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3900 Holly Drive PR0535446 <br /> April 2, 2019 <br /> PHOTO 2: Manifest 000176818DAT (9/12/2017)found without a signed off copy from the designated facility. <br /> F— <br /> ,w —1 ems—•- .1 ray I <br /> r� •• � <br /> 000176PIP DAT <br /> "1nVY Wwelsrro4w 1 r4.nruY Bf <br /> i) lt�NUI)Iwope.i f(M N:iN <br /> C:A ill% Al Ilu v <br /> UI '164( <br /> JBr Alp umrar <br /> C.NHg1J5li4:5:5 <br /> 11 E-1-11- <br /> 11 <br /> PAID NumberI1.uW1 12.UPN <br /> -N frya )ganlily WI.NPI. 13.Waste code, <br /> '1'aa an Ing umue,llteleeud Alone Is <br /> n�'GM111a T4b IMI CHFiNiJ? ,.. ..' .uw, v,j r, <br /> 10. OiNEkAtOpyppFER011'e ClRiIFICAiION:I hereby Aeclere Ihnl the cmdanls of IINq coneignnlonl are lull <br /> malAad qnA lahmed/pMcanlarl,pled Rln 111 all mnirecle In propor cgndlllgn for lrmleporl argonlln IUe licebla lnternellonelenU nallonel <br /> YAfpHe7,1 aw8fy Ihel the Eonlenb of IhN egnelgnmenl canlorm Io Iha terms of Ihq attached EPAgeknowladgmenl olConsenl ly dgscnboJ a Wvn by the proper shipping name,arrl are claam ssifiedpackaged. <br /> I rbHl 0 Pp governmental regulalians.l(e%pod shipment antl lthe <br /> Primary <br /> /✓Mel NFe wNh ml4lnlltelbn el9lemenl Idenllped In 40 CFO 282.27(e)(II I em a large quanlll <br /> 1lanaleMV ref nled Nemo V ganerelor)or(b)(II I em a emelt <br /> Sgnalum quantity generalor)is lNe. <br /> I nlanmlimm Ipmanla I-1 Month Day Year <br /> Ilanalrarlel el nalum(lo'Pnpnris only) IhnOnHm D.B, I—JE%poH lmm U.S, <br /> 17 lignxlNRhe AcFnnwiwlgmNnl bl Raealpl of Mandele PoH Oleniryla%i I. _ _- -__._ <br /> Dale leaving U.S.'. <br /> e lana(eulaf 14i'l yllp aura <br /> ) slgnawm <br /> IgnNaN ' Nrde,l �n ....,'T I f Atonih Day Year <br /> N aura u <br /> Slgnalum <br /> 111 Ilinrenlwrlry <br /> Month Day Year <br /> IM Dw�'mlMncy lndi''alinn Sl'erx <br /> i fluanllly �Tym <br /> ❑Residue OPerlial Rejection <br /> ❑Full Rejection <br /> gh,gIm1118M I grllily fel r,rlwlm"U Menlfasl Reference Number. <br /> U.S.EPA 10 Number <br /> tit 'e Plaule <br /> C. WullimPl IhanaM failllly fol flpnPlalarl <br /> Month Dav fear <br /> H4laIlhNle WgeM NrgNNI Ma1MgPnlmll AIPHNei I'.iN1Pa Ile�%NMa <br /> Mr Imaanhxrs wa M Imama+nl,dispusal,and mcy(iing systems) <br /> 2. <br /> 9 <br /> 4. <br /> INIyjIM(!d f4tdp'(y OMNMrx Upelakr CPHrfI,a^IXJn td <br /> -101 Iluardnus"I'lalals'yeM d bV Me Illalllip,51 a%I,'gpf es 11C18d in IIMn iQ9 <br /> ignaNra <br /> tl70t1•31 v.5J16)E'nvidua 4NIIIIOHa are olMxMxtr� �, <br /> GENERATOR'S INITIAL COPY <br /> G <br /> LM� <br /> v <br /> Lydia Baker, REHS Page 2 of 4 <br />