NCTH04621011_Application_9142021

Review Application
n of 214 north
Rbysical
Eventearnttr` Ahem MC 2]��.
Date o m vent 105/2021
tTem Temporary
rappecablda
aentEndTimea 120000 PM
a n s to be Pleseticides. pants, sorteents
Collectil
Materials to be Roaded Fluorescent fight tubes, batteres
Additional Comments Pesticides In conjunction w
Certification of OpenalorlContraclor
Court that the information supplied is accurate and carmct to the best of my knowledge and belief, and
that this facility will only accept household hazartlous waste: I am authorizetl to make this request on behalf
of the operator at the location given.
epnat�,e 9;alb S Pee%
Date (ol
Ena�l epee�e�e<ono ram
solid waste section use
status` Approved
Date Application 0 14/21
Approved
mmary
on
dory,