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E. 411h St. Record ID# PR0514018 <br /> 9/2/2020 Program: HW <br /> Photo 24: The following uniform hazardous waste manifest(000247335DAT) observed lacking a signed copy from designated facility. <br /> ➢EC 022019 <br /> Tpq�gLtTap G•Yia2m1a56 r OaNSLRI lmr <br /> . �_-•_�-.....-'.. - 6 TappargLllN�]yga1rs1e56 r oraarerrL <br /> r1 nteoeepatae U:MTrstl54 V aaNrvTsaa <br /> a1][�Fp¢e,TLaQ{;/pgaTar166 Y WrdTERI i] <br /> Plaue—for pe FP Aypmvea.OMB No.l0aW0a3E <br /> - UNIFORM NALIROWa !r'>n�nab lO Mumbai iPyLIIN 3.Emeyanra Raspona PMne <br /> - BS6 - : aMnLy7AJ WASE MNIFEST 00 }ptT gJraGa1TLSH C]JaalA],L56 V tirtitEera <br /> DAT <br /> t'an®tTpSF u�gnt�r <br /> 5.[pprNofa Name vq rdLL'PAdAna �Gw�olPre SMDeennld dd4aan[eun mazYn3eWm�1 a1NrEAl <br /> Per. ATltf L7e0en W6airo ala <br /> �unterl a Z[mmellmOn 222 Erl 6 write S'en <br /> eo 6�l9es, F"erUs`.il Rign r�GA 9WFw366�t a1r auroap,ruv CAOra15T,E16 v G1Adae.r <br /> obF / Gwrn.,ora PLonaA ^OJ-5:19-61"s <br /> s/aei a TrPwPdbr I Name a a FPA to N��,r <br /> `_ bryenr[un iSRaemenroN""F:FL PHONE-t;tdal IDtt 8768-0004"") !rYtu601T0747 <br /> r rr.mpatarzePmpanr a� us.e oN„mm, <br /> eg r�9Ulr Inpmlwn IMIpifteg""tMI PHONE-Cusl ON 878&0002""I GAR0001797A7 <br /> OL,lana4d Fa 11y Win aM&n Pad[ese VS.EPA Il]Nwiper <br /> (,uten tit&nN,d,menlel 801.10 lOs Li ;h1RF'lgs�T621 �/1'}.'3 <br /> zxrlu U13aar ri <br /> r'crd Zp20' 000 30 L, <br /> bEr i• W11er IN 46:5u8 <br /> balls/np/ac�I r Feull Pnm,e 2CG-::46-24E1 <br /> / <br /> S. M_Ua_VOTD,n&a 0 11u 19 n0.S11p1,Ware,HamN(Mo.I0NamEer. IA_Ce^Wlnen 11-T°WI 12Nr°, 13West.c­ YU K <br /> HM -spL VG[mrp(IlanYll Nn. Trw GPaM1lFy WI.Md- <br /> �l. o .,4i-HC;HAHaen,lpl16Vr 6sFeWidIL)1A l)W;rW,EAR 1H ob2 oaa f `Zb1G — <br /> ,.EAN UP) <br /> 71 2 <br /> la.spa M Hanmmg msnzmn end Adtlivanal Inran"�834-�SD 184144 � /��L <br /> I P jUU I/a)830 / C o,- 9a!- 4'D 2.. &W / <br /> r_ontacl rela[ned oygoherator confers apancy aulhntfiy w[Initlai dansporteP In add Orsu6sC6Me addRlona4 trana4�n an generar.r[,, <br /> i5. GENERATORSIOFFFROR'S CERTIFICATION:IherebYdedere Ehal lha Contents olthk wnelgnmeM ere lolly antl eCCuial9'g'Ifvtthbed above h/lhe prngsr shipping M1ame,aN a[p daas�Eed,l>au'aged <br /> marked and labeletllplarardetl,antl are In all respect In proper tpndilian br rtansponarxnrding Ie appllgble Intemationa4antl nallonaV govemmenlal[egvlatioM1s-II capon shipment and I amthe 4rimary <br /> Z Fxpwter,Irrertlry that the opnOgnle ofd115mnsignmeedip40CF Nelema)(ifI atla larg EPAAcknowletlgment alfpnsenl. <br /> � Icenih7 that Ne wa51B[renimiraGan slalAmenl gleMiflad In 4g CFR 1a2.27(s)Iill amelaye quantity generatoq ar lhl(Illam asmatl quan4ly gerrerolC1J 18 016. <br /> Gene dlors.rORerofs RinledlTy NamB Signature q' Monm gay Year <br /> \ V3 <br /> in 16 International Shipments �ImpprtWU.S. ❑Eryort fromu 5. P.AoFwtryl-d <br /> e Date leaving U.S.', <br /> y a Transporter W.W.(1-1 exporCs onlyy <br /> I O' 17,TrdnsportBrArkno[vladgmenlWRecelpld Mebri3ls - � <br /> j Transponert PrintedrTypetl Name Signature Mor �y Yeara76307: <br /> � <br /> w <br /> 7—pow 2 Pnnkd,7ypod Name Signature N,onm Day veer <br /> a W 03 <br /> r � <br /> 19.Discrepancy 01 <br /> LL 19a.Discrepanq lnd"Von Space [_�puan,ity ❑Type El R.&. ❑Partial ReOcc ❑Full RelecW <br /> o `v <br /> � Manllast Ralerence Number <br /> z U5.EPAI➢Num'*, OZ03gOg <br /> c7 18b.Alfemate Facility for Generalor) <br /> _� a v 617779E <br /> u Fadlily's Phone; ,, <br /> f � 18c.SrgnalerealAllerOa F�dYda Ganeraler) Month ➢ay Year <br /> w 020380 <br /> a I <br /> z ~ <br /> 19,Hazardous Waste Repan Management Method Codes(f a.codes for hRardolrs wasle Vestment,disposal,and rectidIng systems) <br /> 755 <br /> EPA I C3 <br /> 4, <br /> 20.Des <br /> ,gnaW Facility Owner or Operator;CeMfcaaon of recoipl of hazardous materials oovered by the manifest except as ndad in Ilam 18a <br /> Fn(07yped Name Slgnalura 1Uonlh Day' <br /> ay Am <br /> EPA Form 8700-22(Rev.12-17}Previous edilions are obsolete, GENERATOR'S 1NMAL COPY <br /> JASON GAITAN, EHS Page 24 of 38 <br />