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4202 Gibraltar Ct, Stockton Record ID PR0538513 <br /> 11/13/2019 Hazardous Waste <br /> Photo 10: A designated facility signed co of uniform manifest 016987838JJK (9/6/2017) was not found on site. <br /> Pum eRM tr..'lGel,tpeY dq . 1 fia:8 <br /> 93 JJK <br /> . I iq <br /> all <br /> Y u 6.EPA IO a, p]S9a <br /> Y <br /> C+ "'A" <br /> _r,.a� +susx fa.wwc�. a7aa <br /> awaeontka,aoPmP.rat�ar+.m.,u..abci..e,anNemtww. m.ernea,em7rr� awl mrva, a�� <br /> InEP IC W if No. GSE <br /> 29,7 <br /> .;euceone aseAetlimnailniwmaeon _ ... '�i�Q`D� 29Y£ CeF <br /> z9a7 cm <br /> Z•. 2917 GF <br /> _ zon c <br /> Ld NQ daredacsfiEd.aa*ae�, zon c <br /> -.1+� +r des^nBed ahova Mthe proPar sMpp�ng name.a7 <br /> d ac�arat9ll manlaV re9u1au0ns.If eXr19R shlp^rern and V em the Primary ' <br /> 15 � TppgpPFl=ROfl'S GER7IFICAttOH:Ih-mbydadsm Mat the wncen aPtlla wnsignmenticahle intemeNortal end national gavem 7 <br /> and m6arad+ylerardad,and ere in ail raspeclsin proper ooneltion Fort pad acwMing ro apps Peat 297e <br /> Fri,lesrar,tna117e antertts ofihis rnesignment con!la Me temps a eflachad EPAAnkn W�OAonce9r(h)lfll zrn a sma119uaMlty 9eneretorl is Sue. <br /> Month DaY MY <br /> f IavaN that areuas4 m8Ymir-M,s�lemenl ident?edin 46 CFR 262.27 tin am alerga 9uen9ty 51gnalwe - fs �• <br /> ! rgRtBtars e—' Typed Mame <br /> Part of entryfexit <br /> 16 Export f0nn .S.❑ pr .. Date leaving U-S' <br /> 7ramFurfer e.pDd1sm4+t Month ZW Year <br /> � li 7ra7>portsAdvfRere(pimrMacerials SgnaluR - . <br /> 1-7 <br /> rrmePonerf Month Day Yaar <br /> —'olar 2 PnsWrl lfeRla <br /> ILLQ <br /> 19.Diaaeya<wy ❑Full Rejection i <br /> II44 Ellesidue ❑Partial AejecSon �, r <br /> 1 log Y)-$f ll Quan* ❑T yo, _- - <br /> I Manifest Reference Numder: <br /> U.S.EPA ID Numher <br /> fah art mace Faa�y tar ra! <br /> u <br /> Facatiq'S Plnrre' Month Day Ysar <br /> f&.scaaft re of k Faafry(or Gerrerator) <br /> r <br /> a <br /> 8.Hazadcws Vlacfe Report Marlagemenl Method Codes ti.e.,WdeS for hazardous waste treatment,disposal.and recycling systems) <br /> G 7. 2. 3. 4. <br /> 2D.OesgRaMdfadiry OwnerorOperalor.Cergoatfon of receipt of hazardous materials covered by me manifest except as noted In Item 18a <br /> Year <br /> Prina#TywName Signature Mardh 4ay <br /> 1 <br /> EPA Form 8700.22(Rev.M5)Previous edrbbns are obsolete. GENERATOR'S INITIAL COPY <br /> John Alaniz, REHS Page 10 of 12 <br />