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Investigation-Derived Waste Management Standard Operating Procedure <br /> SWE-FSOP-802;Revision 0 Ahtna Southwest Environmental Operations <br /> meme prlrrtortype.]Farm ame grled Ywese an eWjl2-p1bM)typewriter.] A720M392034BiM SC LIP 112WOR Form App'area.OMB Na.zOEnd 3= <br /> uu,FuRm HAZARDous 1.Generator id Number t.Pace 1 of 3.cmErgeney Respanse Phone d.VanlrestTracting Number <br /> WA.51'E MA,7:IFEST 1 <br /> 5.Gene=rr,fl arne and#ialnng Addm6s Generator's Slte Adi ePmVlf dIrWer.1 plan rnging a&Jrerrj <br /> Gerera..rs PWne: <br /> :.Transpone,1 Company Morrie U.S.EPA 14 Nuwuer <br /> TranWrler 2 Carnpany tame LJL.EPA rD NLr"fl <br /> '.Dealgrred Famlitr Name and 61;e Adiftess UA-EPA M Number <br /> 1`3d5tys Phone: <br /> 9a. 96.U.&DOT Deacltpnan onakiding Prober Utllpping Nzre,-f=ru class,ID Number,any W.Ccntalnem 11.Total 12.--.'-. <br /> HM Padhg Gr3uN1ranyj) No. Type Qua"' 'A'--..: <br /> a.;a-3 -3 -s..-.:-.isand Add'Jona IMamlal:w <br /> vontr3c:rer.aln&7 by 29n3ra.of eon%m agr<nc� <br /> mzftxwft ort l 9MI transporter to add oralubsMirbs ad.Atimod Lranaporbwa on MnaraWa behalf Tor pu rlx)sq2 or If3M9 r1non s?n-lencv mnvanlance.or aAW <br /> 15.GE+lERATIONWOFFEzOR';CERTTICATIDN:1 hereby aecaare tha.the coriEnts et MIs o.7s;g- +e-:3r=w y aid a,.ulately]etc,r_d a,r,e by he prmei <br /> sNong name,and are ciassfed,paakagea4 marled and IabVedp,-3carrted,artl are Ir.a;zeEpecb n pr.aer:cr dltm+. :ra•1spot ac. ding anptcme'^yma'.-t <br /> 3nrt rm0onal govemmerlb3l reyulatloas.Ir export shJprrEnt and L am:he Prlmmy EXPDrK I cmty that ibe canter's ar in a mrsgnmE-nt ccnranm to ibe peons <br /> ahached Ep q AcAPGWe0gmen2 of CanwiL <br /> I Certify Thai the waste rnlnrm¢at9on staMment Identllled In 10 CFR 26227(3) (If i am a large quas•Jly generalml or fW(rf I am a small quantity generallw)Is GUE. <br /> Gener3"SK lWvrs PHRM67yped Narce 3lgnatlre fdwth Dap Y:3' <br /> 16.IrrtemationalSlilpments Elnpphtaty.g II--I—IExpWtrMU.S. <br /> Port of entryfe>dt <br /> Trarrsporier Signature ON exporis only, DMElea,AngU U.S. <br /> 17.Tia rter A.-know' ement bi Re"Df 1613ri gals <br /> Transpofter 1 Pnrfte1.'Typed Narne 9gnawre Mmth Day Year <br /> Trarrspor6er 2 prntenTyped Name S�gra,lae Mmth Day Year <br /> 16.G%crepancy <br /> 18a.i wnapaney InMeabon;aaae ❑QrerNy ❑Type ❑Residue ❑parva Rejecaor ❑Full RejeaJrn <br /> Man7esf Reference Number: <br /> 18b.Alternate FadIILp,or GenEra6arl u.S.EPA.I n Number <br /> Fadr?y's Phone: <br /> 18c.Signature ar AF.emam Fadry for Gen 2raW Mmlh Day YEar <br /> 19.rtamr4aus Waste Repan VwLMement Metliad CodaE,4e-,oDies for hazarWus waste treabherl,dlE csal.and rEqWN s mE <br /> 1. 2. 3. 4. <br /> 2D.Desklnabad Fa:llry Owner or Opera,.or CeMcMDn of recel .Df haxwdatls rnateIia s comE ed by the mandeE'exuept ars naffed m Imm 18a. <br /> P3ln1e#n%ypEd Name Slgnahum Uanth Day '?e:.- <br /> EPA Form 671311,-22v(Rrv.3-45)Prexalm edtarrs arE-obsolete. <br /> Page 12 of 12 <br />