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820 S Pershing Ave, Stockton Record ID PR0513883 <br /> 10/9/2019 Hazardous Waste <br /> Photo 4: Land dis osal restriction notification form for uniform hazardous waste manifest 003371696GBF (4/7/2017, metal waste was found not signed. <br /> ;aiG Raab �C- 1-1 <br /> SVL�➢� �%h <br /> rn aceordanc.W11h 40 CFR 268 I7 a), the and o.C' <br /> -nd(i�, 'Y+aderlytng harardaus coastimelt"»[.ants are a st�euent Its ed to 268.a <br /> Sr ndard which ta mreat he edar.ased[n rhie wash <br /> coacenrr can thesonahly be expected t°be present at the 8'Table <br /> ¢tion above tete c°nstitreent-,speck U1S pafnr o5 geKer Vh'�"Twersat Z-at.�M <br /> cow(s),ir9eia6iti lreahytent standard, Re er t <br /> acrd subcattrgary appilca87e to thts iv sae. f °aFt°wrm--� (a ached}fpr. <br /> In°}o'er to address utaderdying hazardous constituents in oharaetertstie Yvastes,please°heck the appropriate box: <br /> I have reviewed the UTS list&268.45,Md Der 2683(a),I have d wtv1,,,,j t�18t it1�x ay1cs <br /> zutderiy1 g haza-d'dolls constituents reasonahl� exPect€d to lae gjr€sene <br /> t sties,erste. <br /> £have reviewed the UTS Pis[026&4o,and per 26�.7(a),I have deterr�in �, ,r <br /> hazardoees cosstit€aents are xsresent in this waste.The u nderi a.> dWA ; <br /> idektiried as folj®vvs: y t <br /> -�E-,�^Za�C�3 ids CQ"rJSf3il�r�fg�y <br /> wo.aso' <br /> rfa/Weight j <br /> The a'eterrzrfreaPiore afundr?rlying hazardous cons8iruesats w¢s bgseti on.. <br /> ;I GenefatOr's knowledge Of the waste <br /> Analysis <br /> f eerdfy#hat i persoUyhave.Rammed and am familiar with the waste through analysis and testuag,or throe <br /> ' deaiso Of the waste to support this aerMcatian.T certify that as anresentativethe at <br /> it ,all the information submitted is this notification is true and correatdt atm best of my lmornrledgeor <br /> Name S <br /> ' ignat> Dare <br /> FOI'M FZ Revhed 07/31/98 <br /> John Alaniz, REHS Page 4 of 20 <br />