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E. 41h St. Record ID# PR0514018
<br /> 9/2/2020 Program: HW
<br /> Photo 21: The following uniform hazardous waste manifest(000336689DAT) observed lacking a signed copy from designated facility.
<br /> �.:arruns,caas�s LIT--P trudr
<br /> rises(Nlclu]41g ma- HG=1'�eedeh tlruma,Carrels PleaeF ar I
<br /> vss.meas
<br /> TO
<br /> _1-roPPer cr 9 Jd@ Care r�Ba. V w'FgSfE ry e�US r�'err� Fmn[�`p r�OMa No 2050-"
<br /> TP_P oars s r4kNa-fST ""� ?ae„r d 3 F�.ew2. �� _a 003 0 5 S 8 J AT
<br /> bans.Canals,kepis- �_ °nablB lank,¢. �alnr � 9�kwe Ja24i 18:1(: ad0.e33±'25?
<br /> rags -Cargo lahke(tank A111N r3anen Rlhdre
<br /> �«L"tr mermen c�rerrr.er.wtr.wm�eaa�r.rgma„1
<br /> fwrI!CVF 5T Guntmt 47.rmmxman
<br /> oo
<br /> IOLrI quanhtyW waste R 222 F-+61 FekrrAa SS
<br /> xrrals Whartidrs.ree'oerrtlnparLal units Nlha r+rroa rte- mss'`' -e731 Riper.CJ4963G6
<br /> re mar vna ed¢w �°I P ckral,m nearest Nt1T:-.. �"Y w
<br /> yDtll rnpon quantifies wilh�quantlLes I ISeanmento u.s.anro
<br /> ba based on acNal rrveasuramenfs¢Ire Praorerun, zT�e ^r`br aenw N"••EW F'HC1NE-Gust IDN 8766-00VA-•-�) C'.AROIX11797a7
<br /> Rood,Can"amer-Parjkes arene!'Qr U=.11y alxurato � "'�..•
<br /> k-m) Plable ns esimates ."-*rPl Ies N._•-FRI PPII]NE-C'arsr g3N a7se_O .-•.i Us Ear n wear
<br /> e[ era r.rru;r n.,.wena slarowa„ CAR000179747
<br /> 'pr°P^a�abbreVlehon from Table II(below)for the unit of
<br /> rrner'W solution-LLC us.fmroarm4e
<br /> 'LE IL—UNrrS OF MEASURE nar: lHt700012762t
<br /> reoh ,+'+oris 'C6:iB5
<br /> N=Cutuc Meters. - r 260.�4p-2q6 f
<br /> P=Pourltls. as ab.a s.bO7 (kakrgklp r'Iarer
<br /> T=TTI(2WO Pounds) HM erq l�a`I'"v d'a'Ffnurrll N" Nme,rtenme^,--,mn,.roa- ta.caee,nars tt.lolr t7.urul
<br /> L v=Cubic Yards a is-www cmee
<br /> a -Hart-F2l:ItA HaalydouE 1h95itl SatlO(OWT9N4CE0US F1aFt7H rva. trre 4a.aav wood.
<br /> ars.and Cubic Yards should only ba raponetl for very CLEAN uv t
<br /> irs,rank!rucks,or barges,
<br /> fe codes to describe be each waste dream Itlenlifretl rn Ilam w ?
<br /> CID
<br /> dundanl with fadersj codes must 4e entered here,m 2ota txrmobaava5<
<br /> tach are most mpresentaiwo of the properties of the is tYgrgaapa�7p5
<br /> 3.
<br /> AddrrbnallnPonmharr axe TKF000 ssar,
<br /> landling or shlpmanl-specncc Infnrmabon nemssary I I 7gt7
<br /> AV of rim
<br /> le atenals under the genewlor's orother GPA01it1fi63a
<br /> as waste probie nurnlArg,oontainer codes.bar I call C/�P➢OaSTd'
<br /> 30F,01-61011,AI Amay use this spew he enlq
<br /> oul their shoped materials,such as tlremrnl !
<br /> Isi�l sl.Ee,ar specific gravityof wastes itlentiTretl I Z01b GAb01117
<br /> t-5P 8Inaraiaarrem„ee,,,ar.aaadyo„all"er"'a° 11671@9W 205288
<br /> ted types of federally required inronnauon for which 1 f 1040173836 7,117 CAP.90A'
<br /> the mane est,including any.fremale faolrly
<br /> nberof th ande) l manifes[far rejected wastes Torennkrr.artrrtcyauHl odtyan inRtI transporterto add oreubstitute addiu•�nal ua—loorten en generators behcal
<br /> a second men frost.and thespe�mtionof 15 GENERATOR'SrOFFEROa'SCERTIFICAT[ON.Ihmby0etlarehatga�nlensotltisomsgnmemeeMlyaMapualeyA¢sfaed�horebyhepuge hppngname,adaedesafied,pataged,
<br /> lescriplions and PCB Out-or serWee dales required marked aMlabdedrs_rded.and aIe m ell respects m Properc th"t n for trare(brE erarding b eppfcagle Iy and wr I d netimel
<br /> Keever,cannnr be required to enter lnformalm in F�¢G'ier.i°,ya'1,'}har the
<br /> mnlants of this wnsignmea[wnfeml to the 1—if]Ceanachry EPAAckfwWa mart of Caraent. aovenmwnlel re9Jabars-15 ager shlpn>anl lla5lam iiia Prsna'y
<br /> 1 randy that the trasfe minimQahon Valemenl identified.40 CFR 262 27 a 0 I em a Ie
<br /> ircvrlertLS. � 111 rge quanhiy9�lalar f6 rflamasmall Ianti
<br /> - Ge sPrkltadl� Yf p Nyel,eramrlrswa.
<br /> r Hie waste mattmirahon certification statement In r I I a`[ fy r '' _ S6�ti �.i , 9-.1h Day year
<br /> I S1
<br /> on slaterrtenl,those II who have not T6.lnteme6rwl shipments r I 7
<br /> Win fie dilly to make a waste miniml2atHyi .
<br /> RA are also certifying that they have complied z T—Pener algnarrrra(f-------aHyl: tmm u.s. Pon of�hylaxR_
<br /> I.The GonerarcrsCar7limationalai)cantons the V..TmnspolterAdlnmYedgmanlofR�pt or Material, PMeaeHngu.s
<br /> been property prepared and is In proper 7 nspa-ter I Pliri ed(ryped Name
<br /> certinr�don).The content of the shipper's a signehxa M" Day 'N.
<br /> 'by dedar8 that the 00ntent9 of this = T1ansPoner2 Pnnledlfypeil Name
<br /> obed above by the proper shipping name,and sGrew. 1Jlanlh nay real
<br /> ledplacarded,arid are 6 all respects in proper
<br /> de inllsmatidnal and national govemmenlel as Dmmpeacy
<br /> Pranary E7�plter,I cerLfy that the contentsso of 188.Disoepaxy lniili 6ron spare
<br /> e owed EPA AI�nnwtedgment of Consent" ❑ouanl ly ❑TYPe ❑Residae ❑Parbal Rsi-to ❑Euli t qe nn
<br /> ares fie shiprrlent for transportation,this party
<br /> of terg!as the offeror of the shipment Mmi ealRe6s erica Number.
<br /> 1 dla words,'On behalf or a1 the signature � 16b.ANemale Faohry(or Generator) LIS.EPA ID Kumb01
<br /> nor to 9grnng the
<br /> 3 glgnaturn block p (T
<br /> f pia grdfvldual signs as the employee a 4 Fac,tys Phone:
<br /> rtittan.stgriafure req
<br /> ulred!n Item 15 maybe F 18c Signature OAllemele Faculty(or Generalor) blpnU pay Yes'
<br /> file p the generator Is preParmg
<br /> ands gnm at
<br /> m ge
<br /> 19 Hazardous Waste Report Marmmenl Method Cedes II o.,codas for hazardous wasto ke91I disposal,and[ocydmg systems)
<br /> 20 Pesignaled facility Owner or Operator GemfiraUrin of mcelpl of hmordous malemis caverod by ttw maollest excep(as nded in Item 188
<br /> PrialedlTyped Name Slgnalure Mon[tti Day YBar
<br /> EPA Form 8700-22(Rev.12-17) Previous editions are obsolete- GENERATOR'S IMIX COPY
<br /> JASON GAITAN, EHS Page 21 of 38
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