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3927 East Clark Drive PR0514138 <br /> October 10, 2019 Program: HW <br /> PHOTO 1: Oil absorbent and debris bein dis osed of as non-hazardous waste. <br /> NON-HAZARDOUS I Genemlor ID Numbee Page of ].Emogprry Msponee PM1vne •Wine Tredinp HumM <br /> WASTE MANIFEST tal.IaOlB�.777 •DO 4T4 'ari0 S7'1r69 ll�r <br /> S Gay SNays aNNaarq P9Jlas <br /> 1a Gererreoh SM AGErwa(A 6aamlmen maMng addrewl <br /> A/ N Rall Ctew.}taw .I177'I. .1r..l gar As ts. Wawa C.— <br /> �"! R�ti1 m am <br /> Ot—*tqw. 'A 99t0!a Wei/s. s:L 9RtR5 <br /> Gere ;ma.. 114 740--99Q9 <br /> 6.Tramween I Cpnpay Name U 5 EDP ID Number <br /> llhrf.lwl Aa N+..+ _ a,.a l.sw Ir✓, <br /> I .. I'M477 <br /> T Trm ma,2Cmlam Nemo U.S.EPA ID Number <br /> S,Dr-- NMre mq Sa AWres6 US.EPA ID Number <br /> Y7w s. li[N GlwaaEr <br /> Na1Y, AR th[() <br /> Farr's PMre. 971-Ud 99'7R 1laMeafll•.07� <br /> 9.Waste SNppirq Name arm Deemacm 1h.Commnam 11.To41 12.Una <br /> IRvr t rv4rwrP I6Mvt'' Rr>/rill Na. Type Oumlay WINo1. <br /> I » <br /> 3 <br /> i <br /> 13.S6ccial H"IIW IW-1 and AdditionN Iniwmaaon <br /> 1 1 tilt= [AT1C�i <br /> tttlt , wa: bar EY'a[wr P!6'a"'� •4[a ossa a[ 7 sp..acaavc L111[I!!!sll: latoit <br /> 4'A4-9"��rfl t►t>i rktrmFt M7L7f/1%�7.Y4; �+791i69� �/tCw.v <br /> td.GENERATOR'a.lR'9'm 5 a,.11._T Ik 1 lrerepy detlme th me canNnN 0115 6onsignmeM are IVIN end aCCvralely descdbep above M the Proper Shippng name,and are olaaarW.packaged, <br /> markedon,r,PnpHarded,and are in all respM6 in proper coMAim Nr Iranspod a_.rq.apPlicable imematianal arM na0onal gOvemmenlal regulations. <br /> nemlor'a'(Hlprofs PnnledrTyped Name Sig.m. <br /> F ti.Inlemagonal SM1ipmpnta 'I _- <br /> ❑Impod to U.S. ❑Expod Irom U.S. <br /> Tr Pan of'm YI,.e <br /> der .1-Iw ex ns onl Dale 1—m U.S.: <br /> w IS.Twnmmler A0mwk63menl of Rxelpl of Materials ---- —_ <br /> I, T.—ft,I PnnlaV".lame _ <br /> C Men:n C'ev Vea <br /> Z Tmnsponer 2 PnnjeN dName 1 i Signelure <br /> MomM1 Dav <br /> 17 Dncrepar — _---- , <br /> ,7aa Ovxrepamcncy 1ndlPanon Space <br /> ❑Guam" El Type ❑Residue <br /> ❑Panna!Peleginn ❑FUA RalaelNN1 <br /> 17p.ppamaN FaMAy lar Genereror) - __ MandealRelerence Numb"_ <br /> U tiEPA In Number <br /> U - 7 MMm Day yew <br /> 1 <br /> PMledgyypName te.DffYpewFacifNOnnprw+M W'.G Kcal_—, ,i,11 - <br /> 11 I d m Item I <br /> qu,n z <br /> 169-OLC-O5 11977(R-9/09) -- MunM <br /> .._—__� - GdY Y�Bdt <br /> GENERATOR'S/SHIPPER'S INITIAL Copy <br /> /.1_ <br /> Lydia Baker, REHS Page 1 of 54 <br />