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3540 East Carpenter Road PR0542634 <br /> February 14, 2020 Program: HW <br /> PHOTO 6: Manifest 020606820JJK found without a des nate facilit si ned co <br /> Please print or 1_.,.�. <br /> UNIFORAR1ySARpOUS Tcenerakr lD <br /> WAST,I No- <br /> 2.Pape l a a E Farm Am ed ONE,No.2M.Wrp, <br /> 5 Gonenhlp coarse^h'Reaponee�PM1w—ro �-1.M�anl am Trxhl� <br /> ca Nama ahw Marring nddrese ) _Lu7.0606820 JJK <br /> Ganerarwa Slk Atltlreen el aieamnl than melMa eatlreal <br /> Gernrarph Pyhork: <br /> 6.irenapyter 1 Cgnpeny Nemo <br /> C LFAHTECH EMARC"F.N'TAL INC LLa.EMIR Number <br /> 7.hansporkr 2 Comyany Nama— I CIU.00D3a, <br /> U.S.EPA ID Number <br /> b.Dasgnalna Fadliry theme eM Slla Atldreas �� _ <br /> HERRM3F_—IROMENTAL SERVICES LLB: U.S.EPA hDNw W <br /> CCCOLIDOTE.AZSTOR8SJ28UUSSA AZ[%N!17rh5p0:! <br /> Fane kPMrk:d�'723-NB7 <br /> 9a. 9b.US.DOT Dasa I-firmlvdlrg Proper ahlppirg Nemo,HezeN Claas 10 Number, <br /> HM atm Padrirg Groµ'(if any)) 10.Conbhinem 11,T., 12.Unit <br /> RQ. No. Type OuentihY 11 until ta.week Coaes <br /> >< t '-U UN 1 R'CA T WASTE AEROSOLS.F1M�11ASLE,In o.e.,7.I(FAINT,<O LURRICAIJT$1.(0001).ERGII728 DM P DdTI 331 <br /> W 2 <br /> i� <br /> 7 <br /> 4 <br /> 14.Special HenElirg lost-Iii and Additional Information <br /> Get)PROFILEN_ USE GLOVESAND 00031.1`9 1'RUCKM <br /> (AEROS01-0.5) <br /> CALLER MUST IOENTIFY CLEANTECH ENVIROReB:MAL AS RF(;LS"rRANT INFO TRAC 8065:1551)53 _ <br /> 15. (IENERATOR'SYOFFER(IWS CERTIFICATION:I hereby dadare that Me aanlmis of this chnsign—dam Nlly and—drstely described above W he proper shipping name.ab am dassified,package4 <br /> marked and labeledyplecxmed,and are in all respeds in proper mndlIn,for transport aomrdiog to applicable mtemalionaland national governmental regulators,f export shipment and am he Pdmary <br /> Exporter,I ashfy that therdsh of this consignment conform in the terms M the allached EPAAckm Waogmant of Consent. <br /> mrtlty that the waste minimization statement idenflied in 40 CFR 262,27(a)(if I em a large quantity genemtra)or(b)(dl am a small quantity generator)is hue <br /> Generatora/Oterofs P11(ad/TyVad Name Signature Month Day Year <br /> 4 16.International Shipments Import po ❑ <br /> US. Export fmm U.S. POnfentylexe: <br /> . <br /> i Transporter signawre(for exports onN¢ Dat leaving US, j <br /> 17.TransporterAcknowledgmant of Receipt of Materials <br /> Transpwler 1 Pdmed(Typed Name Signature Monti Day Year <br /> T PdnWTyped Name Signature Month <br /> lee. Indicator Space Quantity ❑Type ElResidue ❑Pa Nal Rejecfmn Full Rejection I tY <br /> Manifest Reference Number. - <br /> IBb. 'ley(or Generator) U.S.EPA ID Number � <br /> ad <br /> 1C. amore Facility ) MonM Day Year <br /> f <br /> Rapfxl M ed Codes(ie.,codes lar hazardous��waste treatment,disposal,and recycling systems) <br /> 2 <br /> IY <br /> at or tion of re;jpt of ha do ,mematerials covered by the mantlest except as oded in Item 188 Monts Day Y.N <br /> SignidU <br /> COPY <br /> 1217)Prevli bons are obsolete. <br /> GENERATOR'g�NIT(pL <br /> Lydia Baker, REHS Page 6 of 8 <br />