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4202 Gibraltar Ct, Stockton Record ID PR0538513 <br /> 11/13/2019 Hazardous Waste <br /> Photo 5: A desi nated facility signed copy of uniform manifest 018248965JJK (8/16/2018)was not found on site. <br /> rM nad buaa MaNb 117.pIM71 {I��1 <br /> •M.'2'%+Sfn'+ <br /> T 965 JK <br /> r <br /> r Noin, <br /> Ub.aF.1DNaebn. <br /> rI,IL"ar r <br /> ppt Daewaaan pnLlWlna Prc 'ShIPIN Name,kw dCl—ID Nurc,., 1[r.Canla'�r, av'[oIN I].W� 'a wrrC +w <br /> _.,. dmaY Ia MYI) weMH yANM. vwq.ar� <br /> I:w No. Trye <br /> 1. <br /> 3. 10 <br /> ' 're <br /> Ia c <br /> 4, <br /> .a <br /> �a,-�d HaaNing laaWGllena antl AtltlaiOnel lnfOmral'ion 9 <br /> ��.�,rf, Y;y <br /> � ry,r81na a�ale tl29adrad w^�" <br /> 1, GENERATORRrDFFERIORe CERTIFICATION:I hmally dedara lM1al the wrAOX nt Nla wNlgnmanta bl911nlenmdeaa'm�ialaMlY� gdw tat re9Waaorre.�e+A 9tap" a a'd V am Nre pMNri 41! <br /> meMad end laheledplacarded.artd are In all reapecfa In propel rgMitWn for aanspon eccartlingm appira mantel Ceruan4. erreratoal la true. Gay Yex <br /> Pi�vner,I oerury Thai she wmenm of rola eonelgnmant conPorm Io me Iem;e o}The aneehed£PAAdalmaed9�or Sb1('df am a emelt AaPmtla 9 tAorN <br /> I wr*thal the waste minlmlzaL'an atstemeol Iderd!<ed In 4a CFR 28.2,271.'Ih I am a large auanlrty pe <br /> Uena,teW n:;`s RrInt dlfyped Name J <br /> 19,1nIemRganal Bhlpmenp PaM1Menh"YIaAC <br /> ❑Impon M U.S. ❑Frpon ham U.S. Data IeaNn9 U.S: <br /> Tnrx�nar elgneture(far eayone only): fes, fry Yana <br /> 17.TwepolserAab�.•Iadgme+A of RI—Ipl of Materials Slgnalula I /� 0 <br /> T+anepaner i Pdrnedlfy0e4N �y Year <br /> - iJnn1'n <br /> Slgreature"' <br /> 7rarwrMr2 rinWOy*Name <br /> r78.Dlspapdnq ❑Fartia!RajecFbn Fug Rem <br /> i8a.DNcmpars.Y Indim tion Space 0 Quantity ❑Type ❑Residue <br /> fIf ma deal Wei I➢Number <br /> 18D Allam&Fadfrry(or Generaror) <br /> 1 <br /> U <br /> W Fsalifrs Plwne: FlnnCl Dai Yeet <br /> y�j 7&.SOoftwm ufAgWe I fe Faalily(or Generator) <br /> _Har m)m wwte Repon Manegament Ma}hod Codes(i e.,oades for hV,1fd=waste UaahaeD4 d'spasal,and recyding syatenlsi <br /> o ' 3 4. <br /> 2 <br /> C <br /> 20 Designated Facilrfy firmer or OPeratm,cer9 atan of receipt of halaWIS Maleriats oauered bi the manifest ezcepl as rued m ftem 19a fjl <br /> PnnleNfyped Name Slgnahlre <br /> EPA Fo m 870022(Rev.3-05)Previous editions are obsolete. GENERATOR'S 1NMALL CO" <br /> John Alaniz, REHS Page 5 of 12 <br />