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2019 <br /> Item 15 - Generator's/Offeror's Item 15 - Generator's/Offeror's <br /> Certifications Certifications <br /> •Generator or Offeror personnel may preprint the words,"On <br /> behalf of"in the signature block or may hand write this 1, li_Y„ - S17 ln�'Ij IAN <br /> statement in the signature block prior to signing the <br /> generator/offeror certification,to indicate that the individual •Be sure to precede your signature with <br /> signs as the employee or agent of the named principal. "On behalf of Kelly Moore..." <br /> Item 16 — International Shipments Item 16 — International Shipments <br /> ra ninreeaui momma ❑-m—U.S. ❑EryMh-U$ <br /> T,,",,a.p—iWa'do- r Port ofentrylW: <br /> •For export shipments,the primary exporter must check the Dale leaving U.5.:0 <br /> export box,and enter the point of exit(city and state)from the <br /> United States. •For exports,the transporter must sign and date the manifest to <br /> •For import shipments,the importer must check the import box indicate the day the shipment left the United States. <br /> and enter the point of entry(city and state)into the United •Transporters of hazardous waste shipments must deliver a copy <br /> States. of the manifest to the U.S.Customs when exporting the waste <br /> across U.S.borders <br /> Item 17 - Transporter — Item 17 - Transporter— <br /> Acknowledgement of Receipt of Materials Acknowledgement of Receipt of Materials <br /> l l l •If applicable,contains the name of the person accepting the <br /> l l l waste on behalf of the second transporter. <br /> •That person must acknowledge acceptance of the waste <br /> •Contains the name of the person accepting the waste on described on the manifest by signing and entering the date of <br /> behalf of the first transporter. receipt. <br /> •That person must acknowledge acceptance of the waste <br /> described on the Manifest by signing and entering the date of <br /> receipt. <br /> 20 <br />