Golden Gilpin Mill CO Hwy i 19 <br />r ric, CO W422 <br />Bladchawirti CO 80422 <br />9 Wasle shi *Q Name and Desnow _- w <br />10. Carrtainers <br />+If AET ENVIRONMENTAL., INC. <br />Us > PA IpM1mb¢r <br />wam9ANNAHTRANSPORT, <br />a <br />INC. <br />_ <br />t i�Ctr.i t r}Z11� P. Cl-'-. kDarj xeu-A, zo rv�.1 2S.�iicpYi <br />tDDeSOWed Fw* wame and Site AddRINECO <br />Omsk <br />Vulcan Road-Hafkellton, <br />uS P7 <br />AR 72015 <br />17. Spea�t wending instn+ctcns aril Ad r.W YiornWfion <br />b, a: 1711- 2�e53 At <br />b: 1711- <br />d: c: 1711- ix Er;;al <br />d: 1711- IvH�S,F�I <br />t4. GENBHA1.d Wb OFFEROR S C�1::IRIIJiCAT1ON: I hereby dedile lrel the cnittents d errs Odrsrpnment arI:,: ,nr,• and 3ccuretey described above by Iha anpprq rrerr>e, acrd ere less rreQ PatAagod, <br />merYed aM labeled/pfararrfad, e in at rcspecb>t PrOPeto0lldlian kr transport ettwft b appfkabla iR*ft cQdand natQwNrarlenlal <br />rar r. <br />1 s� IAaeli 4sy. Yaar <br />L&__ <br />i. <br />IS 4bemaltrnl shiprnerrl9 ❑ -- ' <br />Import to US. ❑ Erpod Iron <br />TrsU.S Pori d onivnl:e <br />z nsoerter tiifura'lOre�r . ': <br />16. TrornPoda R - — - pate reams U.S. _ y <br />_ AcknOrrledgmenf of I'iecep of Maleriek - <br />a rran$Poner I Prn sd yped Name <br />Q,ri�.]•{iti, a Math pa <br />' Tr3nappTer 2 Pmtedlryped Nieto 5gneture ` <br />IX I h16�llr <br />t7 AspeParty ! <br />173. Dlacrepancy IrrdraliOn Space <br />LJOeanfdy LJ Type ❑ Rea�dle ❑ Pad�l Aeji�tgr ❑Ful Re)ectnn <br />t7b. Akehlate Fadgly (a Genaaldl Mandell Retererree Number. <br />U S. EPA ID MWfte, <br />1j <br />a <br />'� F 's Pnone• <br />17c. segs I d Akemate Faciay GvwGarer3taj <br />i MOO Day Yea <br />0 <br />113.Oasgreled Feodtj Owner a OPerolor. CedcAfiM d wA0 0f materials covered by lie meritatt ssoepl as rrded h item <br />PmdesMyptd Name Sigrtalur0 <br />I Mw pay <br />U_ <br />9 Wasle shi *Q Name and Desnow _- w <br />10. Carrtainers <br />f 1. Total <br />12. Uw <br />a <br />_ <br />t i�Ctr.i t r}Z11� P. Cl-'-. kDarj xeu-A, zo rv�.1 2S.�iicpYi <br />No Type <br />Omsk <br />WINd <br />- <br />iti0a�hr+r.+�� <br />W <br />lls(!rJ i�NZHiI o�s,r.:c,�1 ��� z.ar,c, Sur n• <br />17. Spea�t wending instn+ctcns aril Ad r.W YiornWfion <br />b, a: 1711- 2�e53 At <br />b: 1711- <br />d: c: 1711- ix Er;;al <br />d: 1711- IvH�S,F�I <br />t4. GENBHA1.d Wb OFFEROR S C�1::IRIIJiCAT1ON: I hereby dedile lrel the cnittents d errs Odrsrpnment arI:,: ,nr,• and 3ccuretey described above by Iha anpprq rrerr>e, acrd ere less rreQ PatAagod, <br />merYed aM labeled/pfararrfad, e in at rcspecb>t PrOPeto0lldlian kr transport ettwft b appfkabla iR*ft cQdand natQwNrarlenlal <br />rar r. <br />1 s� IAaeli 4sy. Yaar <br />L&__ <br />i. <br />IS 4bemaltrnl shiprnerrl9 ❑ -- ' <br />Import to US. ❑ Erpod Iron <br />TrsU.S Pori d onivnl:e <br />z nsoerter tiifura'lOre�r . ': <br />16. TrornPoda R - — - pate reams U.S. _ y <br />_ AcknOrrledgmenf of I'iecep of Maleriek - <br />a rran$Poner I Prn sd yped Name <br />Q,ri�.]•{iti, a Math pa <br />' Tr3nappTer 2 Pmtedlryped Nieto 5gneture ` <br />IX I h16�llr <br />t7 AspeParty ! <br />173. Dlacrepancy IrrdraliOn Space <br />LJOeanfdy LJ Type ❑ Rea�dle ❑ Pad�l Aeji�tgr ❑Ful Re)ectnn <br />t7b. Akehlate Fadgly (a Genaaldl Mandell Retererree Number. <br />U S. EPA ID MWfte, <br />1j <br />a <br />'� F 's Pnone• <br />17c. segs I d Akemate Faciay GvwGarer3taj <br />i MOO Day Yea <br />0 <br />113.Oasgreled Feodtj Owner a OPerolor. CedcAfiM d wA0 0f materials covered by lie meritatt ssoepl as rrded h item <br />PmdesMyptd Name Sigrtalur0 <br />I Mw pay <br />U_ <br />