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15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAck~owledgment of Consent. 1 certify that the waste-minimization statement identified in 40 CFR 262.27{a) (if I am a large qua~.s_enerator) or {b) {!H'a'lftl!·small quantity generator) is true.

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I ~~~ ~1~8~c~. S-ig_n_a~tu-re~o~f-A-Ite-m~a-~-F_a_c_il i-ty-(o_r_G_e-ne-r-at~o-0~--~------~~--------------------------------------------------------------1~M-o-nt-h-'L--D-ay~I_--Y_e_a-;r v- ~9. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) f'- l r

13.

120. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a Printedffyped Name Signature

I Month

t I Day Year

I EPA Form 8700-22 (Rev. 3-05) Prev1ous ed1l1ons are obsolete. GENERATOR'S INITIAL COPY

1 !::c:s

Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved OMB No 2050-0039

UNIFORM HA.ZARDOUS 11. G~n~rator ID Number . • WASTE M~NIFEST ~'~ ;· l ' " '.' : '' ll ~ ." '

1~ ) Genera

FINAL COMPLETION REPORT FOR SILVER LAKE AREA ...Pk!rBSI! pnnt ~r type.(Form designed for use on...

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