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HomeMy WebLinkAboutDSHW-1995-002534 - 0901a0688013b820% TTvC^if^^^ CORPORATION STRATEGIC OPERATIONS 14 December 1995 W300:FY96:054 TO: CC: FROM: SUBJECT: 4 f-.^,06^^"^ Brett Merkley DCAA P.. T. Kirkham, D. R. Dcvns, K. L. Ball J. D. Thompson, Director Safety, Environmental and Support E-541 Flows _^. ^-^^ ElVfcU OEC 2 6 W'5 .^^siss^s. This letter documents my response to your telephone inquiry ofthis date. E-541 design flow rate is 160 Kgal/day. E-541 actual flow is (June-October) 46 Kgal/day. Flow rate varies only in a minor way summer vs winter, and any extreme of temperature tends to increase the flow. y. J. D. Thompson P.O. Box 689, Brigham City. UT 84302-0689 (801) 863-35! 1 UK"' ' • „, . "- ' 1 __-——r£'^^?^'T?T^ li^^-HSSiJ^^'^SSf 3^5t Street 0 jjJ-i^SSi^^i^n^ 9^??^^^^^ lv' ^ " ( •-•«\ « ^54« INSTRUCTIONS FOR CORflPLETION G^DHE PA.HAZARDOUS, iNFECtiOUS^^D CHEMOTHERAPEUTIC WASTE MANIFEST.' Piease read these instruc^Bis before completing this form. ^H No reproductipn of this official Peininisylvaigiia'manifest ^orm may be us6d as ashippM^ocumenit for ishipment of hazairdous, infectious and chemotherapeutic waste. - - ft,-f GENERAL INFORMATION •' -^ J ' ' ^ ' ^ ^ ' ." " ^ ' m. . f'M ^ For .all shi^mentis of'hazardous wiute,and all shipments of infectious and chemotherapeuijc wastes,. the .copies of the manifest shall l>e distributed as tiidlcated •at the biojltornot^achpopy;.^';'.. 'i. . V; r ' ' • ; ''.-."-iiy •..-'''•• m.'''f-'•••-•',if' ^ ''mi ,' ' .1- i If there'are:.more- than: four'dlffeVeiit; waste streams in a shipment, except for lab"-packs, "complete;.another Manifest. If there'are more than two transporters• or if .the, waste is a lab pack, use the Uniform Hazardous Waste Manifest Continuation Sheet. Continuation Sheets must be purchased commercially. , •. ! • If you have any questions cbncerhing fhe conipietiori of this Manifest, call 717-783-9258. '•'V,'- •: ' .. ,; _, ; •- NOTE: • For interstate- shipments you_ may be, required to supply additional information regarding•• the completion of lettered ltertis...A through K. .Please^check with both the .Generator and Destination States for specitic requirements. ,, • , ^, . .^ ,. , : GENERATOR ,,• /'^ .,:-.;.- •^';\,".' •: ..''fimf '.:,.,...'. -•:.'• ..\:..-..•. ' ^ ,.. f i W .'i I M^ . - . MlWW f- 'i '7 J Iteml.: Generator's US EPA ID^No'.-'Enter'lhetWelve digit US EPA'Identlflcation Number. Manifest Document No.-Assign a unique-five digit ^ •'- ' ' • : ltem'2.. ''Page/1.bf'.i_--Enferthetotalnumberof pages used to complete this Manifest including the first page and Continuation Sh . • : . Item 3. . .G^nerator's'Name and Mailing Address - Enter the cqtTiplete"name of the generator and the'complete mailing .address. The .address should b's'the locatiori • , .. -"., ttiat willrnanage the returned Manifest.forms. "'.•',' •'-•:.' .;'- ', item A. .. - State Manifest Document Number.- This. Number is preprinted; do not alter it. This Number must be placed in Itern L of each continuation sheet. ,-";" ... i.' Item B.' _;.S.tate Gen.ID ;^. Not Required for.'PAG.enerators. See ; ' - ' -- . • • =- ,. ' j- : Iteiti 4: • • Generator's Phone Number 7 Enter the area code and telephone number where ah aiithorized agent of the Generator may.be contacted. f '• .- . Item'5.' transporter "1 Com'panyNarhe-Enter the complete company name of t^ ' . , : ,• • ': Item,6.v ' US/EP'A.ID NumberVEnter the twelve digit US EPA identificatbb fiiumlser ofthe Tran " " " / /.; -y ' Item C. --.State TrarisrlD- Enter (AH) for Hazardous Waste or; (HC) forjnfectious or Chemo'therapeutic .Waste^.then enter the four digits pfJhe'.License No. issued by '- •-.••. ^PA DER. See Note (above)..';!' •'. - •'• W : •-'-rmM- fy. .-_M,l^m'•• ' f ..y ' i ./ffy ff fm^: '• - ,.•: . uem u. • . j.ransp.ortefs Phone.- Entenpe area code and telephone number where an authorized agent of the Transporter ma^/ be con.iacted. . Item 7. • trahspbrter^ Cortipany^Name"-;-lf-applicabie, see Item 5. . " y. './',•'_: I Item 8. ~". USEPA ip Number-if applicable, see Item 6. ..y^'- ". "" " ' " -- i.'ltem E. .. State Trans. ID - If applicable, see Item C. • : .j "..•-.•'.-;• .:"•' -.. ' ", . . Hem F. Transporter's Phone - If applicable, see Item D: ,, - -" f-,m "• fm^f-iy'. • Item 9.. ..: Designated:Facility.Name.and Site Address.; Enter.the complete company name and complete'site.address.of the facility, designated to receive the waste listed on this Manifest. The address must be the site address; which may^ctiff^er. from the mailing address. . ,' Item 10.. - US EPA-|D Number-Enterthe twelve digit US EPA Identification Number of tfie iSesignatp'ft.Facllity. • • •HemG. Enterthe Facility's State ID Nurtiber-r Not Required for PA facilities.., ...^, ••"''.' - : " ;• Item: H. .r Facility's Rhone:-Enterthe area code and phone number where atl authorized agent of.the'.Designated ^^^ , : Item 11. • US DOT Description [Including Proper Shipping Name, Hazard Class', arid.ID.Number (UN/NA Number)] - Enter the US DOT Proper Shipping Name, Hazard • Class, and ID Number (UN/NA Number)''for.each waste as identified in 49 CFR •17'1 •thi-ou"gh-':1-77:.^For wastes not regulated as hazardous materials by DOT, .;.:'•'_;.. enter a description of the waste. Ust DOT Hazardous'M^^ .^.; ..- ;',. ... _-J[";!. ,. ; -. ' . ..,-.:. ..Item ^2: ' Containers (No. and-Type) - Enterthe number of-containers for-each waste :and the apprbpriate abbreviatipn frohiTable'r (below) fbr.the type of "container. lleni 13.'''.'.Total Quantity 7 :Eritef the totalquahtity of each waste. Dp not use decimals or. frM^^ . '' - : Item14. Unit (Wt/ypl)|-Enter tlie appropfiate abbreviation from Table II (belowVfb/the- ..i .,„L.- . ...--• .....y. '. .Table I--Types of Containers; ; - - .-: Table II - Units of Measure •*- '. DM=Metal drums, barrels, l<egs DT=Dump truck G=Gallons (liquids only);. . , L=Liters.(liquids only) " . DW=Wooden drums, barrels, kegs CY=Cyllnders' ._'{ y- .'.-:• , .....:.;-\ . P=Pounds K=Kilograms •.-,_ •': pF=-Fiberboard or plastic'drums, CiM=Metal boxes, cartons, cases T=T6ns (2000 lbs) "' M=Metric tons (1000 kg) • ;. . barrels, kegs , (incliJding roll-offs) , ' Y=Cubic yards . , ' N=Cubic Meters ' ; .' TP=Tanks portable • CW=Wooden boxes, cartons, cases .;'-• ^ ' •-. . Tr=Cargo tanks (tank trucks) " • . CF-Fpber or plastic boxes, cartons, cases .;..:• .. 1 ' ' TC= Tank cars' '•' BA=Burlap. cloth, paper or plastic bags . .•.-•. '•••-',••' • Item 1... ..,-JWaste,-No._=._Enter the;-flazardous or Infectious-and-Ghemotherapeutic-Waste No:;of"the waste-or-wastesr Refer.to-the-Department's-Regulatipns for" . Hazardous'Waste Nos. For infectious and.Chemotherapeutic Waste Nos. enter,;A-l'ciO for,infectious;:A-200'for proce'ssed infectious -"recognizable; A-3b0.for; chemotherapeutic. If a Waste is not regulated in PA but is regulated by another State, enter that State's waste code. See Note (above). Also,, enter in Item J or lternTl5,,;.'.This waste is.not a Hazardous Waste according to PA law.''pr'-'.This .waste Is not a PA Infectious or Chemotherapeutic Waste.'' Item J... ^Additional;Descripti6h"s for Materials Listed Above - Check the designated box if the waste.is a Lab.Pack. Enter.the physical state of each waste (S-solid, L- •... • .'. • . - • liquid,.SL-sludge or G-gas). • . .. .-. .... • . . , ;'•.... ' •-,•,.. -;-' Item K. Handling-Codes for Wastes Listed'Above-Not required for PA Gehel-atoi-s: See Note (above). .-.- , ,',. -., • ~--'', ''Item 15.^-'' Special,Handling Instructions'any'Additionarinfprmatibn -.Use this space to indicate special transportation, treatment,,storage, or disposal ihforjtiatlbn or Bill ' ' . of Lading information, for internatiohal.shipments, enter tlie poiritof.deiDarture (City an'd.State). If the waste will.be recycled at the designated facility on this -' •" .!;.. manifest,-i9ntet^a,statement,to that effect. ••:;•';": - .-:;;' ,;, .; ...,;;.: , :y.... , ..-..''' , ' •;^_^;''Item 16. V.'Gerie'rator^s.dBrtification -• Read and sign by hand the-certification''statem'ent:Enter'-the date :(MM/DD/YY) the waste was shipped. If amode other than r v;. '. .' highway isused, the vyord "highway'! should be lined out and the apprbpriate"mode_(rail, water, or air).inserted in-thespace'below.'lf another mo'de in addition ,-* . — :--'.. .to lhe'.hig|iway mode'ik-used, ente'r.the'appropriate additional mode'(e.arand rail) in the space below the'certification staterneht. Primary e.xpprters shipping j ,.. — -•": '•- -Kazardous vyastes to a'facility Jpcated..otitside4he (Jriiled-^Statea rnust-acJd to the end of the first sentende ofthe certificatioR^'the. following Words :'and 'f... , ,con'fqrm's.to the terms of the EPA Acknowledgrnerit of Consent to the shiprhent.''; ,.-• ,.:^-.;! ^ '" ' „; .mmi^ M-faS - tr:i:.-y.:^,m.' ' ' ,'tTRANSPORTEH •'' '." ^ '"'' ' --•.'.-•',',• '.'" -"-•••'.. •'' " ' ^ '". •' ' -,."••' - . . ' ,, . " . ^ J - ' • - . . " -- - . . . -. ,'-'.'• . -' ;, . Item 17. Transporter 1; Acknowledgement of Receipt of Materials - Print or type the name of the persori accepting.the.waste.on behalf of the transporter; Sigh and ''^' • enter,the-^date'ofreceipt-(MM/DD,^Y), ,».••-;,- ,,,-,'- • ^- , // . •--',• ,-' .^ ' ' ' . '•'• ''...' Item 18. ' Transporter 2 Acknpvyledgementpf.ReceiptofMateriais-If applicable, see Iteni;i7: .^.. -"'•.•: ^.••"'~ • . ."-.-7. '' ..-.•:•-,•..:•.• DESIGNATED;FACIi;|TY."-;r ' " " ,.:,••',;.' f" ' ' ~ ''" " '^ '.'"." ' \ .. Item 19. •': ; discrepancy, Inijication Space - .The Designated Facility's, authorized representative must note.inthis space any significant discrepancy; between the waste r-'." •'. described ori.the Manifest andthe waste actually received: if waste is rejected, so indicate in.thiss^ - -'; Hem 20. • Facility OWner or Operator: Certification of receipt or rejection of hazardous materialscovered bythis manifest. Print or type ,the name of the person accepting or rejecting the waste on behalf ot the owner or operator o,f thefacility. Sign and enter the date of receipt or rejection (MM/DD/YY). * ^^' • v^ ER-WM-51 REV, 1/91 PENNSYLVANIA DEPARTMENT OF-ENVIRONMENTALi ^^' Bureau bf~Waste Management - P. O.Boxi8550 • <) ' . Harrisburg, PA 17105-8550 f ' OFFICIAL PENNSYLVANIA MANIFEST FORM '.^ES -- Form approved. OMB No.'2050-0039 :_,. Expires 9-30-94 UNIFORM HAZARDOUS 1. Generator's us EPA ID No.; WASTE MANIFEST |U M D Q 0. 9^0 8 1 3 5i 7 -i ~ ib -: Manifest , Document No. iO 8 0 3 2. Page 1 ' Information in the shaded areas Is not required by Federal law but is required by Stale law. ,: 3. Generator's Name and Mailing Address Thiokol 6orp. ' Attn: Randy Fullmer :• P.O. Box 689 M/S 301B • Brigham City, UT. 84302' A. Generator's Phone (.801 ) 863-5712 "'" 5. .Transporter 1 Company Name Triad Transportation r..: . ~6. us EPA ID Number I Q KiD i9 B'l 5: 8i8 i7 9 1 C. state Trans. ID -ISfes'JSS >-> _ 7. Transporter. 2 Company Name \ 9. Designated Facility Name and Site Address Bethlehem Apparatus JZb. 890Front Sit, P.p. Box Y' Hellertown, PA. ;18055 i 8. us EPA ID Number; 'i "I'l ••'?.- i" ! ' I D. Transporter's Phone]^(.-qQrt)', Oft/_Qot;'? - 10. US EPAID.Number E. State Trans. IDrS:-i^jjj^... ,. I P; AiD iO 6 2 9i Oi9 i6 1:-:.F F. Transporter'«:Phone--(rlv-v''^)i--;'=''-'^ •-/••^^ • .•"••-" .,G..state:;F»ciiiiiir;8;iD;?g:>j:ai^ .|.i: 11. US DOT Description (Iricluding ProperShlppIng Name, Hazard Class, arid ID Nuniber)'.. ,12. Containers No. Type 13. Total . Quantity' 14. Unit Wt/Vol •r^'^WasttfNo;- 1 RQWASTE. MTALLIC;.MERCURy ,8iTO , (DOQi?) (ERG#6"9 -tra:-' .t^sa tl . V . te=> Ctesi^ DEC: Ifi 1995 Oi 01 1 C lY O\0\vi^\G '^Dro mwm.: -' ^Division of.S&liiiva fezaiijo^s •; [itaii DspaftiTisnt ci EavirisiiiiiaiiLi:? ^^s"W r... m^m&§ '^na'i- i<>-:}0 mi \- ..]' \ J. Additional Descriptl6ris';f6r;iUateriais Listed Above Lab Pack - ''Physical State LabPacl( Physical State •y ;"..:i':^-^^«i^-s.--' y.'y^l\!mmsi:y;. -r-. "'-K. HandlirTg Codes' fbr.,Waste.s Listed Above •: 'yms'^ ^^^^«y -'•. •' &|Sii'-.-'--:'-=i!''.>.•/"??. •. •;*'.".',-.-^^^M0^'i''MiWi ^W$'^WJi00^^^M§y^.^iy m %^;M^.-ii«i^MM^''~:-yir^0m^ '--•^Sii^imM 15. Special Handlinglnstrucflons and Additional information. ^ IN. GASE: bF-Sl£lLLT JJEAR APPROPRIATE PPE W ••:»j?. ^•f-r: THIS IS A GHARAGTERISTie HAZARDOUS :^WASTE AND IS DESIGNATED FOR USE j REUSE,: RECYCtE, OR RECLAIM'' "'m-M'^- ••-'•'-.'. ••[. -y"'}.•:•.. .- -i" • ''yli-:f .-i.- •W\ EMERGENCY CONTACT;! CHEMTREC:1800-424-9300 '16. GENER ATOR'S'CERTIFICATJON: l-hereby declare-that the-contents-of,this consignment are fully and accurately described above^ by-proper shipping nameandare.' . classified, packed, marked,"and labeled''and are in all respects.in proper condition for transport by highway according to applicable international and national government regulations. If I am a large quantity generator, I certify that I have a program in place to.reduce the volume and toxicity, of waste generatedto the degree I have determined'to'be economically practicable and that I have selected the practicable method of treatment,,storage, or disposal currehtlyavailable.to me which minimizes the present and future threat to.human heaitn , and the environment; OR, if I am a small quantity generator. I have made a.good faith effort to'minimize nwj^ste geflfitation and select the-best waste management method that is .' .available to me and.that I can afford.' , ' • ' • "^ '^' ^~' > . > - ^EPA Form 8700-22 (Rey. 9/88) Previous editions are obsolete HieSHWISmncr 1 6 ma INSTRUCTIONS FOR COMPLETION WBFHE PA HAZARDOUS, INFECTIOUS AND>CHEMOTHERAPEUTIC WM! MANIFEST. Please read these lnstrucf»ns before completing this form. .^]^ , ^.- ' No reproduction of this off icial Pennsylvaparnanifest form may be lised as a shipping document for shipment'of hazardous, infectious and Chemotherapeutic waste. ^ ' •^' GENERAL INFORMATION f . - . Forall shipnie.nts' of hazardous waste and all shipments of Infectious'and chemotherapeutic wastes;" 4he copies of the manifest ^ shall be distributed as indicated at the bottom^ol^eachcopy. :-'. : .'; ..-.<; -- -• " ' ; ; If there ai-e,tTipre'th'a'n'four different waste streams in a shipment, except fpr-lab pat;ks, complete, another-Manifest. If thel-e-are'more than two transporters or if the waste is a lab pack, use the Uniform Hazardous Waste Manifest Continuatio'n Sheet. Continuation Sheets must be purchased commercially... If you have any questions concerning the corhpletion of this Manifest, call 71.7-783-9258. .,.,•...••' NOTE: For interstate shipments you may be required to supply additional-information regarding the completion of lettered Items:. A through .K. Please check vyith both the Generator and Destination States.for specific requiremerits, GENERATOR- '' . r:.!.. .•'.'•".- •-..;•. -• ' J • - -. \-:'- " . Generator's.US EPA |D No. - Enter the:twelve digit US EPA-Identification Number, Manifest Document No, - Assign a unique five digit number, ' • r "•.Page 1 of j "- Ententhe total number of pages used tp complete this Manifest including the first page and Continuation Sheets, if any. Generator's Name and Mailing Address ~ Enter the corriplete narri'e bf the generator and fhe complete mailing" address. The addressi-should'be tfie locatipn • th'at will manage thereturned Manifest'.fonns. -, • .. , ., ,-.:...-; .^- :.;'L .".:•.. -. • •'..'-m - State Manifest Document Number - This Number is preprinted; do not alter it. This Number must be placed in Item L of each continuatiori-gheet, - . ' ; ' , State Gen... ID-Not required fpr'PA:Ge.nerators. See Note,(above), - • ^ , . • ^ '• Generator's Phone Number-Ente'r the area code and telephone number where an authorized agent of the Generator may be contacted: " ; ' transporter 1 Company Name -.Enter-tlie corhplete.'cbffipany name of the first Transporter who will transport the waste, • •; • US EPA ID Number-Enterthe twelve digit US EPA Identification Number ofthe Transporter identified in Item 5.' ' ' State Trans. tD --Enter (AH)'fdr Hazardous Waste or (HC) for tnfectious or Chemotherapeutic Waste, then enter the four digits of the License No. issued by, PA DER: See-Note (above). • '- • ' . • f ^ ' • . ' .' ."- ' • - . -• - • •' ' •.-— . _:. • . • -.- ' transporter^ Pbpne - Enter the''area code and telephone number where an authorized agent of the Transporter may be contacted. Transporter-2.C6mpany Name - If applicable, see Item 5. USEPA'lD'Numb'er'-lf applicable, see Item 6. ,' State Trans. ID - Ifapplicable,.see Item C. i • Transporter's Phone T If'applicabie, see Item D. . -•,'--:•. . . '•'.'; ;. . -. Designated Eacility Name and Site Address - Enter .the complete company narrie. aiiJi complete site address of the facility designated to-receive the.waste . listed on tti^is Manifest. The address must be the site address, which may differ from the mailing address. : • ' . . US EPA ID Number - Enter the twelve digit US EPA Identification Numberof the Designated Fadlity.- -' Entbr the facility's State ID Nurriber-Not Required for PA facilities. - . 'j. .Facility's Phone-Entei-the area'code and phone numbef''where an authorized agent of the Designated Faijility rfiay be contacted.-'' ' ' US pOT Description [Including Proper Shipping Name, Hazard Class, and ID Number (UN/NA Number)] - Enter the US DOT Proper Shipping Name, Hazard . Class, and ID Number (UN/NA Number) for each waste as identified in 49 CFR 171 through 177, For wastes not regulated as hazardous materials by DOT; •. enter a descripti.on pf-the waste, ListpOT Hazardous, Materials first. .,..,... •-" Coritainers (No. and Type) -'Enter the number of'cpntainers for each waste and the appropriate abbreviation-from Table r(below) for the type pf container. Item 1.' Item 2. Items. Item A. Item B. Item 4. item 5.' items. Item C. Item D. Item 7.. Item 8. Item E.. Item F. item 9. Item 10. item G. Item H. Item 11. Item 12. Item 13: Total Quantity .^ Enter the total quantity of each'waste. Do not use .decimals or fractions. , •item 14. Unit (Wt/Vol),- Enterthe appropriate abbreviation from Table II (below) for the unit ofmeasure:- Tabie I - OM=Metal drums,'barrels, kegs • DW=Wooden drums, barrels, kegs DF=Fiberboard or plasticdrums, barrels, kegs , ' '. .'. ':•. TP=Tanks portable TT=Cargo tanks (tank trucks) TC=Tank cars . item i. - Table II-Units of Measure', G=Gallons (liquids oni/) .. .'.i ... ,L=Liters (liquids only): PFPou'nds; . ' ,:..'. .[..K=Kilograms'". J... T=Tons (2000 lbs) '- l«=Metrlc tons (1000 kg) .Y=eubic yards - '. . '. -'N=Cubic-Meters- -'- item J..^ . ftem.K. , ItefiilS." .Typies of Containers ', :. DT=Dump truck -, . •', :CY=Cylinders • - CM=Metal boxes, cartons, cases '•;j'.. . .;.,-: (including rollroffs) *'.... .: • i' CW=Wooden boxes, cartons, cases- -.....•. -.^.... . CF-Fpber or plastic boxes, cartons, cases ,. . - BA=Bur!ap, cloth, paper or plastic bags Waste No. -_Enter_the_ Hazardous or 'InfectioU^and Chernother'afjeutic" Waste Nb. of the wast^ or wastes. Refer .to .fh.e_Departmeat's_;Regulations .foi-.' - Hazardous Waste Kips. For Infectious and Chemotherapeutic Waste Nos. e'hter, A-100 fot infectious; A-200 for processed infectious - recognizable; A-30b for chemotherapeutic. If a waste is not regulated in PA but is regulated by another State, enter that State's waste code. See Note (above). Also, enter in Item J or Itenn 15, -'this waste is not a Hazardous,,Waste according to PA law."_or "This waste is not a PA Infectious or Chemotherapeutic Waste." - ^ • ':Additibhal Descriptibhs for Materials Listed Above - Check.fhe'designated box if the waste is a Lab Pack. ,Enter the'physlcal state of each wasle (S-solid, L- .^liquid, SL-sludge or Grgas): .. ..: ,. -'',.,. V .. . •.. -"•; -,• .. .._••. ' -'-:' ' Handljng.Codes for.Wastes Listed Above-Not required fo.r PAGenei-ators,-'See Note (atjove). ' ; . -' -" ' ' ' '-• Special. Handling.Instructfons'and /Additional Information'- Use this space-to indicate special transportation,-treatment, storage, or disposaf information or Bill -Of La'ding information.. Fpr international shipments, enter the point" of'departure (City.'and State). If the waste will be recycled at the designated facility on this;. ' ' . manifest, enter a statement to that effecL .- ' -'V ' ., • - ^ .'"• • -. . ,.. . flem '16. -, G.eneratoPs; Certification - Read and sign, by hand the certification statement. Enter the-'date (MM/DD/YY)'the waste was'.shipped-lf-.-a mode-other than . ^'^ - .', ^. highway ijs.usedi: the word 'Ihighway" shouldbe lined out and ttie approptipte;nrfpde (rail.,''watefr6r air-j^ins'ferted in the Sjiace'tielbw.'lf.another mode in addition ^^ '^, ^ to;ithe'\higliwa>^-rnode is used, enter the appropriate additional mode .(e.g";, ani^rail) in;the space-.belpw the certification statement. Primary exporters shipping I , hazardpus wastes to a facility located outside the United StateS^fnusl'add'to the end of the first ;penteriee-;of the ce'iiification the following words "and f^_.. .. conforms to the terms of the EPA'Acknowledgmerit of Consent tp the shipment." , ,TRANSP0RTER . • . ... - .i ^ ;.*:-'! JJ, i ^ ^ item 17. ,;;• TcapsiSprter.l ,AcK(5pwl,ftdgement of Receipt of Materials -f.f rint or tyjje'Jhe^jna'iTie S tfe pfe'rson accepting the'waste-on beii'aif of the^ transporter. Sign and '""•' '•--•->enter the date of reblipf (MM/DD/YY), " ' - , ' i,fejT>',1.8.,j,-^'T(rarisporter2'AcknoVvl.edgemeritof Receipt of Materials-If'applicabie, see"ltem'l7, . ,l,->, •,;.„ _ - ' ... -., .- .. ,. - DESIGNA'fEb"FACILiTY "-.."• " •• ' '' -" "- ' ''': ' '- ' .^'^-, , - "?"':;,''9-r DJscr^papcy Indication Space - The Designated Facility's authorized representative must note in this space any significant discreparicy between the waste '- •~,"'. descrlb'ed*on the. Manifest and the waste actuajly received.. If waste is rejected, so indicate in this space. . . '.'-•'.-'' '' • • , Item '20. Facility Owner or Operator: Certification of receipt or rejection of hazardous materials covered by this rtianifest. Print or type the name' ot. the persori accepting ,..;,., ' pr rejecting;-the waste on^ehalf of the owner or operator of the facility. Sign and enter the date of receipt or rejection (MM/DD/YY).