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2018-02-27_REVISION - M1990041
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2018-02-27_REVISION - M1990041
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Entry Properties
Last modified
6/16/2021 6:21:08 PM
Creation date
2/27/2018 3:38:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990041
IBM Index Class Name
Revision
Doc Date
2/27/2018
Doc Name Note
Request for Technical Revision
Doc Name
Request for Technical Revision
From
Black Fox Mining LLC
To
DRMS
Type & Sequence
TR4
Email Name
MAC
WHE
Media Type
D
Archive
No
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Rs,1se pnatt or Iype Ifurm desrgmd for use on ellie (I2.pdd, <br />UNIFORM HAZARDOUS I G^neraw to iVi mjw <br />WASTE MANIFEST C O C B S Q G <br />.IiratleaYlrI Narneaed Allloress <br />PO BOX S M f7#r <br />8T9 <br />MI&ANWk, 00 00422 <br />U3ele:ratof4 P)l X0.1 dT <br />� r;dnpmltsy •++n+Fk+l' <br />AET EWRONMEll INC. <br />010 4016 5 0 <br />Golden Gilpin M#ll, CO Hwy 119 <br />Bl8dduw l;, CO 80422 <br />COR000009456 <br />jjjj__,, „ —r—s CLEAN HARBORS ENVIRO 8118, INC.- IOmball <br />a" I tl tmw 71 U.S EPA to Nwnbv <br />K MSALL, NE 89145 <br />Fx 3 11111 306 2354= N E D 9 917 2 3 51 3 <br />9a. Bb. U.S. DOT Dos zoiar (inch l Pnape, Shipp Name I1;rM Dass U Nul <br />10A and PKkv,g Cl (II 10 Un tgaturs Il Total 12. LIM <br />I No Type Tka ltily yH Not 13 Wasis codes <br />` G1 ^� L +ash a�(LaSr+�f Ctvel��s <br />�l'Ar4: buo <br />• �6i �. <br />C1I.lt5 85 kylll 0 2crwt rlt- pC <br />E <br />,d ill ev_ z p <br />U cg13WASrir F <br />Df <br />3�( Gbv�S� <br />r� <br />w <br />(1 .9- <br />el(a-f W4S77C¢4ass ud �4,ssbs, �oL + - <br />fa <br />c: ERG 173 b: 4c 66M • -I <br />d'. fERp f c: 4*"- <br />1r GENERATOR'SIOFFEROR'SCERTIFiCAi}ON; Ilse d' *?A4- 7.O <br />markenl III la �y dssCaa 04r1 the oonle Hx 0(this mnsignmenl am I'M all aaaaately despblyd above ! Ihx <br />Iiefedrpoptl2rheamdarena rusperls'a prW cQrdbon far truliptal i1CCprdin9lma +Y prrlpen i�}I'1 nettle. and am c!"Ilfiel paCtl:i9r%d. <br />Erptrma, Icertly 0+i10er umlmh td this cvrlstynlrur,l wnkam b the kaon 10 ln9 alluded fPAAcl � itsvtwliolsaf ar Qnaliorwlpovennw mW regWalsaq Hellon shoxmtend lam II ihenany <br />Gert u,n waatr milwr,ir Ap„ slaGxnenl identified 11 40 CFk 262 21(a) d 1 am a �l(b C11' am <br />� l i �'�'+ay (iw+mlasurl a Ibl (il I am n snrJl gl�Ml' 8+�++nl u Ir,re <br />r ��ir+/ S Or% I�rEN/i>rf• L!s rl,-T CP <br />1d4rmlxwSlepnerW r1 _ /r lily 11 <br />L <br />esU L f lnlporl b U.S. Eapat frum U.3. Pon1 <br />kwasoortsw�rl� <br />11 fransppytrAtdagnAedplllertl d Reatipl of Alalenals <br />rrannDixkr I yae,1 Ir. <br />IR. bruropurKy <br />1&7.Otsereponcy hNnutol Spee <br />❑ c>varday <br />.`— 10b ANarnaleFanlWrrrt:r�w,.t�.t <br />D Tymt ❑ Reydue <br />19 Marer+lmes 4Yaxle Rnpal ManaBall l O*W Cada 0 e, codes fa 1WRIld0us wase srrsthnlmt, d*$W.and <br />G 1 2 <br />70. rMwil eted Facsty Olrnur u Oparahlr Ctntiriratimn dnsmltdd Islmnhlus mafeAals <br />Nift ylxdNarry <br />murl OKW as noted in Nem TU . <br />1-I Paevll Rejecaom <br />11 <br />13F.Ii <br />0Jrmsnel <br />3.05) Previous edi@otas af9 p�dc1c <br />:t;!:,tsnjr;';'!:I1;:•1r:1l111''l}[1`•.#{il•'ICI'1131�1f1f'r�Ib'jll'It.;I�ILtI; It <br />
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