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3927 E. Clark Drive PR0514138 <br /> June 26, 2018 <br /> PHOTO 52: Non-hazardous waste manifest from May 4, 2017 with soaps and surfactants being shipped as non-hazardous waste. <br /> Ot T/91964JJK CAL0002EnaT. ^ -- '- - -- <br /> 2E602150 <br /> OUI.Denerel0r ID Nunber 2.Pegg I of 3.Emergervy R <br /> NON44AZARDeappn¢¢Phone <br /> S raT,000269375 1 800-121-9300 4.w.ah rr«Moa xamnx <br /> WASTE MANIFEST <br /> 5.GanerMee Nerve end Megirg AMress -{knergprs$he Address l9 dx¢reM roan maili 519255�YES <br /> Pick N Pull-atoca0ea'� 3927 Clark Dxlve rpamr¢ee) <br /> 3927 Clark Dxiva g},o �p Attn; Doug Gxoee <br /> as It= CA 95205 G 95205 <br /> Ganuarora Phoma:916 24 - <br /> Trerapoder 1 Company Nem¢ U.S.EPA ID Number --- <br /> Worldleida HSC <br /> 928 <br /> ).Renaponer 2 Company Nemo U.S.EPA ID Number <br /> &D Vne!;Q-W Nerve era Slh AIXlre6s - _. US.EPA <br /> Yue-YBS, LLC. <br /> 2730 H. 13TH STREET <br /> Y(k4A, A8 85365 <br /> FeW sFrone:92 - - <br /> 9,WeareShippirgNameerMDescn1fan IU.Coniekehe 11.Tool 12.W, <br /> No. TY ohmet, WI.w <br /> 1Nen-Basardoua Waate Liquid (Hoops and <br /> Surfactant-) It 0 <br /> 2. <br /> 6. <br /> 13.Spepal NeMli,ft—onsand A,o,h al lydormation <br /> 11 IS1720M <br /> Bill to ; WA. Pxepar PPE Clothing; --in case of sect nay cmta C (800) <br /> 424-9300 Hagis #CCN797473+; W06519255 JG P_O.#50 '506 <br /> 14.GENERATOR' FFEROR'SCER CA N:Iherebyde ,el!t,lM1e wmenh of Nis consignment are full an accurate)d scribed above by Nap rsh' rg none,aM are clmsified, <br /> marked ped nfed,aM re,P—in prop mMidon for Iraflapod according to applMable em conal an lional governmental reg tions. <br /> Genemrol f n Nam SignaNre MmN [L. Year <br /> 15.Inlemad a Sh nh ❑ 0 1(Imponb U.S. ❑Eepod from U.S. Partd lexA: <br /> Tre trot'neNre on <br /> Doh U.S.: <br /> ¢ 16.ThreporlerAGmoyf men)of Receipt of Materials <br /> OT rl PhhWl Uyy dame SigrreNre Mored Day Year <br /> Trenapoder2 Pnnled/FYfJed Name �. ��� Q <br /> SipmMre Month Day Year <br /> x f].Dkheparoy <br /> 17a.Discrepancy IMicalk,Space <br /> ❑Ouamiry ❑Type ❑ReeMue ❑Pvaal Rejedbn ❑Fun RryMlon <br /> M.ffW Reference Number. <br /> u� 11 b.Ahe-ne Faoidy I.Genaabr) U.S EPA ID Number - - <br /> LL Peen"Phone'. <br /> i171.Sig—red Allemm,Fa y(or Generator) - MonN Day Year <br /> 18.Denigrated Fadliry or Oper rpt.CerllM1cargn M receipt of matenela covered by Na manih5l except as rated in nem 17a <br /> 1 PnnhMyped Name Sgnature Monm Oay Year <br /> 15 13LC-051197](gov.9/09) NA ED FACILITY] GENERAT R <br /> Lydia Baker, EHST Page 52 of 55 <br />