Laserfiche WebLink
Please nnl at type,{knm designed for Lac on 77514 $02 S PPW 3/3/24}1 V1 30 q-pg 14 <br /> P D l0 efipa(129itdf Npewrioa.? Form APPrOv6d.erne W.2050-017.'9 <br /> UNIFORM NAZAPJDOU5 I 1.Ctnarebw 10 MJrtEer Z.pne•of S.Eanrgenq Respame Phonea�a Wrobtr FLE <br /> WASTE MANIFEST [C.A T 0 0 0 6.1 8 6 3 7 l(900)4113-3716 6* 9 5 5 2 0 4 <br /> S GerweiJt^s Nan•and Weeing Addo" Griedah srw W*36 fawn dr itan maifng adr>rass) <br /> ath <br /> Tes oLoitistics Operations LLC <br /> 30�ton v A!95 R <br /> Stnc�rton:+CA 9.5206 <br /> Gdrs arwa Phme: }2091466.880qWED <br /> It mnspader I CZMpahy Hone US.EPADwuaAer <br /> Clean Harbors Environmental Services Inc_ -M A 0:0.3 9:3 2.2 2 B 0 <br /> 7.Trarr p",2 Conpnrty m u S.M4D W,ur>per <br /> C <br /> e I]asgna frnldyNrneaMNXAddrecr ENVIRONMENTAL HEALTH US.EPADPiuw r <br /> w <br /> Clean Harts Env Services Inc PERMIT/SERVICESN E D$0 3 7 2 3�:i 3 <br /> 2247Sautll Hiovismy 7.1 . <br /> Kielh>i9.NE 69145- <br /> Fadll a PROM: <br /> 9,, 9b.0,8.OUT GoscrOcti(ndtJOV Proper ShyPrre tae,ftaro Coo.D Nunbs. fa.CvaaiKrO 71.7adf 12.Unl <br /> nd <br /> NM aFgdhitil P(drnl] 13 waam Cade! <br /> No. Typo awnegr 1JAM <br /> oc ' N4bt WRA RAIARMUS WASTE SOUDS.(WS.ABMRSENT 362 <br /> PADS) � <br /> 0 <br /> 3. <br /> a. <br /> u speogl HaMl�t In na andNddl bon <br /> 2.�ffidO8c79 �XS��� <br /> 15. GENERATORSDFFEROR'SCER71tIGATIDN.Ihereby dedeyWIt*odapantsaflhemnwglmenlamLay&4asurat*dmalbedAAweby1WPraPerehippngown.onJarcciamrred,paclayed, <br /> marked and IaDdedrpacaldad,and arc in all respect m prow w 4*n for 7atU^acaordinp to appilcotle hW>talrortal and neliawl grna rnwr al rejA km.Irerrporl ahpmenl and f am ate Prtaary <br /> Eaparim,I cerlify Stat 61a conbant of rhn mulgnmeni conform ben semis of dte at x tcd ER4A•dTww1edgrwm of OovwL <br /> I eftly Nal Irerade minlintzmn dG7tamant kkwdfedng0 CFR 202.270)R Irn a large q uandry gonerahr]u(b](d I an a 9maal qua Ry p^e ralaw)m trva. <br /> GJ.+rratork S nrfd ypal Na anih ay <br /> Year <br /> a b NkrnalixrlM Shpmrm9 1�I <br /> F ❑Impon hD U-S [j EM Mhos U.S. Poddrorrlryderit -- _ <br /> a <br /> Trw&parbw s2naiwe r&Vorts omlqData 4 U.S.. <br /> f7.7'atcpa•IarAdrr�waedg„eld ofRaapl df hkasdda <br /> p 1 Fhryed`ryped ambo <br /> Tranopoaer 2 Pmr4dllyped Name na�areDay Yee! <br /> a <br /> 1a.cwepanq 145 <br /> se_orsafnanc�IndiraGons a ❑ la, y, ❑Type ❑ttestl�e Panellaelecaon ❑FtA <br /> hbW"I Rolarana Number <br /> MBh.Alrgrele Fa[ilay car Garrenb�r] U.S.EPA DHur>ber <br /> v <br /> Fruln s Ifiorw <br /> ' nmurcbtNlcmaac FJdlay(a Omenrpr) Mme Day &V <br /> Fd- <br /> 2 <br /> 19.Mwardaus Wary-Rerkxl Management aleSlad Codes p,rj,c,mM for.haaefd,,,waste lrwn*M.*4mad and rerca7d►'yWsyalatrs7 <br /> y H040 T - 4. <br /> 20.D"goamd Fvalily Omar or Dpemwr CaMncalidn of rvaarptof hazard"hjaWrielc catered by to merit* ndod it tram 1& <br /> PrritedFTypedNato kr a crdh <br /> Day r <br /> p va- <br /> EPA Form 8700-22(Rev.3-05) Previous eddlons ere obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> Clean Harbars has thil apeFo'priate nermits for and will aeeprd rhw•masts in.donwatna ie ckirr»ns <br />