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Stockton Tri Industries Inc Record ID# PR0515670 <br /> 2141 E Anderson Ave, CA 95205 Program: HW <br /> July 26, 2019 <br /> PHOTO 10: Manifest number 019174056 JJK shipped date 3/13/18 was found without a signed off copy from the destination <br /> facility. <br /> r.+zjL 40S5JJK <br /> aNfiy,,. lee <br /> I as <br /> none.HsS <br /> HM ane Paglrp�--'rwn11 quanB Groi r.l- 'r• za�u '��0�.� <br /> i`36. <br /> O� NON _ <br /> arnre WaroNumya DA's',, 6'3c4 <br /> W2. it rp 4.rnrwe a�DATp- _ __ <br /> 3 <br /> OE - <br /> 08 <br /> 3 8u, <br /> D8 IS.S08, <br /> perial Hanerirg lnywcbore arq A0ei6anal larpma4on `� <br /> 'at <br /> 08, ll.+fy DCO�NtRACTCWt RQm71 <br /> 0e/ C' a0.DP'IS <br /> DEyhPPPCN2D PPE _ <br /> 41 <br /> 15 GENERATOR'SIOFFEROR'ar:ERTIFlCATION:IMreb eetlare ual ue conrenlzof yis rami nm mare lwly aneacaa+sty aesmbeE eeoveWmapr�erxwpxq rae.mmeaaa++s ovaa9a+ h�I�,A, <br /> 08/ marFeO and labeleelplayrtletl.antl are in all reepetts in pmperwMillon 1prlrenepprl aozmm9yW apgrwMernlemaYorWard rwYorlal aevemmmWrrquleoa¢a <br /> 08/ Etppner.l cenily Nal Ne[onsenla al Niaconar nmenl mnlprm lolbe leans al Ne aeachrq EPPNCYno-xkdament of Caomnl ei���_sol a.,ae Prrsr 5 DDDD <br /> I mryty that Ne waeN minlmizalion statement Geneerors Pnnletl?ypee Name re � - DD <br /> � OO 61 <br /> syaawre; <br /> tfi.Intemaaonal SMpmenb ao A <br /> S <br /> fir$ 2 ❑Impar to U.S. ❑Eagan hpm lLy GMAemryleva: <br /> iranspater siAnaNre Ilpr exports only)-. Oak IeavrrgU 5.. a <br /> 0812 C 17.TrenspprlerArknpwletlgmenlpl Remiplol Materials \ 19 <br /> Transportert Pnnletlnypetl Name Signawre sm Gay as <br /> o 9 <br /> 2 Transporter 2 Pnnted/ryped Name SignaNre IM'mm' Gaf Vex 1 -�0�_DD <br /> 18.Discrepancy ^ <br /> 18a.DiscrepancyIndication Space ❑Resrtlue ❑PaW1Re'RNw LJF`�Pe'pman <br /> P ❑ch,.rhq' ❑Type <br /> U Manilest Relesenm Number <br /> ,- a¢ U.S.EPAID Nvmbel I <br /> w t 18b.AlNmale Facility for Generator) /I <br /> a J <br /> U µP pay Veal <br /> � LL Facility's Phone: <br /> w 18c.SrgnatumofAltemate Facility tar Generator) <br /> 2 Ca gs p <br /> 1 19 Hazardaus Waste RePort Management Method Codes(i codes lorhazardous waste beat ant disposal and re lin ys ems) <br /> After due oat w 1. 2 <br /> reasonable co <br /> - MonUl Oay Veal <br /> EPA. _P080)( I 20,Designated Facility Owner or Operator:cerlficaten at receipt of hwrdous malzdalscoverad by the m$gnaturecept as nded in Item lBa <br /> 1 Pdntad/typedName GENERAZORSINI�\ACOP( <br /> P EPA Form 8700-22(Rev.12-17)Previous editions are obsolete976. <br /> 0 <br /> Tricia Dai, EHS Page 10 of 13 <br />