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are—prVnt or type- Form desi nerl for uee on elite(12-pitch)IypewMez.) Form Approved_OMB No.2050-0039 <br /> UNIFORM"AZAROOUS 1-Generator Ib rvamber 2.Page 1 or 3.Emergency Response Phono. man,test Tracking Number <br /> r-:pD'�925sb17 � - <br /> WASTE MANIFEST SKS <br /> 5 r:a rarnr�.Nnmr and Meirir,y Aeeranw Generators sire Address Cif different than mal{[nq add--) <br /> ' --- 31d11Fs Leas <br /> Generators 1'M1ane ' <br /> R Transpnrlar 1 Company Narna _ 11.5 FPA Ib N,rmha:r <br /> I Transporter 2 Company Nama U S.FPA ID Nrimhr: <br /> 8.Designated Fauliry Name antl Site Address U.S.EPA[p Number <br /> prtys Phone. <br /> qa u. Gai o np on(,nc[uding proper Sh,10119 Name,Hazard Class.1b Nu 1— 10.Gontainars 11.Tmal 12 U.0 t3.Waaler Cods. <br /> HM ubd Pachnrg Gi eup f�r4anY)1 Nu. fypa Quantity Wt.Nul. <br /> d <br /> 2. <br /> 3 <br /> 4. <br /> a Specie[Nandling Ingrn,rJ{nns and ArNiYirur:al Infnrmalinn �"i try r�M - <br /> 5. wATOR'SIOFFEROWS CERTIFICATION: 1h—"I--I packagetl, <br /> marked and labe[eetplacardee,dnrt are in an respects I.proper condlil.n for rrenspurf according b app[irvhl r.inlerrr:ali«ta{scot rraliunal guvummontal regulaliona:if expo,!shipment ane[am the P.mary <br /> Exporlar. certify Thal the contents of Ihis c nsignman!wnrurm to Ibe terms of me attached EPAAcknowletlgment.f Consent <br /> I certify that Cte waale m4nimlzagun stale rt,unl'rdunrifurl in 4U CFR 2.2-Y7(a)(ir am a[o,ge neannty generator)or{b)t".am a small q...tiry 9--r)is true. <br /> Genera For'slORarorgPrinledlTyped Nama Siynalure - ontb ❑ay Year <br /> F 1[i Irrlsrna4onal Sh,pments u{con a to u s LI Export from U.S. Port of entrylewil: <br /> - sighalure(tar akports.nVyJ: <br /> 17 ilTransrrorter Re 01 of Mate.ars <br /> anspor 1 I=nntparTYpee 1ame 5lgrraturu M.ntfr bay 1- <br /> -------- 11, <br /> ear <br /> o 11, 7 . <br /> zTransporter Printed/Wld Name y tore Y <br /> Q Month Oe Year <br /> .r. 16 Discrepancy - ]�I �4 <br /> a_bisuapancy Intlirstlon 51ace �I Ouanitly �]Type 0 Resiouc 0 Panfal Reiecllon !—I Full Relnchon <br /> Mamfest Reference Number: <br /> b.Al—Facility lar Generator) HS EPA 10 Number <br /> a4i Fatlflly's Phone: <br /> 0 1Sc.Signature or Alternele Faniliry(or Ganara tor) Month Pay Yea <br /> �= 19:Fta'raM.tu vtaanra Repnn Menrtn—,Mr:c,nu Cour::.(i o r�.rlos far Aaeardeus wash Irealment,d[sposal,and—Id---11) <br /> 2, 3. <br /> 2U.Oesrgna[ed FaciliH Owner or Operator.Certification of recelp[of hezartlous materials COyes¢tl by tM1¢manifest except as nttetl In Item IR�z <br /> Pdn--yped Name gnature Month bay Year <br /> EPA Form 8700-22(Rey.3-05) Prev[ous edlt[ons are obsolete, 13ESI"NATEI7 FAr-ILITY TO CEIEIIIIII <br /> 301: Overhead Lubrication system drain plug have been tightened to keep them from dripping and <br /> the content has been drained to a Lube cube lubrication containment unit. They will be <br /> monitored during our shop reviews. <br /> 406: All containers in the oil room have been marked or disposed of. <br /> 601, All mentioned waste has been removed and supporting documentation is contained BELOW: <br /> Diesel Particulate (DPF) and ASH waste are the same. They are produced as a result of reburning <br /> exhaust smoke\gas before it is sent out through the exhausted. <br />