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3028 Navy Dr, Stockton
<br />12/6/2018
<br />Photo 12: Manifest without a signature from the TSDF.
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<br />'ASl,�rr rlrry y res and ® 15. GENERATOR'S/OFFEROR'.CERTIFICATION: I hereby dfcde elhat thecontents of this consignment.,. fully and accurately desenbsd above Lyme Groper sriVGing name, ora are Ga—.,
<br />d wastes and Bwaste _z marked and lobeled/placarded, enders in all respects in proper condition for hansport according to applicable international and national govemmental reguleb— It export snlpmerd and l am as.
<br />76�,'0'p waste m Exporter l ceNfy that the contents of this consignment conform to the terms of me attached EPAAcknowledgment of Consent.
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<br />%61,11j) I ceN that the waste minimization statement identified in 40 CFR 262.27 a rf am a lar for or 11 am a small uan4 lot is We.
<br />X154 eW (Ory ' tlktory Genemfors/ORerols Primed/Typed Name _ Signature Monm
<br />dement In • 16. Integration al Shipments
<br />Aden statement In JVe,q t [ Transporter signature for exports only):lmportro O.S. ❑Expon from U.B. Data leaP'doteving U.S,:
<br />17"e "01 Aeon _ r 17.Transporte Aeknowledgmentof Receiptof Matedals
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<br />14. Sp Gal Handling lnsl tions and Additional lnlormatun
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<br />'ASl,�rr rlrry y res and ® 15. GENERATOR'S/OFFEROR'.CERTIFICATION: I hereby dfcde elhat thecontents of this consignment.,. fully and accurately desenbsd above Lyme Groper sriVGing name, ora are Ga—.,
<br />d wastes and Bwaste _z marked and lobeled/placarded, enders in all respects in proper condition for hansport according to applicable international and national govemmental reguleb— It export snlpmerd and l am as.
<br />76�,'0'p waste m Exporter l ceNfy that the contents of this consignment conform to the terms of me attached EPAAcknowledgment of Consent.
<br />,.cors, �, () ( large quantity generator) () li q ty genera )
<br />%61,11j) I ceN that the waste minimization statement identified in 40 CFR 262.27 a rf am a lar for or 11 am a small uan4 lot is We.
<br />X154 eW (Ory ' tlktory Genemfors/ORerols Primed/Typed Name _ Signature Monm
<br />dement In • 16. Integration al Shipments
<br />Aden statement In JVe,q t [ Transporter signature for exports only):lmportro O.S. ❑Expon from U.B. Data leaP'doteving U.S,:
<br />17"e "01 Aeon _ r 17.Transporte Aeknowledgmentof Receiptof Matedals
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<br />s co"hed .mains the Transporter y, Transporter l Printed/Typed Name Signature MontF
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<br />� 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
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<br />Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a
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<br />Printed/rypedName Signature
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<br />Form 8700.22 (Rev. 3-05) Previous editions are obsolete.
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<br />Rejection
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<br />Record ID PR0528381
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<br />GENERATOR'S IMTIAL COPY
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<br />"wTs Manif est '
<br />List CA Manifests
<br />mi CAL fYn—,7275 Name: PACI.
<br />Report T1ma Frame-. 20151200 - 21
<br />Total Calif. MaMtests. 12
<br />Manifest Genmatnr
<br />014654513.i3K CAL%A1337276
<br />014654513JJK CALOW737276
<br />016012161JJK CAL00033727E
<br />016012163JJK CAL000337271
<br />01616347$JJK CALOW33727
<br />J>1 j3r CAL00033727
<br />016470582JJK CAL00033727
<br />016608667JJK CAL0003372-1
<br />016608868JJK CAL0003372-1
<br />016608669JJK CAOW3372-1
<br />0179S3659JJK CAL00033722
<br />017953660JJK CAL00033727
<br />John Alaniz, REHS Page 12 of 15
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