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3540 East Carpenter Road PR0542634 <br /> February 14, 2020 Program: HW <br /> PHOTO 5: Manifest 020242464JJK found without a desi Hated fac si ned co <br /> F9easa prim or rypa, '.; - <br /> UNIFDI14—` <br /> NAZ'AR S-T t. <br /> 6 WASTE=FEST <br /> neratM's Name:rnd M,nlii„�.r, 2Peaelol sEme�- <br /> 1 Nency Raepaneo Pjlpae <br /> lelenµy�Fl11r/I'pI'er.,n,rlr Mb No 2P'a OOa9 <br /> rd 't- °e loris l” oTl�v�I Ul�UC4246 <br /> JJK <br /> r'lf-.W", CNVIk <br /> 7 Trensperlerl Compary Nanm caIMENTAL <br /> a Desanhred Fn.suly Nnro and 9ila Addrose L CILLODOT�� <br /> 'l.l-�1F4TEC3.1 ENYIR U'S'EI'A to Number <br /> t 1 6970 ALARTBN RD OMEP7TAL <br /> Fe<irprs Phone.026-r1 f7^-77(q IRNgry—k-CA D17C16 USA II S'EPr1lC'NurMnr <br /> 9a. ah.U.:;.OOT Descri CrN_N0033py,� <br /> • Plion(hrclutling Proper Shi ■ <br /> HM and PacNirg GmPo til enY)) Polrg Name.NexaN Class.ID Number,—� L <br /> oIAIRCRA,FMZAR000g W/ 1o.conrelners <br /> AIEDU) ISTE SOIIU EMFNAP N0- ff.TaY rz.uml ra.waeN <br /> ASS ER 1=1LTE Tvre ouenm 'M.NM. Dana, <br /> _ P 367 - <br /> w Y. r'/OIN-RCRAI ]uer <br /> " 111E Al.OIL FILTERS WASTE SOLIU(OILY SOLID YVAS <br /> TENSED Nc <br /> UM <br /> a' <br /> NON IWZARIX)l/S W ( P 362 0 <br /> WAST SOLID(115ED A8SORBENry 1 ' � ( <br /> bM <br /> 4. P 362 <br /> Oul <br /> /4.SpegaJ Hantllirg Inshuclions and Atltlllional In/ormalion ' <br /> 1)01PROFILEN _DRT <br /> fFjAPER FILI'ERSj )PROFILE/ DBiyPROFILEY <br /> CALLER MUST IDENTIFY (METAL FILTEFtSj 11SED A8'SORBENT'� �ES «D�-E£+T�KEWY <br /> CLEANTECW EMryROWENTAL AS IREOISrr tANT:INIF <br /> f 6. OENE$XrDll'SATF'FEROR'S CERTIFICATION:I hereby tleclare that the OTR/K. 61M3 <br /> marheW aM labekdiplacarded.and are in all respecN in rm tent's oflhi�s wmignmenlare full <br /> Exppder.It#?a Mal Me contents oI this 1 Pero Meadfor tianspoda ming to applicable imemalioralantl na onald above 1y pro shi <br /> I cgrp(y Ahat the waste minimiution slate cnnslgnment conform to Madof the attached EPlpcXnov4edgment of Consent PBr PPing dame.ad are divol&de palegad <br /> Generaloryp/rero�s PdntedRyped Name menl identified in 40 CF govemmenlal regulations.If a port shlpmanl ark am N Pdmary <br /> R 76[27(a)(i/amalege quantitygeneralor)or(b)(iN an a small quanli <br /> Signature ly generelor)ia We. _ <br /> 16.Intemadonal'Shlpments Mxnth Day Ye <br /> = Transposer signature(10,exPorla IL�Impod MU.S. ` I I <br /> any): ❑ExpDR Irom US. Pod of enlryiexil. <br /> W fl.hanspoRerArhrroadedgment ofRec Pt offvaleda's Dale le <br /> p�T ns-lar l Printed?yped Name ving U.S. <br /> n Signature <br /> STranspxder2PdnhbRyped Ne me L Monty Day Year <br /> Sig azure _� �I1 <br /> 1- Monty year <br /> f8.Disc al roc <br /> fBa.Discrepancy Indication Spare � <br /> C Ouanfity ❑Type <br /> ❑Residue ❑Paraal F'.ejeclion <br /> Full Rejection <br /> 186.Alternate Facility(or Generator) Manifest Reference Number: <br /> U.S.EPA ID Number <br /> Icility' <br /> ' fe Facility(or Generalcr) <br /> Mont- ay Year <br /> y art Management MethodCodes law <br /> cling systems) <br /> 4 <br /> signaled facility Owrler or Operator Cerfifira m ofire, of hazardous " <br /> /Typed Name 1Ba <br /> I Month I Day Yea <br /> 700-22(lr <br /> ieu.12-17)Previor4a editions are obsoleleNO <br /> . <br /> GES TIAL CCIPY <br /> GI <br /> T <br /> Lydia Baker, REHS Page 5 of 8 <br />