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1145 W Charter Way, Stockton Record ID PR0514509 <br /> 6/21/2019 Hazardous Waste <br /> Photo 10: Land dis osal restriction form for manifest 003146186GBF(8/8/2016 was not signed. <br /> A'(AM1Ma <br /> ACV Z"i AaVkr>w Ar, Fon <br /> 1.4 WA ID <br /> Ntl - - <br /> Ili 40 CFR 2a 7(a),The OMWOV 4wardow - <br /> hveyrdarrs co�ulNus�nl"nre�r gnf cvrurir+r hued 7 a4 <br /> .*,h C-cvrr reu frmubly be - <br /> fovr rrbore the <br /> cvrmllluarr � d °laian of dre 5r� � _ 6 Aw <br /> rrra/ab3lflygroup,undsub�cuexorj to F--f2lard)f� � _ -- <br /> akaWe to this w. <br /> #o,Al m-Wev,underlylmg bazordour ea=&"'d irr charauerisric,.mur.pie.d6"rhe appro�riare 6� � ��"- <br /> © 1 have reviewed the LITS Dist of 268.48,and per 268.7(a),I have deWrained that theca am no - <br /> underlying hazardous ODU$ittlents reasonably enpeew to he <br /> . - pzesear in this waste. <br /> D f have reviewed the UTS list of 268.48,and per 268.7{a).I have detetntined that n.derIying - <br /> haWdOus Wngtitttents are present in this waste.Ile underlying hazardous consdwents are <br /> //idadiflod as follows: <br /> � �1rCJrnt17_.y�) <br /> 3Es,oras <br /> '$es <br /> 1r�&Z6�a �8 <br /> /"'Z <br /> 'Z�M fi <br /> The rlarerurinarlma of underlying hasm•dorcr comMuenls was based oar. <br /> "Yeso"�e es <br /> air <br /> s[ ISI [lanerator'a kawwledge of the waste ,bar <br /> Analyisi 1 din <br /> V forWbicb <br /> I emKliy that l parRonally have examined and am familiar t th the waste through an "I"and <br /> alysis and testing or thronoh 9 wade <br /> knowiddad prthe warts to support 11AS certification.f cern '(')At as an authorized representative 3 d <br /> n,111CU shave.ali tho Infnnnatfon submitted in this normcatipu is trae and correct to pfthe generatorthe best of my knowledge. <br /> rutted Name 5ignetute <br /> Dat fr <br /> V C�uS�rrw-�. Cod' <br /> lrNrin tit&14OVIO•1I tIVII411 <br /> This is a txo stdea forv� <br /> John Alaniz, REHS Page 10 of 12 <br />