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3028 Navy Dr, Stockton <br />12/6/2018 <br />Photo 13: No waste analytics available for review. <br />, <br />r <br />CAi000337278 1 {877) 256.8 X65 1Fi3 Qi12 <br />'A""04"nd�'"M ` AsTEi10. <br />AA906�-T f1toMon ILL C' <br />F"d*x m 30" Nov y Dr <br />StCCk$an CA 25206 (ZING) 951-4070 <br />Ponder Envinonrner[at Services Inc <br />00— TAW <br />tC°+; <br />AID <br />M. <br />M ami*' ,y r" <br />I the <br />to <br />10 <br />,W' 09"" top te 1 <br />got <br />101 te �"aad <br />m" Address <br />noii <br />40 <br />noo liter y -1nflne' �dsey`"����'1 eat <br />e e a ' ma w ee rAlp t Vow <br />U. of th <br />is <br />as adI GQ'rroan �d U s £Rag notbl en Nd b" e <br />1 1>.0.,fonna# 0 c. EPA PAID num tqe <br />heen d"vetPanyN andU a!0&t'mal ' <br />renaPonenie� e re o<d�ve{ s" 3 Epp 0 <br />e <br />��n�o4kte 30 trep letserSite re of>tie�alsHad <br />Inef' 'OV,'"Nam addles ono fW <br />ated <br />DOW <br />nmmta Also 010 11 <br />1 A s Ph et Shipping Nort�]e <br />Iii lot 01 d <br />cation nupascnPW ( n9 �tOUP) �b ""1st oetded <br />de. 5 DIT r andP d,rnnem sbl <br />en f on Nn ebw�s " de sdolls i�an>fie n N o- <br />tm�� t41 9�ri?t D 9 °u'�oUtlad e 1 <br />U tete eye <br />Item 9b' )NiNAl P1e4°1tab� edto"Nssteortn6f <br />%4,0o" nemelsl ce aW met {E ppVlesto <br />to s ddtUbna oo mbe on <br />1f a 0, me Gort° one n� encl R <br />n21 Resp°nse gteEns. <br />o +t�`�,endey�R°P��� <br />John Alaniz, REHS <br />w, y,95 11 Mi S of Beatty <br />aii NV SWIM 1900] 238-3843 <br />CAFiW180737 <br />NVT330010000 <br />.. ; . _. —.----^^-._ <br />1U Cuntaurers tf. Tota <br />Ne A" Deariotb, <br />',a 1wa�>Srgk'Vam <br />No. Type <br />Cox, i Ntt.JG <br />- ed waste material Manganese <br />Non -f OT/Non Regulat <br />(111) Oxide) <br />018 Olid <br />72,fi0(i P <br />Non -Hazardous waste liquid (defoamer) <br />1]114 IJtYt <br />200 IS <br />I, <br />i <br />- <br />I <br />— <br />Cu'!a? Nandf g . ri_,^s and Addlticnai irformaticn <br />i 3.1 Profile #070128043-13450 !E 5.2 Profile #070137747-13416 <br />PO #738752 <br />Job #17-16263 <br />14. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the cantents of this wnsignment are fully and accurately described above by the proper shipping name, and are dassifiad: packaged. <br />to applicable international and national governmental regulations. <br />malted and labeled placardea. and are in all respects in proper condition for transport according <br />Month Day Year <br />I Gererators,Offeeo/s PdntQdTypad Name Si nature <br />l l <br />—1; <br />115. Iraemabonal Shipmerts El import to U.S. ❑ Export fr Pod of enhyfexit: <br />z <br />Tr orrer Signature (for ex its oni ): Data leavin U.S.: <br />16. Transporter Acknowledgment of Receipt of Materials <br />Momh Day Year <br />Transporter 1 PdntedAyped.Name Signature <br />IL <br />Monts Day Year <br />Transporter 2 PrinfectTyped Name Signature <br />f <br />17. Discrepancy _ <br />17a. Discrepancy Indication Space El Guanfity Type ElResidue❑ <br />Partial Rejection Full RajeRejection,❑ <br />Manifest Reference Number. <br />U.S. EPA ID Number <br />r <br />CJ <br />17b. Alternate Facility (or Generatcr) <br />(1 <br />Facility's Plane:L <br />-----------Month Day Year <br />�3 <br />17c, Signature of AI>Rmate Facility for Generator) <br />---- �— I <br />.. — --- ------------- <br />of <br />16 Dest ratery Faolm Ownor nr ( ¢retic CertlYicap r �f r ealpt of matenal covered by thernandest exrept as noted in Item 17s <br />9 i 1P <br />Pnrfed'Typed Nam: -' _ -- Signature <br />--- <br />�� ,:ren ceCILITY TO GENERAT01 <br />Record ID PR0528381 <br />Page 13 of 15 <br />