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E. 41h St. Record ID# PR0514018
<br /> 9/2/2020 Program: HW
<br /> Photo 22: The following uniform hazardous waste manifest(000336572DAT) observed lacking a signed copy from designated facility.
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<br /> aea„ersk `..-•+nrars6�rrnmemren ATT"Dsrl�n
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<br /> Crank cars �� ea, 4-I-EE -•,Fwri1 St c#artena Dmrnemaen
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<br /> the raee aD earMl (Mlprtaak•�-•E}a7t PFIOtVE�:uf11Dt1 a7B8.ppp�-•••I us ECJWD09179747
<br /> �r4�rnr asrra 4edr7alryrs M�✓arr7 Qe�of IYen �rN�°a'tl srroa.0 u.s.Evnro Nunes
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<br /> m+n rabfe esbma7es Ps°1B a36,77-,892
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<br /> lr7'S OF !r @eloW)ro 9e 9b.u 5 Dor bon ay Hopei grigplg rWna,al�apYee,Io NUMr, 10 Gunwiners 11 lard 12.Urn
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<br /> rdara! a Waste sire„ alt!TXF&, a6521
<br /> 1presenfer s mast be anf^W he,d In tt
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<br /> Mists,COnganerator'S or of airy 14.Speoal Na,,d"g Inswchanserd Addrnonal Infamehon 105!UROd
<br /> lelenali,ftsss m1��bsr 1)1677x&2 D10S477 So'2045285
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<br /> gravityofwast�r COn1'!'ist retained 24t7 URC
<br /> fitted 4Y yerteaalor canters apeneyaufhetity a,lntdal#atrepetdrto arta ar su6nitluu■dd'Alontd trans porter on gen aratnrs ttehatf
<br /> 15 G✓MERAMR-8foFFEROR'S CERTIFICAIION:I himehy dedare mer the contents of oris consignment are My and acarrally ee-wiped ab—by the proper stupp'mg name.and aredassified.Pecksged.
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<br /> Wt fnfpnnr fpr wllIch marked end Iahetedlplacarded,and min all mspecls in proper wM,bun for Inas rt acmrdo toe licahle intemalioralend nationaV reg export
<br /> po g pp govtnmemal rrlatiarrs 11 sh,oment and 1 am the prnoary
<br /> Ig any alternate taplity Elyader,I nerOfy mal the wnlents of this consignment conform to the calms of She attached EPAhduwwledgmenlol CorrseM.
<br /> n4nrrest for NfGdad wain I c rby mar the waste minimization statement Identified m4o CFR 262.77(a)(n I am a large quantity generator or
<br /> rad the 7 @!(dI am a amen quantity generator).a tme_
<br /> speofimben 0, Genaralors1011erors Frintodrfyped Name SQ.W. MmHr Day Year
<br /> rut-0f-se vtc>g dates requited
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<br /> `rndf0O'7terinff)MJaADn7n -1 161nlemaoonalShipments '
<br /> ❑lmpvrl to U 5. ❑Erport Irom U.S. PM of entrymm.
<br /> Transporter signature(for exports only) Data lea.ng U 5.
<br /> c12rL fr�hgq stalemerft to CC 17 T nsporte AcknoWr,igmenl orR—.ptelMateBals
<br /> fretOrsWl7ohave nal rY TransperlerIPrmled/TypedNam. signature Month Slay Yea
<br /> ante minimization O - .
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<br /> e MlphCoed Transporter 2 Pnnledayped Name Sgnalure Manth nay Year
<br /> erns the
<br /> Ides in proper dF
<br /> fine shippers er 18 lllwepancy
<br /> r Of this
<br /> -W�raarNE and S O( 168.Dlsaepancy lndlcaEron Space L]Duanlity ❑Type ❑Residue ❑Pa111e1 R,.*. 1
<br /> en1." Full Re ecnon
<br /> eslecis In proper
<br /> gnvemmental Pavy Man,"t Rahxonce Number:
<br /> I1MeCOrllant801 � 1dbAlternateFacdrty(or Generalor) U.S.EFA IDNuMW
<br /> LOW Of COnSBnt• Aa _J
<br /> adoon,this patty or
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<br /> t � FaCJity's Phone:
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<br /> R t i8c Signature of Ahemate Fachly for Generator) Month Duy Year
<br /> the jaybe
<br /> signlnr}
<br /> bwo or 19 hazardous Waste Report Management Method Codes(i e.,codes for hazardous waste troahnent,dlspasol,and recycling systemsi
<br /> to 1 2 J 4.
<br /> D
<br /> 5 maybe
<br /> d signing
<br /> 20 Designated Faality 0"oror Operator.-Certification at receipt of hazardous roatends coveted by the rnanilest except as noted In Item 1 an
<br /> Printed/TypedName Slgnaruro Month SSey Year
<br /> •.+ -_ E EPA Foo 8700 22(Rev,12-17) Previous editions are obsolete_ GENERATOR'S INITIAL COPY
<br /> JASON GAITAN, EHS Page 22 of 38
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