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601 Darcy Pkwy. Record ID# PR0528650 <br /> 10/26/2020 Program: HW <br /> Photo 8: The following uniform hazardous waste manifest (020351266JJK) observed lacking designated facility copy. <br /> JJK <br /> �h9136 _ <br /> C A Lia o o n 2 4 e 1 7 a 5M B� s!'tr 'N I'RttOF7 Ll IN <br /> aur-+WMI HT LINE IMG 60'=p MC CAS 30 4 -- <br /> 6M OLD DOMINION WAY' LAITes.�+ 9 13 6 fi 7 <br /> THSOMAELLE NC 27360 C A p 0 5 <br /> 3 3 6 e 2 2 6 7 6 a us Ery'ip rvU�' <br /> P.WW En ironmen[«I s —.-- _ <br /> il <br /> 1630 WrSTT 17TH STkEE G A D G 2 8 4 g G 1 9 <br /> LCN BEACH CA 90893 53.'aa+1°�'°tlea <br /> I viten.. UM <br /> a0a 1127-bT29 So.G Vlrlti Ta+ a <br /> F S.ppi Prevbtlon lnS6gfi�aaµq x.i.,1�JOr.ofMa�. W lYee 0us81'/ YYIN— <br /> 'd <br /> +ef ntl PndYp dalPfnrryVl <br /> 14'�S ,3 IiST r�i, {Qv1 Vol <br /> �� 0 60 {� DUI 551 <br /> NoN rzcfe� IJAZAP-DOvs �►AWC yso f <br /> Gf4�tD C C�lrB het r <br /> 14A 74" Els AS T7 <br /> Sv�fD p on DF2� <br /> H7 IHetlrmn g�g I X20-00604 PETROCREN f'OU H37240-20 03+5398, 115400, ID 14 <br /> CA541� <br /> i5. cFXERAT06'SrOFFFROR'S CERftr-1CAT1OH:ltnrebY tladne pw[Te cmlenb Wthis ca+algrmmlere fiAlyaM aawalelYtl.rl�betl show WNe PrWar ataGa^B name,drd aR tiasaRlld. ' <br /> marketl�Jlahslart'piecarCed,arrtl eie in an reap¢yle in propx ca4Nbnfor ea On aandnlswavWlo9al¢imamaeorwa,a�M1anal govern —In WatbM-NexpA 3,W+�arrl tll'°}am the A'1�v <br /> �wbr.l rem y ryrel6'a aarrt�,@ of yia cvnsgnmeM mnyrm to tlw brma of the atterliatl EPRP�,wMtlgrt�ani W CmueM. <br /> rn°'arra,atryy+vasla mlNm¢aeon alabmenl leannneo H AICFR 28727(.)lel emelarga quannly enera r}a(b)(el am asmall Quanety gara:Ialo,l la uee- „� <br /> nRd/r erne - wa.r-Oh 'M <br /> ' � .rnlemaevnal Stuprriaeb V 11 <br /> rralaPorone�nema lh.e=Pws mur❑Imagnmus. ❑�awnkam Pon al annrredt� t+ <br /> � n r Dale leavkg ll.5,: <br /> �a1 "lo,I P IIs T',apGr+renlmlZaekrt ofelelelWa ''+ <br /> O T�^aPo'+er 1 PAn1eCYrry�pe(C[N/AJTraypDay2 P1 <br /> � F-Nl� CJ'✓lvV�/— SIAnalun [�V'r1N1 1 <br /> renaPOhar rl 1 + <br /> � aa NamB <br /> Sign.w NIaM Da/ 'rte 1 <br /> V <br /> 1B Ohtrepen% <br /> E"auapenCy llltlrbupl Sp&ra <br /> If/ ❑Oventlty ❑Tyre ❑Realdue ❑PaNal Relec.9oe ❑FUM1R ler.+len �J)] <br /> 18b,Aflerrlate FeGN <br /> h(or Gerrererer) Manpeet Reference Number 1 <br /> U.S.EPAlD Numher 1 <br /> LL FaENlfy's Phone; <br /> � 18c.5lpndltxe of Nleraele FeUtlty(ar Genaralof <br /> � z4 11lmlri Day veal <br /> _ Q19 He2erdoue Waste Report Management alelhoa Codes tl a codas�1laidfdoua waste traeananl,al5posel,and IecyGlltiQ syetams} <br /> I 70 Dealgnafed Facility pxner a <br /> F operator C"khdon gf"Ipl at hatardoue maledale coveted by the mahllesl except as rdarS in Item An <br /> - n7 yped Name <br /> sig <br /> hatule it Veal <br /> FPA Form 870422(Rev.12-17) Previous edilions are obsolete, <br /> DESIGNATED FACILITY TO Ms a MANIFES1 SYS`EM <br /> JASON GAITAN, EHS Page 8 of 8 <br />