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Get Mo 780 Form 2014-2024

T Facility you have identified 9/30 ___________ (YEAR) 12/31 ___________ (YEAR) in Section G below. Additional pages are required for each ________ OF _______ 3/31 ___________ (YEAR) 6/30 ___________ (YEAR) off-site management facility listed. SECTION G - FACILITY IDENTIFICATION 3. FACILITY NAME (NAME OF OFF-SITE LOCATION WHERE WASTE WAS DELIVERED) 4. FACILITY’S EPA I.D. NUMBER 5. FACILITY SITE ADDRESS CITY STATE ZIP CODE SECTION H - WASTE IDENTIFICATION L I N E 6. DESCRIPTION OF WASTE .

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