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1022 E. Frontage Rd. Record ID# PR0519099 <br /> 8/24/2020 Program: ER <br /> Photo 8: The following uniform hazardous waste manifest (0 1 7468619JJK) observed with no signed designated copy. <br /> - F' Ferm Aavmved.oMene.zaw.oaa9 <br /> pnnl mlrye iFomt eesi9netl for 000 Pn elle 12- pmunlerlwa[[t��NUSncxuq NumMr <br /> . '• J UNIFORMHAZARMUS I.G,A' 3UNU8:.143UC _� r".� a Ui t u.S2a619 JJK <br /> WASTE MANIFEST yy�yA�IrtdA<werauen mevrp eaAn%I <br /> 5�u,�yEµ�rp Alailwy Addma <br /> 1VIr rH rllA•+l irlNL` v� 1 <br /> rriFi•riLA - <br /> eq9 S6A}a4fd1 ' <br /> rene.a'rKe Phe. us,EF�� i:r � <br /> a 1� kll lql c�SP�iUNMGHi N.`+L HYII.LS ►' <br /> ��uar,���oa�,����,m,, . 10 Nunbn <br /> 1 T'a �y)ayrl/r HELJYf KY 3151 LM ov r.I�A!1 I:I n 1 7'�4 <br /> aepa us.SaAro Nader <br /> A tl YIIhM Fr[,y Lt 1,and Slb ROdaaa <br /> }]llE 131H yl H7:/: A T R I:0c,c,l <br /> 'PUMA <br /> • Fa ,P <br /> Name.livard Clew,IP Numbs- 10 Cm'oinen 11.Teal 54.1M1 to W_Cape <br /> ^ 9e. Sb US_OOT Deavvan^lineade'9 P+ave'�awM rya Type fwanCRy 'm Nd <br /> HM dPacWrq)mmap la arMl H ill tll`.rr <br /> ` NVfI-Films A r1AlRKWI55 VI L,UIDUD ILY - U. I f ^ <br /> 3 <br /> .'p�ul^m.r��✓w1.,�'.. . ..,.� __.„davrlP� <br /> 4. <br /> - <br /> � <br /> 14.spa®I Harding lmeoeaeae and Ad&WW fiRo""eGOn .I rI.fLIU. <br /> I•tPJNL1.fa iUd i.t`:F•- <br /> r - cMkN'�tHi:Y CUNTACI CHEM(RFQ 1-NW'a244131i0X <br /> WOES ILHMItfAI ^��� e 1" <br /> "AYFROPl;IAfEPFEGQUIFMErfi �,fl <br /> ae aneamualHY dexnLee above by e+e gnc It n9 name,era sre assuaad,packag i, <br /> . rLnaiboP kr 4a Sort auandiag to a9Dlirehle inlamaDmeldrA rra➢onBl9aremrdenna n3gulabon.d¢xpon <br /> TishipmeManelam live Pnmary <br /> .m: - 15 flUIEMTOR'sIoFFERDR9 CERFICAT10N:Thereby de lam Vrald`e wd <br /> noe�rsmis cxsi9nmefa ere h <br /> w*,dand lareledNplacaidad and areln aA resp 1a in G'War meM of Cariseni - <br /> Erp,N r,I wnily Nal Ne W nlanl,e n tuns 9nmeM cmtdm m lha lams of Cre a><a^hea EPAArJaIwMd9 1 or 1e1,,,am a ynaN quafArty 9aearat°rf is ave- M Day Y1eef <br /> rwltiry gnat Cra weslamnrn¢aAon aletamenl denoted ln43 CFR2fi227(a)(dl am alarpe 4aanel99��re <br /> � � PM of enVyfedi. ! <br /> 1fi.rnlemaeonel Snprrwncs � ❑Exponlmm135.lmponla LL5- pate nus <br /> T2napPNarsgnanxe([or eapdtls ontyl'. },Iwah Day Veal <br /> 11.1-Wffler?r�r ldR'ndnlMReeejplal MaleF�als Sgr�adae I , <br /> Tmnepaor1 Ila YP-a �'i40Z? t <br /> t MwM OaY near <br /> SgnaNm <br /> Z Franspdn.r2PrirNedfTyped NI <br /> q <br /> .+Fre.. <br /> • 18.Oisr^epanq ❑penial Ae�eci.«r FuVV Re)xann <br /> 1 ��� ❑Hes nue <br /> I 18a.Glxrepancy Indimllon Space �paanWy <br /> ,If I Mantled Relamnca Nambar ll.S,EPAI9 Number <br /> I 15b.P0rF a Fatuity(rH Generator) <br /> fU Month Day Year <br /> uq. Faolhys Phone' <br /> V W lac,Signature of Adlemala Faphry(m Generewrl <br /> ars. I 4 <br /> as as+kndw�� z <br /> a. <br /> n„y.,,.x errrP.ee,•�>.a...^=' ` - - - vJi 19.Nazardoua Waste Repoli Management Mallod Codes)i e,codes for hazardous waste treaanenc,disposer,and racy ng sys <br /> a t. <br /> r-.,..: ,�., :'•'�'""r`R"`0I"r r."""'ryr 20.pesignared FacLu <br /> ility Dwnar or Operator CeNfiravon olrecelpl of ha2ardaua materials covered by the man�Illamsle0cepiasnoted 1n hem 28 <br /> Month ay Year <br /> s Pnntedliyped Name <br /> GENEPIATOFI'S iSJ1T4At COPT <br /> EPA Form 8100-22(Req.3 05)Previous editions are obsolete, <br /> JASON GAITAN, EHS Page 8 of 41 <br />