Laserfiche WebLink
R.E.:,..'&., _f ""V02 2k—pa'; - e s z. .%P <br /> < S K;A to eF F c 'ird.t3c,^ .,6a a,rf,>yv 1 <br /> - <br /> QA <br /> si P,h'i3r.tz »))) <br /> P <br /> !{G. <br /> on <br /> yr <br /> I <br /> - S <br /> ti <br /> al U—Idn <br /> # I <br /> 4+,7 H{u',< ¢z'yl rlr�nP exI �y If r(pe(Ier <br /> `. r3r3peofer' Imn451rrsnaat-uusarrt-,anulrro rm I urr a,an —._,_ -�< _ -.t" _ . _w_.� ' - <br /> 19,GENERATOR'S70FFEROP SCERTIFICATIONt I hereby dec erelhatilie contents of this corslgnnenf are to[:k and accaratelydescnked aacue, the Froper Shipp:ng name aha are class had,cadre6ed <br /> `marked and fabeledelacardedr and are n all respects In propercoed!thon for Transport aceord ng to appl!cab;a irtenatlonal and national govetmernal regulations. -_ <br /> Genera+t"orslOflarors PnnfedArypved�Name ( - <br /> Signature <br /> ` Mom bar Year,. <br /> 4 F d'f<.. "re: `ca <br /> -s 15.In1emation rw"n ants -- . <br /> F ❑Import to U.S. ' ❑Export from U'S. Port of entryexlt: _ - - <br /> z TraneoterSignature.(for exports only): - Date leavnoU5.. - - <br /> 18.Transporter Acknowledgment of Receipt of Materials - <br /> l— Tranepo ",Fdated"Tyrld Name _ t.� S g°eture xJ Mor-hr Dat Year <br /> r <br /> 2 Transp000r 2 Pnnted yped Name Sign"urs ^ - Month Day; year` <br /> 17.Discrepancy <br /> 17e,Df..creparcy indication Space ❑T <br /> '❑cluanNty p,oe <br /> ❑P .wua. ❑ artist Rejector ❑Fu l Re;e04cr <br /> Marlfost Reference Number <br /> r 17bU.S,EPA ID Ninter _ <br /> a <br /> Facility's Prone: <br /> w 170.SigraBhe of Afterna;e rm&cutvw(or Generator)" - - Atrnf, Day res" <br /> a <br /> 18.Designated Facility Cwiteror Operator CoRli cion of rec p d materials w,erod by the mar as ox a tesnctedm �sm'7a <br /> Printaaf YPed Nine Signiaine Moura Dav year <br /> 169-BLS-05 11979(Rev.9109) TRANSPORTER#1 <br />