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E. 41h St. Record ID# PR0514018 <br /> 9/2/2020 Program: HW <br /> Photo 19: The following uniform hazardous waste manifest(00306233DAT) observed lacking a signed copy from designated facility. <br /> zox.w39 7AT <br /> GL33 DAT <br /> 1�"%a're. Marb. <br /> N�.a'1w,lu[••••I.ItI P1ECNF.C:IrslrOrr 6755-(1(IU4•.-•1 .: 1; <br /> r••..1.H1 RHr)NF-S:ve11Ik167c[i.000:•-..I U.S eaq io��nnen ;.,i <br /> CAW OW 11474 <br /> I' 1' 'r'�I ln,rffrp,f SAU�Ur)a LI.0 ll9.FPa tO anEx <br /> FacWr ""F aYrf l6 T%39>Otl�,X6{,pin,e56 1 <br /> "•Sl.ef It 1F?:]00121 <br /> �O '"R--AO-2U 1 0 sxTa!%4e13A G11iKtR1Y5, <br /> /r yM u5 r Aa,s TpQpaaE,'u6 r�,ramn„YSa <br /> ib°°n1rEM'i'v Hopr�Yo'v Nwrr,Nusa LtRQWrbr. rn Ga�ws I,�i ,z bm ,a.Yaob rude!• t:; ap,I GPOlalImw r Vr IIAM <br /> "14r rf�far YYastelrr ao. aunaH mrva. <br /> yr IwaIU-Y•1LPMTlOR! <br /> —7-5b ,n C�i�A,R5531 c nv <br /> V �"�-�-H4 Hererd GRS%MT6SiF CA•71EK <br /> r 1r-�r7'I 41V1 IX15 V"�S SorldrC11ATO/M(;FpL15 FJY7Tal <br /> s a. <br /> / �',�"- i4.SPegal <br /> 1 Handling Inslra°h'gre and Adrneprral Infanrgdpi <br /> I IU0U91 so 18U14$ <br /> {! Cwr��,vnri,¢.r7,[ 5`y'�D Ga c. Z, ov/142. <br /> ! 15 confen aUen Cyaualontyi n MILIA Trans onbr In atkl or sUb�uWre arlaaanal trans ar1eR on <br /> GENERATOR'$/prFapOR'S CERTiFfCATrpH:Ihere6 p P yrnw dlUrs a=ball <br /> markedandiB6e1¢drplaparded arN&eln allrcs cts Wpdecgre Wal lharw,[enls pftle5 mnsfAnmeM areruiry aM agaral¢ly dasoibed shwa by the proper ehlPpinA name.and are aaasVfietl,packaged, <br /> ExPafer'ICeNTy alai are eVnlBnl9 precis tuns mrxi mndlGpn Wr aal,spwt aazrdir,g to appll�bla in4amadyylaM rranorulgoremmentak regulations.If export shipment andl am the P-rt <br /> IrgrL'ly Nat the waste mint Ignmenl�dnn'4me terms ohneanan,ed EPA AckrlowledgmeMofOwrsent. <br /> Ceneralu' '^rte°°sWWmenlidamlifled in 4d cFR 262,77(a)(lllamalarge gvan 'ear <br /> s✓ORe+ots Prtn(,¢�rrrpod lye a uty'generabrJw(El(rcl oma small quanuTy generaWrl is <br /> Is. <br /> K r 'y fi... f it k I I E7naplre f: Month Day Year <br /> � 16.ylemati°nai SryiP+penia /� <br /> Z porters. Im <br /> �* Tans SnaWre(fpr er:WrCsonlyJ:❑ Psd to US. ❑Expon rrem 11.5. Pat pl entrylexil: <br /> 77 Transpprrer Oafalaawng ll,5.: <br /> ~ ntwyedgmenl or ftecefpt pfMala,Wfs wr <br /> O TransPorter 1 PrfntedrTjpad r <br /> Signature Martl, �Dway Year <br /> T'ansPorrer2PnnleMyped D3 V 7-b a er <br /> I SignaNre MUnlh Clay Year <br /> / 18.DiswepensY <br /> 180.0rsnepancy lndicahpn Space LJQuanniy ❑Type <br /> ❑Residue ❑penial Rejedion ❑Full Pejedlon <br /> 188.altemere Facifily{or Generator) Manifest RelOMAce Number <br /> k1.5,EPA ID Number <br /> aQ Faaiiys Phone: <br /> aw 7&.SlgnaWre ofRftemale Facility(or Generator) r <br /> S Manlh Day Year <br /> yie kazarduus Waste Repan Management Mefhed Codes(i.e.,codes fcr hd2afd0u3 waslB Treatment,disposal,and recycling systems) <br /> i. <br /> 2. 3. <br /> 4. <br /> 20.Designated Facility pwneror pperalw:CertiScaubn of receipt bf hazardous <br /> Prrnted/Typad Name materiels covered by the manifest except as ndad In Item 18a <br /> gnature MenU1 Day Year <br /> EPA Form 87Q0 22(Rev.12-17)Previous editions ere obsolete, r <br /> GENERATOR'S HTML COpY <br /> JASON GAITAN, EHS Page 19 of 38 <br />