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820 S Pershing Ave, Stockton Record ID PR0513883 <br /> 10/9/2019 Hazardous Waste <br /> Photo 10: Land dis osal restriction notification form for uniform hazardous waste manifest 006239904GBF (7/12/2019, metal waste was found not si ned. <br /> 1\O <br /> HC PnN. `yd No n1h..I7d117��ilAQAyC4$tr <br /> In rem•W,rN wrtk uo c'YR]Cd.f(41.M.vndr+p t hrsfo.eery conrrnx,.n9 xnurl W add+raced In fhli wvne.Pr <br /> MB.1(1'),'kndN{yfry herardaeN cenrNHNnr"Nrranr app cvnrllerenf .ft In 368.E8,Tablr Cl;'$'—�IxNa•saf 7Ylvnmenr <br /> .sronderrf which oaw vex nebty 6.rrAref+d,o b.pnrrrnr or fee pofnr ,#gonna pT ekp ha h.d)ur fl. ar v <br /> nnanffae abew rrhr uvnrftfurnlvp+'v(Nc UY5 rrermrnf rrendvrd.R�l� p Fpfno-SZ(nttephvW fpr lMr wnaq <br /> _ _ cpdr(kl.n'rmabftlgr sr'pvp,pod rubcarRaply ppPdfmhf�b rh if WR81Y. <br /> i" <br /> M wdr-N addfrerr ander•bdng hruardour eorstRusfsfa 1n chm•aetn•tsrlclvsmm ptsase check the appraprisr®Box: <br /> Cl I have reviewed the UTS list of 268.48,and per268.7(a),I have determined thatthere are no <br /> underlying hazardous constituents reasavably expected to be preasnt intixie waste. <br /> l�S have reviewed rbs LITS list of 268.46.and per 266.7(x),Ilxave dPte.amined thatunderlying <br /> -- hazardous constituents are presCut in th3e waste.The underlying hazardaua cumdtuents we s <br /> identified as follows: <br /> .rce �Mll rwdxn hr <br /> ]JFf <br /> I ! 1 <br /> ` fff rho rielerygIli rtfon ofrfnderlytrrgharafrlons eaxstlktenrs was based cn: <br /> 0 t3erletater"a lmowledge of the waste <br /> Q Attalysis <br /> I certil�that I persabally have examined and am IhmiliaT with the waste through analysts and testing,orthraugn <br /> $aowladge aftbe waste to support this certiitoation.I certify that es an authorized representative afthc generator <br /> named above,M the inibrmadon submitted in this notification is true and correct to the heat ofmy lmowledge. <br /> jPrinted Naive Signature Date <br /> JEForm EZ Revlsad 07I31l99 This is a Msided form <br /> (NDS Of WAM!'CR <br /> R MONM, I <br /> I <br /> i' <br /> John Alaniz, REHS Page 10 of 20 <br />