Laserfiche WebLink
DZI LLI 117171 177: 0.3 <br />3G0 f 004707 "P-U ?rClrlblL WHD 1 C <br />ALUM WAS <br />. . •'1iq:r'-1:FEi.:. ? ?•rw. r 1 ? •Itf•!•dT <br />rwut uu Oo <br /> <br /> .. .}LL'Sr ?? r\V?\'?I ?IYn?\VMVV •?I1Y??.?r?•?.• ??. L?V?.7'.?,.•I;???',17? lr <br /> 1. Genetatces US EPA 10 Number Mw*m Dowmsnt Number 2, Pegs 1 of <br /> <br /> LAddross <br />M16 9. Gencradna Locatron Of dlaeLe <br />KOO Y <br /> 810D Krwnvia OO E I-6 FMnbW Rd <br />WOO t ' <br /> DWmt, CO 8=4 Longmont, CO WW4 } <br /> A. phone 100 e. Phone ( 1 303 2804MM <br /> sons enter +i Cvn,, any Nome S. US EPA 10 Number 9. Transporter sr1'a Phone <br />r¢ <br /> ?l <br /> 10. Transporter 92 Company Name 11. US EPA ID Number 12. Tmnsponer 079 Phone <br />i <br />, <br /> . <br />Zt. <br /> <br /> 13. DesipAaW TISID Facility Name and She Address 14. US EPA ID Numbshr 18. Facilty's Phone <br /> TI>ztlae,Tlslciil <br /> aen a Tower Rd <br /> Comm m City, CO AIDIDOW •9832x.18 <br /> <br /> 10. Wtlslo Shiepiny Name and Deatrpion 17. AIUsd Wasu Approval M and Exp. Gate is. Contalnaa 19. Told 0. Unit <br /> Qwntity vvw0I <br /> No. To, <br /> a. <br />D4LVM <br />L+00" <br /> WeeM gd emlemmaled eoi CO I% MIMI Y613704 7 =-YairJ§ T Tort ; <br /> <br /> b. <br />to r• <br /> <br /> C. <br /> d. <br /> 21. Addhlonsl DoMpilons for Maurlale Lined Above <br /> r.' <br />t <br /> a <br /> i. <br /> 22. Speaw Mandling Indnxdimm and Addhonal Information <br /> <br />. <br />23. 9MIRATO" CERTt1:ICATgN: 1 awry the nlwnw onorosd on rills rim rnl . redsral rer repoMq PdPar dapaN of nmrdaus ware <br /> L PHntedfTyped Nome <br />mEs L• Ans-*'?.?! Aro+IM <br />svt Osy <br /> <br />o.? Mr?r <br /> <br />6 <br /> 24. Transporfw I1: "nowledgemant of Recelpi of MaWds <br /> Prlrned/Typod Name tai Malw Osv Yasr <br /> <br />tr4f 25. Transporter 92: Adtnowlsdp = M of Receipt of MauMars <br />=K PrirrKdJTyped Name: SkInaoue MOM D" Ysr ' <br />C <br />C <br /> 26. Dhaepaney Indleetlon Spam <br />:y <br /> i <br /> 27. FWXIW Owner er Oparater: CwWcudon or resells of wash mstariMs covered by this manifest (ezoW as noted In hem 19) <br /> <br /> <br />O <br />F Printedfrypra NXPcL _ r S'pnsaua "'? Abnw Day r..• <br /> <br /> <br />µ: <br />;;:'.. <br />sl <br />,44?ORIGINAL - <br />? .=r :' ?:?..'•.'e.'?%s?, <br />Y4,:.: <br />ERATO ,. i ? j:s.::L"i;? <br />RETURNTO GEN