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6364 Lindbergh St, Stockton Record ID PR0521275 <br /> 6/28/2019 Hazardous Waste <br /> Photo 4: Manifest number 017144956JJK (10/25/2017)was found without a signed off copy from the destination facility. <br /> 4 Far+^deal ndtl rue use 0n elite(12�IIchJ'1Wdfer.J � ;qm Appored.OMB Ne.20ab9039 f <br /> r.Ganerekr IO Number 2.Pape 1 of 3.&nargaacy P—naa pl— a.RaIlf-Tn�Nrp MemGr i <br /> rlyrNWES"ue r <br /> MANifEBY CAL000309603 1 91Cr371S717 017144956 JA <br /> Noma'M Melling Address Oeneraars SkaAddrese fe diaarem vun maalg aearessi I <br /> ATLANI7C AVIATION,562ui rlsS <br /> 6364MiJNDBERGFI ST <br /> STOCKTON,CA 95206 <br /> saykr 1pCompeny Naa,6 <br /> V.6.EPAlO N�mNr <br /> RAMOS ENVRONMENTAL SERNNCE5 INC. CA0019 <br /> r T,,,,O kr 2 Gempany Name U.S.EPA Io Namber <br /> � g.pacynated raGliry Name ane slanaaraas PACIFIC RESOURCE RECOVERY u.s.EPA IVNemeerCI <br /> 3150 EAST PICO DCVO. <br /> LOS ANGELES,CA 9=3 <br /> Facili s Phone:8OM99.71AS <br /> ga 9b.U.5,OOT Oe�plipn Ilnc4tdirg Plopar Sh:ppk g Name,'dazald Class,IRh-bar, 10.G.4— 11,Tetal 12.Una 13.Wase C-,-- <br /> HM and Pa,Mlrg GmaP{il any]] No Type Quantity WINIX. <br /> X 1 UNI2CO3 WASTE GASOLINE,$.PGII OM �"' G 331 0001 Tg018 <br /> a hy <br /> NA1993,COM9U5116LE 1-101Ji0,NOS,COMB.,PGII1 (JET FUEL) {3M G 33t <br /> l7 <br /> 4 <br /> GPepia'-Handlir9lnstmc[ions and diry"r�inb"natienEROM26 9 )PROFI <br /> anreaur+s'•a' I• 96k PRQFLER IS &2L.E# 151103#1215�P9r� d�/rsu�4t� I MOLERS To Be TRAINED AM USE APPROVED PPE. <br /> "H'.Is- <br /> . E.R.COIdfRACTO.RP.MOS EhfVIRONMENTAI SERVICES <br /> e <br /> 15. GENE RATOW510FFEAOR'S CERTIFICATION',IherebYdeclarethat me cvnSenMMdiswrulgnmenlaee lvnYard socuralery describedabave by me pmpar shVppin9name,abare dassEAed,pa1129ed, <br /> and lahe:edfpleraldea,and ale in all reapec�e in Propel-1dit-1rw4amgort atprding to appliCeMelMamationalantl national goyemmenml reAulatluns.lf eapan slilpmeml andl am the Primary <br /> Fxpanahl_*Lha'Iharnntenls of'hu consignma�u wnform to Ne Lerma orlhe atleched EPAAcknowletlgmam of Consent. <br /> - I�mfy that the wade minlmizabsn slalemanl'denafletl in 40 CFR 262.27{a]{d lamalslAe quanta)gen br]or @](ill am asma116uan- erteralor}ss Vue. Month Day Year j <br /> L.sv�a: [ynrmO;Ar IrRc lia'ay 7= <br /> GenerzlOralONemispnrNdRYPsd am.e fig" fff <br /> -J 18.nlem nal ShiPmen ❑mpudW B. ❑EVW fmm NS, Po eniryl R I <br /> Tmnspwher aigaaW.p,expods only):Mft <br /> C •.i.TrensporterAdmavledgment of RecaiOofMIII - <br /> - - , a Tran :fart PAn1saR MonIT Day Year <br /> O <br /> Z Transporter 2 Pdn ad Name signaNre Montl1 Day Year <'x�, <br /> IB.Discrepancy <br /> 1 IBs_Oiscrepancy lndl.ttln 8paee ©gaaPllly ❑Type ❑R%Idue ❑P.I RejecboN ❑Full Rejavdon �' •.�'s <br /> Manliest Relerenr>e Number. <br /> i6b.Altemate Facilt for Gemmlitr) U,5,EPA ID Number <br /> u <br /> Fadlitys Phone: <br /> W 19c.51gnaWre of Allemete Fatillly]Or Ganerakr) MOnlh Day Yaat <br /> Q <br /> z <br /> titg.Narardous Waste Repan Management Malbod Codes pa.,codes[w hazardous v2sla haalment,disposal,and recyding systems] <br /> 29.Deslgaaled Fao16y ONneror Opelamc Cedi9 h n of receipt of haurdoua mafedala II by the manilest eacepl as ndatl P Itam lee <br /> Prin—ypsd Name Signature Month <br /> Day Year <br /> EPAPo1m B70I{Rev.3-05)Previous editions are obsolete. <br /> DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> John Alaniz, REHS Page 4 of 18 <br />