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3633 Duck Creek Drive PR0513919 <br /> February 13, 2020 Program: HW <br /> PHOTO 13: Manifest 006952185SKS found without a designated facility si red co Y. <br /> , pec �;• ��� �." <br /> to <br /> rl_ns icor: <br /> LAN — <br /> 'T am.a,e-;�,{ENV7iRDrMff:NTRL <br /> eu N <br /> taEl BERRY.'-?VD i1t;EPAMN W, <br /> 4i�8-401-®9152 SAIV •1t1SIE. (:A 951.33 <br /> E' sA+:xb: NUN. <br /> it .MGUS DPTOe�n'+aWn,nyxyNF,A•.M(KMN Nellb,lie;ald l.vJ...ID Nwniku. <br /> hM W F4d*V r�{a teeny)) In.Gonlua¢a. 11.Tulal 11.Unll -. <br /> t NON-RCRA HAIARDOUS ►!A T N° <br /> ryF owm0ly NNm. <br /> NNW FILTERS) 9TFx S(il_'Ir nM r v 223 - --- <br /> w - <br /> w <br /> e <br /> '1. 2iY RerraFrg lncarxaiyrc arb Additrnal lnAvnratim TSI)C'9T 1«' <br /> Bpi .1182 RY1..4121 C6G: <br /> E16RIom--468-1760-CH/SIVTFI-Contract retained by yanerator confers al.ency autt <br /> 1 trt artrr to add or• substitute additional transRoi^tees on uCmerj{ nLj beha <br /> CATH:I hereby declare that he coment..,of this consignment ere fully and accuretely described above by the proper shipping name,and ere classified,packagr <br /> in at respects in proper condition for hensport according to applicable international and national governmental regulations.It export shipment and I am the Primer <br /> I rwnsgnment confomr to Me terms of the attached EPAAcknowledgment of Consent. <br /> Iced in 10 CFR 262.27(a)(if am a large quenfiry generator)or(b)(if I am a small quantity generator)is true. <br /> SigneNre Month Day <br /> s� <br /> ❑Export from U.S. 9 of entrylexiC_ <br /> _� M leaving U.S.: <br /> Signature' Ilei I-Month Day <br /> to M N t D <br /> ❑Pe F <br /> Tnber. <br /> U.S.EPA ID Number <br /> donth <br /> Lydia Baker, REHS Page 13 of 15 <br />