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I VLI LLI LYVf uJ. V.. ---------- <br /> r <br /> . <br />OLINDWAM <br />NON-HAZARDOUS WASTE MAN - <br />IFEST <br /> .. <br /> sA NWA OOcumenl Number <br />1 t3anarstorIs US EPA 1D Number 2. hga 1 d <br />' 3. Ganepllmt na to .AddMa 5. Gensrviilnp Lwiltton (f d"'It J_ _ m0own PodmI <br /> tSW1 Kramer MOOD E 1.26 Fmntege Rd <br /> Dupont, 00 80024 Longmont, CO 60604 <br />' 4. Phone ( ) 303-2884400 6. Phww ( ) 3032864400 <br /> 7. Transporter 41 Company Name 8. US EPA 10 Number 9. Transporter I1's PrloIM <br /> <br />' 10. Transponor X2 Company Name 11. US EPA ID Number 12. Transporter 02'e Phone <br /> <br /> nsted TWO Fadgty Nome end Sib Address <br />13 <br />Deei 14. US EPA ID NUMW 15. FaCY" Phone <br />g <br />. <br />' Towel LanM <br />tIBIA 8 7ollrer Rd <br /> 0wmwftx City, 00 ACCOIMT 1963256 <br /> it Waste $"l ong Name and 0-" *m <br />11 <br /> <br /> o a UNesdad gas contemintsW Sol <br /> <br /> W <br />b. <br /> 2 <br /> w <br />c? <br /> <br />' c. <br /> <br />' d. <br /> <br /> 21. Addlthmal Descripions for Nlatedals Udod Abow <br /> <br /> e <br />t 22. SpccW Handling Ititmclioro and Addlionel Infoninetton <br />' z3. GENERATORM CERMCATIOM 1 ew* the wo*u%M1 eefetWd en e1M <br />f/T <br />' P <br />l <br /> ?.L S <br />r <br />nten <br />c IkPL7EI ,! <br /> W 24. Thnsporter II: 0 dotOMA00gernOnl d Recalpt of Matedelf <br />' S <br />i" I— Pr VWTyped Name <br />O l <br />? <br /> r <br />IL 29. TransporW aa: Admowlodpamont of ReCOW d MM-918 <br /> <br />' <br />1 mC P*ft yped Name <br /> 26. Diserepaney Indloatlon Space <br /> 1 t- <br />AMW Wade Approval N and 6tp, Dote 16-Col <br />No. <br />CO LOS 070408 Y613M4 7 <br />not moon ow-+n NOV- for <br />' g ` 27. Fae11Ny OIrINf of OPMtMer CerlMkatWn d rawlpt at weds molshak Covered by rots maMksl (eXCW as noted it Item 19) <br />u' <br />E <br />3 o <br />Printed/Type6H9r1w?? S1gMtlrne <br />0 <br />19. TOWI 0. UMt <br />fat irift wvybl <br />Y Yaps T -TOM <br />of wuardeus Wale. <br />. A**. Gay VA- <br />,r_ ?t ?`,?- ORIGINAL-RETURN TO GENERATOR