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Apr.27.2018 07:03 AM Canepa and Sons
<br />U.S. Deportment or,lustice
<br />ilurenu of Aloohol, 'tobacco, Firwun s anti R
<br />Federal -Explusivus Licensing Comer (M.C)
<br />wtvtv.nrt:gov
<br />.l\
<br />folr individuals trausportin
<br />ISS11,1110D'r0: TYLORKICMILI-AW WELL SERVICES LIX.
<br />NOTICE; DATE: t2/15/2017
<br />EXPIRATION DATE: Tlds Notice explrtis
<br />po6sessorx, or when the license or peralll oxplh-
<br />0 WA.RNIN(.'r. Only those Individuals listed bel
<br />ShIMN of "CLPAR.ED" or "PENUING11 lire 1411
<br />you.
<br />0 "DENIED" STATUS. If nn outplayco ponos
<br />the employee from a position requiring the trot
<br />'listed ss A person anthorizod to Accept delivery
<br />event liter tltlnl the second buslness day killer 8
<br />® CHANGE IN RESI'ONSII LE, PERSONS.
<br />report nny chungc Ilk ecspouslble persaa6 to Ole
<br />I?xpinnlves Llecuslup Cenll r, within 30 ehtyx of
<br />Mw ruaponrlble pursolls Ml1S'l' Inc111do "opprfi
<br />hlffirntnllon" its duflne(1 0127 CVT( 555,11. Fh►
<br />p1101e8 Ore NOTrequired, hitwover ihcy will be
<br />rouewal of the Ileunstl or pornill,
<br />0 CHANOW OF EMPLOYI.LI!.:S. You M'USI, I -el ort nny change
<br />of employee/paasrssor6 to flim Chief, 1111?;LC, lvlthb 31) duvs,
<br />Itupur'ls r•eluling 10 newly Illred clnhloyces 1111161 h t
<br />subnlillud on ATF Fo11n 64(1(1,28 for I ACII erni4i yeti.
<br />209 532 4819 PAGE. 8/ 12
<br />Fodcnll L'xplosivcs Liconsing Center
<br />244 Needy Rond 12/15/2017
<br />Mnttitlsbnrg, Wc91 Virginia 2540S
<br />telephone: (877)283-3352 fhx: (3(14)616.44(11
<br />TICE OF CLEARANCE
<br />1 shi ina, receiving or ossessin ex losive materials
<br />Pedcu,l lixpinijvci lirenr r/pemltt na.: 9 -CA -029.33.1 A-02228
<br />17A rimlion Dnto: ,Junuary .1, 202.1
<br />Lxpintives I.Iccucetl'vi-nllt Typo: 13• USpIl Or F,XPI.OS1VI35
<br />Lit s►tperseded fly 14 1101vor Notice which will list all e►rrreat responsible persons »n(1 cnlployoo
<br />• whlchcvcl' conics first.
<br />V Its 121i;S1'0NS[l1j L PEIMNS find.F.MPL•OVEE POSSESSORS with It huckgrouud ulearlulcc
<br />wixud to trnn6poil, ship, nwelvo, or possess explosive marerlals lit the course of englltiyluetrt 11.1111
<br />I' ItuN a Imckground clearonce sultus of "JAMIED", you MUST wItc inwlodlate steps, to roa» wu
<br />orling, sbipping, rccclving, ar posarsslug of oxploslvc uulterluls. Also, if the unlploycc has been
<br />cxplosivo nluterluln, YOUMUST renin 'e the employee Ilvnn soglt Iixl and luunetllul0y, unci fn fill
<br />I chungc, sadly dlslribulot's of such chungc, as statod l0 27 (':IvR 555.33(n).
<br />oil mus'r
<br />let, hcdernl
<br />clutilge nod
<br />4110 Identifying
<br />Irhlis and
<br />Inked upoll
<br />ar.q,1KI ' �,h,,�.. 1 ✓h'GI,.�'.'' .191Ij' "'�`,t�j.��tf1S I"f��. �,',�SR''''`' tli)�lj�;'j'�r r
<br />i 1.•AA. ,It �� i 'XrF 't�R17�T���;�`�1�ut1 I��
<br />;, iY:. ttt,.lj^li;"'•';t.r,b,.`:' i
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<br />i:i`ia''
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<br />...r.."::�? �r_...:�1�'i^'1�1. \, ���';'.1!'_t•�I'�k:.:�'w,,r�.;r.y'�, ''r'� '�'�..Il' .,
<br />•I.'his'Noticc of Clearance' is provided to you its 'cquil•cd by 113 U,S,C, 1443(11) nu(! MUS'r lie retfiincd its pant of your potnitnient rtxorcis Ln1(I
<br />be g .. y 27 Celt 555,121. Ii'you receive o-1 Notice subsequent io
<br />UIis1N(1 ict1;!iilable for 'lflis�Notic� w'ill'nollotl ioll rPY cr be uFtli(1.1° b, .A'I'h officers as re,`q uirul b T -
<br />In accordance Willi 27 C' It 555.33, l3tickgrouncl Checks And Clearances, and 27 CFR 555.57, C1tAngc of Control, Change in Responsiblu
<br />persons, told Chunge or Employees, ATVs F'o(10'111 Explosives Licensing Confer (041,C) has conducte(I b11ekground checks on the individvnl(s)
<br />YOU identified ns n rosponsible persons) And ;rn niployee/possessol•(s) on your application, or reported n'fter Ilio issuance, of your
<br />license/rt;rruil.
<br />The following is a SUMMARY of the results of
<br />and employee/possessors, ATF will be notilyin
<br />(nailed to their 1'csicluncc address.
<br />g<,
<br />C, PLEASE' BE ADVISED THAT IT IS UNLAI
<br />a TRANSPORT, SHIP, RECEIVE, Olt POSSI
<br />0 P10,150 cilrel'ully review this Notice to ensure chs
<br />Chief, F1?LC.:, with a slutenlunt Showing the nun
<br />return n corrected Notice.
<br />Number of. R SPONSIIILL PERSON(S) I
<br />Nunlbcr'of LM.PLOYEG PpRSp;SSOR(S): f
<br />L
<br />LAST NAME?, First Naniq, Middle Name
<br />a
<br />RE
<br />SPONSIBLC PERSONS:
<br />G
<br />(KNII MCMI(.LAN,'i'YLOlt,101i11'l1,LiAhI
<br />EMPLOY11T POSSESSORS:
<br />;I
<br />le buckgrottltd ehcoks conducted on the individuals you rcportecl ns responsible porminF
<br />ALL individuals I.Jrtecl on this docanlenl ot'!'heir respective Millis by scparntc letter
<br />FIJI., FOR ANY PERSON REFLECTING A STATUS O1 "Dl.NIFD" TO
<br />S EXPLOSIVE MATERIALS.
<br />fill the information is nccunato. If this Nolico is incorrect, please return the, Notice to the
<br />of the error(s). The Chief HILC, shall correct (Ile error, and
<br />luxrance Status
<br />Cl 211
<br />c o 111111 u ed
<br />LAST NAM, Flusl Nu111p, Middle Nunn: Cleur'uuec S611119
<br />Page 1 of 1
<br />Received Time Apr,27. 2018 7:53AM No.3445
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