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<br />K 'a <br />a <br />~,sdl ~, }.~, ss _~v <br />F~`Y h`oX'b An V". <br /> <br /> <br />USA 1 Gen erafofsUS'EP7C"ID No t~ <br />y?}# }'~NlmJfastD7rb.t~(o' 2.Q`age, <br />~~ <br />". T <br />J ~ ,I.<Y <br />4iA <br />~p Y' <br />+ <br />~ <br />~~ , <br />r. -W L <br />"f <br />~ a <br />... <br />1 <br />aN.Y~ h <br />h.. <br />y 9t <br />3r <br />7g aNeme erM Malllgd.4ddieas G, . , <br />- r ~' :'~f ..~ -rt~Y'~ aN <br />i <br />' <br />~ <br />' <br />~ ~->-.. ~ u "' "-~ ' 't,"~~ <br />7~ <br />~ <br />:' <br />'yC.r l~ 3jY-N .r <br />ne~gy Fifels Coa1• Inc. , Jl <br />- f.,~'_l'S <br />i- <br />^ <br />t'i <br />; i s'a-•r~, y z <br />.. -- 4-..~! ti. ~L+9 c <br />1 <br />h.~A'ut.-F a9 <br />~, a~~~r c..~ ~. -ur <br />.. <br />: <br />~y~ <br />~ ,, ~:a r' .y y .~~ <br />a~ <br />i2 _ <br />~ 'i" <br />~3 <br />) <br />.. <br />G8n8raW/a Ph0r19( <br />+ 4 „ ~ <br />- <br />, <br />.F <br />Y#' ,~ <br />t - <br />5 ~•.Transporteol Company Name ~ - - 6. ~US EPA ID Nranbeb; - A. TrensporteYa Plane ~ . - - - ~ - <br /> <br />7k"(rinaporter 2 Company Name ~ - <br />- 8 -"z US EPA ID Nrarrber ' ~. B ~ TrenaporteYS Phone Y° ^"" * <br />~. <br />`i~~- <br />r ., <br />a.-~ r_ .t: s:r.-'u•:: •~-.'; .'si .. <br />~ _ _ ,- ~ r ;`*~.r r, ...-*sy ~r ft <br />- 9.•,Deslgnated.Fadliry Name Arid Site Address ~ 10..~ ~ US EPA ID Numher - ~ <br />C: Fadlily's Phone - ,~ ~ r G3 ~;`~~` t~ - <br /> _ <br /> <br />.... ~Yi' x a <br />- t <br /> <br /> <br />• 11. Waste Shipping Name aM Description <br /> <br />~ ~ ~ -' : <br />12. Containers 13 - 14 <br />~- - '~ SsF <br />s <br /> Total <br />Untt: ,=~ <br />~.i.--_ - - _ _ _ No. Type Quantity WUVd ~:;a <br />a ~ 3 r 3 3~ <br />' 'y,~F 4 V^ <br />~ y <br />, <br />, <br />- <br />~'PC <br />S ~ BULK - ~ 5t*18 <br />~ - <br />t <br />1. _ <br />.: <br />~ _~.. <br />. . <br />. . <br />. <br />Q .h tea. , <br />.. <br />a~~x s . ; <br />~s -. <br />- <br />f~, <br />- <br /> <br />q ~. .. <br />- --- - - --~ - <br />- i--=,r <br />.:: .i <br />~ ~1 <br /> <br />A' G <br />1' - _~rtra3rJr.+ '' Y - 6 _ ~ 'My~ .,,1t }, 3~ ~3~~: <br />'~ ~ ~ ..~~r ~ <br />L4 s3, - t CTE .. 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N M +lr' N# ^"n. y4 %~ ~.,.~, < ~1. _ <br />` <br />' <br />~ <br />' <br />'~ <br />~ <br />~ <br />~~ <br />~ ~i h L ~ ."n' 1v <br />5 <br />~ <br />. dr ~ .a. d <br />a~ <br />~?° <br />ir~'i 'b.r^r <br />{r,S'~ . <br />.+ <br />.ra.. <br />"vY,{.s~~ <br />- <br />c.,"•[ z -, -~ ~ Yt'kn"~ <br />zS],.mt ~, <br />' <br /> <br />t <br />'3 -f, ~x .emu h <br />' <br />- <br />~ } ", ~ ~iisb~ 4r y--2'` <br />- 't. '{' 1} <br />~. <br />?[ <br />X <br />„.s ': _.Fa: ` <br />~ < <br />...,~'„tk.."r-."''ru'.:r ~ _ - ..w~.a~":s ... ~.i _ <br />:t 5..: - :.?_~{+'?. ;~ <br />~ <br />. 75ySp4dal Nanaiing lr>Bbaawne~e~w Addaonal rmomiawn- <br />M', 2 <br />•y RT 1,.`G` 1\ '!a <br />-, f <br />>ib dl~ ~,*.'~`~i~.~'` ~~~r r'~ f'`w <br />Y.r~}C 4..~3 ' <br />~' <br />M <br />'kP 3'TC <br />' ~ ~~..t,F-° ~ ''~_°~`~,~ <br />~ ~ - <br />. T <br />-4 <br />j <br />'ra-L :, <br />i P <br />r <br />y "~ R x.: <br />' <br />x <br />a+~~., <br />r <br />so. Sx <br />d <br />ie Yi:` Y'" F,1 <br />.}'~jID n r s. f_ <br />~ ~3M1 <br /> <br />; <br />w <br />1 _ <br />y . Y Y l R <br />5 E` .S i*" s ` <br />tY <br />i <br />~ <br />- <br />. <br />~ <br />ry <br />`_9tn y`!• _ +~~~,~ii JJJ'k~ lf. <br />~ . <br />'E , ~ <br />~ <br />y~ <br />~ Y. <br />_ <br />t <br />'S '~., q`[X.;R <br />£ ~ .~S"~ 6' .P f~i y <br /> <br /> <br /> ' 1 <br />_ _ . _ . -"Y _ ~ .~ ~i <br />16. GENERATOR'S CEHTIFlCATION: 1 cBrtlfy Me materials descrraed above on Mk nranHesl ere not subject to federal regulations for repoNng proper disposal d Hazardous Wade. -~ <br />Pe .- e- ~ _ ~ ~ ~ . - Signature ( n\ ~ ~ oar ~ rear <br />~ <br />~. <br />r• ~. <br />.k.'r? <br />--its '- /'~ _'C/ J. <br />~-+ s <br /> <br />t7.;TranspoRer 1 A,`dmowiedgement of Receipt of Materials <br />T <br />''P <br />~ ~ " ' - ~ ~ ~ <br />' , <br />~ -i <br />R <br />_-'?dnted/fypedName ~ <br />N _ - . <br />Signature ~ . <br />_ Man» ' osy Yeer YF~ <br />- <br />S <br />O ~ ~~ <br />18. Transporter 2~idmowledgement of Receipt of Materials - <br />R <br />T PrinteN(yped Neme < ~ ,., ~ ~ ~ <br />- ~ Si nature ~ ~ - <br />9 Monty DaY ,' Yeer <br />R :~: <br /> <br />19; Discrepemy Indica8on Specs <br />20. Fadlily OwnerM Opsretor..G <br />" ' ~'TwinLa <br />Pdnted?YPaA.Ne`ma*~.~:.z., s.~ <br />of receipt of was[e_materials covered M thin <br />Mem~19..... . , . .> :.T <br />