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188 South International Parkway <br />March 3, 2020 <br />PHOTO <br />■ <br />,—m C -O (Rev. 5-11) <br />arse a, <br />Fv <br />Y <br />PR0541451 <br />Program: HW <br />Lydia Baker, REHS Page 4 of 23 <br />} <br />6. Trenspoapr i CpmpanY Names—_ <br />I1 <br />I i 1. <br />1i <br />],T r X11 I.. <br />spader.^^Company Nama <br />.S. EPA IDN Ger <br />� NI(7"}1tA411411 <br />U.S. EPA ID N -N, <br />8. Dasigneletl Facility Nema entl Sile Adares9 � r. r , . � <br />a+t1 <br />i „ <br />,,,u <br />U.6. EPA IO NumMr <br />Hhl US Uri Dnttripllon lincluJinq Pioenr 3M1IPIrInN Nome. Hazom Clan; IDNumbar,aMP la. CONAIiars <br />_ _ _ ____ <br />aailrq Owpllleryll <br />II. TNN Q. Unit <br />2. <br />3. <br />a. <br />13. Special Handling Instrucllons entl Mdilbnel Inlormalbn <br />r , <br />Ia.DENERATOR'6 CERTFICATIDN:I M1erebytleclare mellM wnlanlad mismnsignmenl ere AeN em eauMly Eavaibed shore bymepmpersA wre.aM xetlsss'ifisb, laUgN.nwka eNleMasUwNea.arN <br />ere In ell respects In pmper cergillon for lranipod acvk to apps'.aebb iIft. <br />al antl nNbiwl gammm WmgukM1aS. <br />Generet,r:0Iferor s Prinledaype�Namp <br />Signelure } <br />_ <br />IAmm Day vev <br />15. Inlernalional Shipments ❑Impod to U.S. <br />❑Elea from U.S. Pan of entrylSV <br />Trans ser Si n I p p N IVI' <br />Datelean US.: <br />¢ <br />16. Transporter ACMrrowletlgmenl of Receipt of Meletlels <br />V� <br />ewnm Day ' <br />rr <br />El <br />Transporter 1 PlinledRyped Name <br />Signature <br />, . <br />� 1, <br />Alan61I DaY Vex <br />GTransposer <br />2 Prinled/fyPed Name <br />Signature <br />' <br />I L� <br />I <br />1] Discrepancy <br />❑ RasNue <br />❑Partial Regctian El F. flryenun <br />I <br />170, Discmpency Ilblcellon Spars ❑ Duanliry <br />❑ TYPe <br />5111 aMTrukl Number: <br />UB. EPA ID Nurt-0er <br />I]D. Alternate Faclllly (al Ganarelor) <br />U <br />DaY YNr <br />n <br />Por:lllly's Phone'. <br />_�A1aa6 <br />tp <br />I7C 91gnelure al Allernnlo Facility lar Genmator) <br />_ <br />_ -- -_ - <br />_ <br />Opmelor:C¢dll[allondre<e1pl olnaletala <br />me I p d o Ite 11 a <br />covered hY lhO slipling dm_u _ <br />IN�ib <br />- ILsa1 I}� <br />I dFacllily Qanaror <br />PN IeMyped N m1e <br />1_ <br />GENERATOR'Cr'ShI1PPER SINIYIAL COP <br />,—m C -O (Rev. 5-11) <br />arse a, <br />Fv <br />Y <br />PR0541451 <br />Program: HW <br />Lydia Baker, REHS Page 4 of 23 <br />