Laserfiche WebLink
3633 Duck Creek Drive PR0513919 <br /> February 13, 2020 Program: HW <br /> PHOTO 14: Manifest 006952186SKS found without a desi nated facilit si sed copy. <br /> I eP^ <br /> Sal s1 <br /> PrL•UMF rwhrp ,* 8 <br /> 907607 <br /> 1K15r�M H'�CR�OUS /Genwypr� <br /> M��9ggNa`EeTw�,, °NI,m0.. <br /> tb7 CR1..000;>917545 ` � „r wu a� <br /> a r�'��M P ob nX�elrp� a.Menaesr ireullnarm qy.mvetl.OMO No.InSp-0039 <br /> —x43_ 19 CA Geeael�,al,eqa.,,a,l,tl;„e.„I,bame1,0p69�M2186 <br /> t°k9p ars 13215_79. axes SKS <br /> Ec1'WIPB a,,,a 1 93 m:,r <br /> a�sgnarerf FaaliH Name aORS qE��7 N,DNMENT SVC. <br /> G.S.EPq Ip Number <br /> CNC. <br /> Fannry'a Pre„e. 3HB_�35„4B1 k MS�H6YiNAYE�11RCENMENT us.aPglo Number 1YR001T091205 <br /> as ae us oor A- SERV i <br /> HM a'aPacxryc �l�lanril^GuClye CES, IN us.EPglo Numbs, MRD0.393222=NWF <br /> ;0 <br /> N racer Sb�pp'^9 Name,Hazartl Crass.rp Numpar, a 63145 <br /> (N8S'R NRZol <br /> NT qNp S yiqc„mamer <br /> STE SOI_Id1S+ to NII-139817F,3-,13 <br /> rvo. srroe +r.royal rz.uon <br /> Quantity WrNol. 13.Was4 C^tles <br /> r,p <br /> 3 a 352 <br /> HanOling lnsfmctions andAtlditional ln/rmation <br /> YSA,K}7 <br /> MERGENCY# 8055 Y 213 <br /> tial trarrs '4h8—i`,'64t_ RYY2Nc:1 <br /> DR'S/OFFERDorbeOR'S CfRTIF/CATrr7Nr tq af1Gl'pr'TF1—(;,ontrar•t C-SG <br /> laeo'/Placartle0 antlers in all I hereb T•f!t <br /> vtily(hal the comes res ec Y declare that the cone of l, ,P a l t i l'n e{j <br /> tsolrnisconsi P rIInprpperconaition/or trans rthisconsignmentarelull �l tY gene.aLQ, con re <br /> re waste minrmizafion sratemen(idenli6edi fin` LY•ans Orf r� <br /> 9nmem conlom,to the terms of rhePort accordin Y and accurate)d r'S !'S <br /> r Panted? n40 CF attach 9t0 aPPlrcable internalional and nalionabgovemmn q t e!^a ene� aUtll qT-j ” <br /> VPed Name R262.27(a)(ifla ed EPAAcknowletl Ylhe proper shiPPin LOie half. 1 <br /> m alarye quanti gmen(of Consent a tel regulations,)texport shiprnenand aa tlaa Ili <br /> Primary <br /> N generator)or(b)(ifl am packaged, <br /> ren/s Signature a small quanVty generator)is true. <br /> or exports only)..�Import to US, ❑ `--�.� <br /> _\_____ Month Day Year <br /> lgmenlo/Receipt o/Materials Export rrom U.S. <br /> d Name-� Port of exit est <br /> Date leawl j <br /> g U.S.: <br /> Name Signature <br /> Signature _ Month Day Year <br /> Quantity r' Y Year <br /> OTYPe <br /> ❑Residue Month py <br /> ❑Partial Rejection <br /> Manifest Reference Number: Full Rejection <br /> U.S.EPA ID Number <br /> �enevator�l�'— <br /> CodeS(de,codescodes for"afouasle treatment,disposal,and racy yclingsystems) <br /> Month Day Year <br /> 3. <br /> 9r n/ham>, 4 �_ <br /> Lydia Baker, REHS Page 14 of 15 <br />