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~~rivvv_v rrnv i ~ irinrvi~ `_v r ~- (As Required By The Alabama Department o1 Environmental Management) ..... rrw IFwm desroned br we on sine/Il~pnrn/rYprrnreal lornr Apprnr.d OMB MO I(100 {/aOa C~pues 7"31-8! UNIFORM HAZARDOUS 1. Genarnor's US EPA ID Nu Mamlext 7. Pepr 1 Inlormauon m um anadeY. mee: I WASTE MANIFEST 7. S OAS ~ rDOCimelnl NO ~ !• i s i r i r ~• ~ ~ o r. n: rs not reeuu ed by Federal le.. _ ssenaremrs eme en ar mp odm:` I:y Ll On~f ~leCt-r_C, iM. ni l m~Numbe r ",.`~ -_ a ea CU m e ~`gute M Y Dno l c ~ A ~ ~~ ff ( ~ [ ~ Q J ~W ~ ` ~~ ~~ S ' ~c - bvt'. .C. a. ... F.~. B4i _ ... .FYIME. •~-f Sl = 7r i71V Co:fry~•.llc, !LS 67°37 m.nlrrc.}^D. w r~ _ ms's;;-_ a Generator's Phone 1 l E 1 : `' ~ -b33C r"°' :-_ • '1"i ~' ranaponer ompanY eme 6. Us EPA ID Number 9C"SlaLis~I4r~ys !r~?ID':.iy: a~~+.~ *" t::.aorr4' k.iectr;c, 7r>c h: T. u PIE. CI 7 9 1 s 2 1 .1??!9hwar!?'A~?~naa~'b12-469~3i75.- ransponu Ompeny eme E US EPA ID Number ' ' ~ "s E SYIe .7ransponer'~ .ID a i ' , .,... t... _.. .r ~ I [F.:Trenaponer's Phone ~: ='i~ " ~ " esrpnereo eu ny eme and rte dares: 10 US EPA ID Number yfi 9UU•Fadlity} ID, -' _ - ~f~t.,-" ;r~. S , CHEMICAL WASTE MANAGEMENT INC ~ `/ -• ~ ~ . , _ V Emelle FecilllY' :M. Pho F eeilrty'a n e •- .~,.~'- - , Alebame Hi){t way 17 al Mlle Marker 163 A L D 0 0 0 6 2 2 4 6 1 ~s a s ~ s ~yas - ~,4;{r~3 ~'~ U5~ 5 7 ' 1 Emelle, Alebame 3545 L Y G G J 11. US DOT Description (/nc//diny Proper Sh/ppmy Name, Nuertl CJess, and lO Number/ 12. Comainars 13. Total td. Unh .• t; .. ,- n_'ryc: Fr' • '-7f•- - +; r: No. Typo Ouantiry WWO t''"WealeNO.'•- L ~yl-G' E N ..... `.c ..','-!:7 or;.nalr•.r Pic4c!; la-OnJ:-Il 171:2'.15 ?:~, 0 1 C F; £'SC Y ..~~•~"•: .tc lr.^„Fv r E CWM Pro61e Number `~C' R .~ r F. ~ CWM Profile Number ~•~~ '~- c. ~ .. ~.. ~ ~ .. - CWM Prolile Number d .. -.. 1v:/... .: ~: ~_ rD__ .hi.c^ne t_,. I:i: _- :1 c_^-°..-.. ..-.__1.5 RQ ;. G _ !; ,?t, `_ °`6. ~~ CWM Prolile Number er. ~- done serrptlons or neruls ~st a K. Hendlirp LOdes for Wasles Uafed Abma I a.. n,tllc_ ci trrlntsf onscr ;a rte 1 b. absorbers ~ ~ ~f ~ ~ e, transfo~rs drairlec 1 flnsher± ~ ~ F ~ ~.e. 'DB1 ~ ~" -c. DS1 d_ tracs.`ol(nars drained ~;.. ~ " b. D31 ~' d. p"' 1 5. petrel Handbnp Inspucboni and AOdmonal Irlormabon .. .~_:_ Hni.'.-CCs t- .'f,: J.: cU.~. L:J a,".'r i'Lt; _.l:r r'.... , S. c•,: e:^CS,•.s:-;: Cc-; :.7 [.ua:i.: ;. 7,1.a Y,i or,°., L.1 (:-:a r!'P797F„ L1.'~.'i ERTIFICATIO N: I hereby declare fhel rite contents of fhrs consignment ere lolly and accurately tlescriDed above by Droper ahippinp name end ere clessilied, pecked, marked. and labeled, and are in all respects in proper coMition for transport by highway accordinp.fo applicable internetionel end national poriernmenl rspulallons. Unless I em • smell Quanlny generator who has been exempted by statute or repulatian lrom the duly Ip make • waste minimiretion cenilicalion under Section 300216) 01 RCRA. I also ceniry Thal I have a program in place to reduce the volume erM toaicitY of waste generated fo the degree I have determined to De economically pretticable antl I have selected the method of lreermen4 sferapa, p disposal currently eyeilaDle to me which minimires the present and luture Ihreet to human health and the environment. anted/ yped Name Srpnature Month Day Yeer _'u1i.:~ 4'olc'. . T R 17.Transooner t Acknowletlpement of Receipt o1 Materials y n H tinted/ YpaO amC sgnature :: / : i. MOnrh Oay Yesr . s P ... r 1 j;_~1;. .:; O 1B.Transponer 2 Acknowledpemenl OI Receipt of Materials ~ T Printed7lylsstl Name $ipnalure Month Oay Yeer I F F: 19.Orxreparxy MdiCalron Space r A C t • l T y 20 FecilitY Owner or Operator: Cenilrcation of receipt o1 harardpus materiels caveretl by this menifesl accept as noted in Item 19 Prinled/lYped Nsme Sgnalure Month Day Year a. __. EPA Form 8700.22 (Rev. 4.86) Previous edition is obsolete. _ TRANSPORTER (Must f+ccompany Shipment)