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3927 East Clark Drive PR0514138 <br /> October 10, 2019 Program: HW <br /> PHOTO 18: Oily absorbent and debris disposed of as non-hazardous waste. <br /> RDN-HAZIRDOUS t.Gan..ID Number PaAememency Reepanee Phone 0.Wesb Tr.ekinA Number <br /> ( fie_ 2. <br /> 5 MANIFEST i 1 a <br /> W-1 - Generatofs Sile Address bl deerem roan maninq address) <br /> ' � C)t c3a>a aa►aa aaaa EMU eases <br /> at°ak'cw.�CL lGia6 Stadotilin. CL BOZOS <br /> e us.EPA P.—bo, <br /> La <br /> U.S.EPA IO Nvmbm <br /> a <br /> ;'.e AONess U.6.EPA 10 Number <br /> 1I 13M <br /> ,now. <br /> I—and D noon 1p.Containers 11.Total 12.Una <br /> No. Tyra Ouanuty WUVoI <br /> Q �'beadtaaa OYub.SaliAi (Oi.>f ZMo�wt <br /> Z3 <br /> 0 2 — gEk�c� it <br /> 3 <br /> 4 <br /> 13.$penal HaMling mano,nons arq Adusa al Inlortnarmn <br /> S Ot: aaI*r l=qr:MM Clothing, **$onionO!a�a s"M <br /> >tapat: t #OM57473*: <br /> >'5, d 3 <br /> 14.GENERATOR'S/DFFERDRS CERTIR ATIDN:I hereby d late that me oophade of Me Ptnsignment are fully and accurately d—nbed above by the proper Shipping name,and am classlf d,pacyagea. <br /> marked and leboledpldcarded,and are.n all m"M M proper MMIRien for themporl according to applicable intematonal and nal governmental regulators. <br /> GenemfwSl06eroh Pr PmdRyped Name Slgnel Na Month Day Vear <br /> ��i✓ <br /> 15.Imema(nnal Smpmenls <br /> Impnn to U.S. ❑Exppd horn U.S. Port of enlrylexil: <br /> T r 5,nalum for ax 0 dol: Date leal U.S: <br /> 16.Transporrer Acknowledgmerd of Receipt of Materials <br /> yyy Trensponerl PnmadQ""a— Signal Month Day Year <br /> Transporter 2 PrlruaYTypnd ameO SignalWe I Month Day Year <br /> 17.Discrepancy <br /> f7a.Discrepancy bbicaflon Space <br /> ❑OuantilY El Type ❑Residue ❑Penial fleI ❑Full Rejection <br /> Manifest Reference Number: <br /> I7b.Alternate Faclliry for Generator) Manifest <br /> EPA ID Number <br /> U <br /> uuuLL Facilityb Phone: <br /> 17C.Sigualuro of Allemalb Facility(p Generator) J <br /> Month Day Year <br /> lI&Demgnale l Facdlry Owner nr Uporalor.CBNdcollon Of roco pt of meterlele OOlared by the menllBel except as nnton In Item 17e <br /> WI ,,ml Ne a• Sign Month Day Y <br /> 169•13Lc0 5 11677(Rev.eioe) DESIGNATED FACILITY TO GENERATOR <br /> - ----- - -— <br /> UNION— <br /> Lydia <br /> Jia`Lydia Baker, REHS Page 18 of 54 <br />