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5100 W HWY 12, Lodi Record ID PR0514387 <br /> 1/17/2020 Hazardous Waste <br /> Photo 1: According to Henry Rotor, Safety Director, metal fines are generated from welding activity. The fines are swept up and disposed of with the oily <br /> absorbent and is hauled on a uniform manifest under waste code 352. No waste code for the metal fines is noted on the manifests. Manifests incomplete. <br /> Flaws pnnt or Tpd. <br /> y UNIFORM NAZAR PI¢a'e pnnl or rape Form App:w M OMB No,279f>•9039 <br /> 1. WASTE MANIFE t i,aner'alor lig Nu-,.e.:r z.Faae t ar x.E�=ery:.�c Res rre PMra a.Manxnt.Jirteklnp xumber <br /> UNIFORM HAZARDOUS y p'' 0'3073"i <br /> •y 3 5'69] WnS <br /> . - i.GenMaMra Name WASTE MANIFEST 41 .f� 1 x00$35-$(}53dNFOTRAC � U.7.7 YMl1a7 <br /> i Genc:r tl V 9 res' , J 44 penp SIla Address rr 3ltkrenE than malllag addmss) <br /> 51 oo <br /> Gerere6rs Phone, I-A, A;\)" <br /> e.rranaPvum I cant Ganeralnrs Phare. L,06 1'"2 Y Z <br /> e Tmn Nft 1 Company Name u.5-EPA 10 Nomher <br /> 7.Trzre;pwmr2Gani CLEANTECH ENVIRONMENTAL INC. CALO00399638 <br /> T Transpnder 2 Company Name u.5.EPA IC Number <br /> A.U7 igneted Fahy <br /> B Deaignaled Fac�ely Name and Site Addrase U.S.EPA ID Number <br /> OLEANTECH ENVIROIdhAEr}--�Iki: CAL009339453 <br /> 1 5820 MARTIN ROAD <br /> Fecig sPtwne: fi: IRWINDALE.CA 917.i'i_-- <br /> 4a Fh.U.S.DOT F lily's Phone' 626-812-7260 <br /> HM and P.0'mg• 9a. 96.U S.DOT DnWipl6n OnClrld:%Pnapel ShiPP119 Name.Hazed Llaa E 11.Can Nmars I1 1LW1 12.Unit 13 VJa=-,.•-'•' <br /> I. NON HM and Pazs2ns Gmap iA anr}) rvc. Types Ouaohry mlvpl. <br /> t NON-RCRA)-IAZAF200U5 WASTE SOLID IUSEU ABS'OP.BENTI DM P 352 <br /> z 2. NON P 352 - <br /> FILTE W NON-RCRA HAZARDOUS WASTE$OLIO{A650RBENTIPAPER dNd <br /> FILTER MEDIAL <br /> 3, NON <br /> MET! 3. N0N-RCRA HAZARDOUS WASTE SOLI- 1_e SOLID WASTE)USEO GM P 352 <br /> MFTAL OIL FILTERS) - <br /> 4. <br /> 4 <br /> 14.Sped IHaidfnpf <br /> 9B1}PRO l4 Special HandAnnqq Instructions and Adtlilianal lnlarmatinn <br /> {A65 991)PROFILE t! 962}PROF I LEIFUSE GLOVES ANU GOGGLES <br /> CALLER h (ABSORBENT) (PAPER FILTER) 9931_ (METAL FILTERS) <br /> CALLER MUST IDENTIFY CLEANTECH ENVIRONMENTALAS REGISTRANT INFOYRAC 800-535=5053 <br /> 15. GENERATOR'$ <br /> m�`�"nd UN S. GENER.ATOR'SIOFFEROR'9 GFRTIFICATfON',Ihemdy declare etal dIe gTrdenls Pt mis eonsigmrwnt are fe6y aM acnumtelY aesaiCed shore by the props*shipping name,ab ary classifetl,packaged <br /> Eaponar,l ceNly marAed ane laeeletllparardeaaM are in all raspecla in prope�WMNion for hallapwt accmQrnN to aopTlaahla inlemalionalaM nalicnal govem:nenta4 regulaliol6.Il erpod shipment andlam Y�Pnmary - <br /> 1wNylhMther bp. LI that me t9nlenN ofthis wnsignment...loan to the terms of gte Odohed EPAAchnnMe;ma met Consent. <br /> GQeem�s emYaI I mnlIy tal Ne waste min-20Iidenlared In 40 CFR 262,271aIh11 am a large quanatygerwraWna16'.{il am asmall quantity 9eneratml is)tie. <br /> iignahve RIoMh Day Year <br /> Ge ratoisl0herois PnntedrFdName _-_ - <br /> 16.+n1mn knalSrdpr Z ! <br /> Z Tran'perrar sipnaWra ,,,, 4S.Inlernalanel 'mems - — <br /> ❑ImlaadMU.S. ❑EaPal hum U.S Port NaMyleail'.�__ <br /> W 17,TranspodarA nw z Trawap rsignMm[firaaponspnly3Dateleaving U 5. <br /> 1V T.,Krw9 PdnIeda _. '- <br /> pd It 17 T,a WWI Adsmg1kd9MW et Receipt cf Malenla g14nth Gay V., <br /> Qy H Transpone,I PnnledrypedNMle algra— <br /> TranaPorler2AlanZln Od,, (Y�sdr <br /> 4a' Z T.anspnnar 2 PrinfaaRrped Nam6 si re <br /> Y18.Discrepancy <br /> Print <br /> 16a.Biev:reParicy Indi= � 113.Discrepaery <br /> 18 a 0iaaepnncy lnd,dat"Space ❑Ruaphy Ll ❑Residue ❑Partial Repo., ❑FW1 ReIecllan <br /> IBL-Alamo Facil,h I' 1 11—Aes172eference Nem— <br /> Q IPL.A16—te Faci:ity lar Generated Us EPA tONumher <br /> �FanlAy"s Pnorre — <br /> C 5& nahrg ofNrerr laeildv's Phone' Month Ca'y <br /> Z w Io,-Eignalureo Altdmale Fazeiy Per GeneratoO <br /> 19."—Waste F q <br /> o I' Z <br /> 1'a.ParalNdw N'9a12 Repert fAenagemenl Melhed CPde5lis.,[Mee br hsxardeus•rade IreaUlenr.dKposM and reeyGirg syalams1 <br /> lo.0esignsM19a Facility TY�7/ <br /> 12 0/0 <br /> P,inyyTypea Name <br /> 20 Designabd Fa;.iI Owner cr�peralor Car4hravon el rer p:of hazardous maleness wvared Uy the manAest ei�pl as edea In tt-.��'r 1&a <br /> P,,nik"ypa Name t 9igul— ' <br /> EPAForm 67U^J22 JR. I <br /> EPA Form 6700-22IRev.12-17)PRZVIGVs eainons areaheolete, p ESIGNAT ED FACILITY TO GENERA74A <br /> John Alaniz, REHS Page 1 of 4 <br />