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3927 East Clark Drive PR0514138 <br /> October 10, 2019 Program: HW <br /> PHOTO 17: Oil absorbent and debris dis osed of as non-hazardous waste. <br /> voicED <br /> GeaMoi:ID Nnmbr amn.cx,a x�me« <br /> WAS ESR US I�LO00262375 Page tot Emery pes P-,�O a S303tf� <br /> I 5-Genemtpr'MA FEST 1 a Y a.w <br /> OMailing Appress Genamrah Sue Apdreza la ditlerenl man meilinq arin��.i <br /> u � 3227 x3a2k==Jbw Akt n: Db a does <br /> atW C\25205 ltodkta. O 26305 <br /> Geaera,ors Pnwe: 016 240-3265 <br /> 6.Tranappper 1 Company Name <br /> US EPA ID Namter <br /> f900017Sf22 <br /> �.Tmnsponer 2 Company Name U 5.EPA ID Namher <br /> 3.Dr-+I nalyd Nampa .IrA Add— U3.EPA ID NI-1 <br /> 22277301.. 13m <br /> 7A0O , AX OSif�{ Sa00O51Snf <br /> Facili'a Phorre'. 920-3"-0020 <br /> 10.Containers 11 1., 12.Un1 <br /> 9.Wase Shippinq Name antl DescriptionNo Typa O—it, lxt Nd. <br /> z 2 <br /> 13s� <br /> 1) alH-ling lnslmdions and Addpional lnformatbn <br /> 1012-PO-R i SBO <br /> 1 .iii Im 2t;tOlsnr zEs G7Mhlns: •stn ease e2 ee��q eaewtaet®®c tSOq <br /> 420-9300 Plogistxat#0=97478*;X0320 / POE9O%WG / 11- <br /> I I: <br /> PII: l til li <br /> 1d.GENERA10e'6/OFFExOR'6 CERVICA <br /> ON:I bereb de fare tllal he conleMs IlM1is consignment are 1,0,and aaaralely tlescnbad above by Ne primer sNppirq name.atM are classitietl,pacYaWd. <br /> maAeO aM IabeleNOlacvded,and are in all reapecls in proper cantlgion lar transpod—ding to applicable imematlonal end nallonal govemmenlal regulaVons. Momx Day Year <br /> Genemm/srOXerors PdnleeyWd Na i 1 <br /> (0 I� Signal —7 IV <br /> 15.Ince auonal Shipments �Im d to U.S. ElEvpod,tan U.S. Pod of entry's": O <br /> Tran der Si r...for ea its onl Dale leavin U.S.: <br /> 16.Transporter Ackrrowledgmenl of Receipl of Materials <br /> iranspoder 1 Pdnlee ped Name Signature Month DaY YcTeaz <br /> o Ir'Dc I 19 Ib <br /> z Trempoder 2 PdMedRypad Name Signature Month Day Year <br /> ~ n.Diacrepanpy <br /> 17a,Dweparq Indication Space ❑Duantiry ❑Type ❑Residue ❑Partial Relttlion ❑full Rejecbbo <br /> Menilesl R.Nrence Number: <br /> 176.Altemate Facility(or Generator) U.S.EPA 10 Number <br /> U <br /> u Facility's Phone: <br /> m 17c.Signature of Allemale facility(or Generelal Month Day Year <br /> 6 <br /> 2 — <br /> I � <br /> O <br /> j18 Des gnated Factltty Ow er or Opera I.,Dedilicugan of,-,pl of maledals covered by the manilesl a epl es Item 17a <br /> PdnfedRY d ame Signe re Mon111 Davy Year <br /> 169•BLC-0 5 11977(Rev.9/09) DESIGNATED FACILITY TO GENERATOR <br /> Lydia Baker, REHS Page 17 of 54 <br />