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08/02/2018 10: 38 (FAX) P , 058/065 <br />' flh •wT,y.,yy J' ` �...,.n_Ww • ..�.-__`•�..�� �..- r..^r_-�_-. •+-�i�.�,.��r _ 1r�-r <br />I r <br />{ I <br />.44 r <br />��e.. is �t;!.j'i� �:� _� VIcrq "i.s.�...� .. gr.c7�7 � �;��•�, `�..�,i�.,,;�::r. .L'��riCfi.:y". <br />.9 27.1 �J <br />sr x'17.-d�tit :`?h]: U'niy.'•'.v� �ji. <br />E�lVIR�i'a;�� Tn��T �axo� 33920 LS�t <br />�'Jrrf *:fS7'�G} -^ Tr , -- ^-• ..� ..y31�7'� ul�lal I <br />�'. �Z'i:."!t:l r�'�.St.IA{ hY,:^ ..:i T � ••—.. ......�..... _..,;1.���',.- %144tj <br />IQ.z9 IP <br />,1 <br />• i <br />• Toxa.� dtixnnuau: e��;2:� <br />WFASTW3-I. : �'r�nircl�nri�cvrrerl��.�nq {a+:,;;,, - '- �• .._ ^.. ^,_ .. ...,w .. »„_�., ,.._. �W.,.: <br />r rvia Snev. ww) TRANSPORTER #1 <br />14. GENERATOAIMPFEROft CERiIfICATION: I hereby decla <br />t'ttla Coriterrle of this conafgn=nt are fully and A=ml* daerlbed above by are proper •hipping name, and are claseMled, packaged, <br />marked and lab 460aearded, and are In all roapada In proper eorrdlllon for Mosport according lo appNoabla htemalkInal and ne0onal govemrnentel ragwoons. <br />Oaneretor000mr'arintecNiyped,�Jpmq <br />�,.� <br />S(grwtun �; /'. <br />_... <br />Monts <br />Day Year <br />s•. r. <br />.; V\ <br />, <br />y <br />� 1s. rnternational sb�,Aar�9 r�--t <br />L ► Import to Us, <br />❑ EVon from U.S. Port of entryhrdt: <br />Treha * •tore tore only): <br />Date le U -S.: <br />18, TranepoAar Admowlkipom of Reoelpl of M atadafa <br />Tmr!epQrter 1 prime& yped Name <br />Sowuro,, <br />f' eq•.,:,y1.-•-•�. • ,1 <br />nlarMl <br />Day Year <br />Traraporlet2 PrirwWTyped Name <br />&ignahlre <br />Math <br />Day Yoer <br />17, Dsareparq <br />17a. Dsorapanoy tndsadon Space LI QuanMy <br />❑ Type ❑ Realdue Paitlal ReJed. <br />❑ Full R.Jeauon <br />Manifest RoWwre Number. <br />17b. Alternate Facility (or Genwwr) <br />U.S. EPA ID Number <br />i <br />FaoIM s Pram: <br />17c, SlgneWre of Altemale Faddy (or Oeneralor) <br />I <br />Mourn <br />Day Year <br />I' <br />11 0041iialed Faclity O!•mar or Operator: CertMlaatlon of receipt of maWals ooverod by ft marlfeel except es noted In Main 47a <br />yped Name .�� <br />910naMu�' <br />Month <br />Day Year <br />f <br />r rvia Snev. ww) TRANSPORTER #1 <br />