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1145 West Yosemite Avenue PR0527587 <br /> December 18, 2018 <br /> PHOTO 1: Manifest 01746821JJK found without a si ned off co from the desi nated facility. <br /> 7 T Y NA'ne <br /> �N <br /> M N �K <br /> " and S DDi , <br /> ot//vngG�°ae Yj'�udr us Earrontm� <br /> �f �$hiP(yng NapN"arard Us.Eaq rp,wm� <br /> Crass,ID NumMr �s Eai rp Nem <br /> 1e CWI� <br /> No, ^ars <br /> ljpe II� <br /> �^ny unlym� <br /> a v.eAa,ram <br /> / <br /> 1y,$ <br /> Petal llantllir,g Inslmct <br /> r RRf'�;it �aMAtlO'lipial lnforma. <br /> l <br /> 15 <br /> E1,ER4T0a'S/OFFEROR'$CE . n 'I <br /> Exporter I rert�l�Wawrdad antlare in aOreN:I <br /> lcreniry lnarmary mer the roman nerepv aeyare <br /> Waste fso/Ihis spas Pa<'ls in pmpa IAar,he cor�rents o,Mu�^sNna�r <br /> Garieratofy0fleror's Prinf minimv!aAon slatemenliapnl�^ ri�'^l^rlranapgl <br /> �TYPatl Name ^+eo in ap FM me lama^/IAeallarli�^9 baMstiwreA��°a'r"a <br /> BYI(a)Irllamala EPAArMrung� ' 'andiuAOW <br /> � IB.Inlemalional$hipmenls 'a+auanA ianlolCrnunr. so '^Yx'sryysy <br /> 2 ❑ beerw,amr alN l�nanasawybnrx a°'wryayoyq� s�w:ysp <br /> Transporter signature(/orex spraNre �Aryb1e� <br /> 17.Trans Pens onlY): <br /> PonerAckno <br /> Y Translprterl Pnnl 9n'ento/RecpiPl o/Materyls OE"Bon Aomu.s. M 'K'/y\.♦� <br /> �TYped <br /> i f oarelaa°'y os:�_ _ <br /> ireINrtarl Pdnled/TYPed Namel •'1l �•' s9roNre __._.___. ..1h r <br /> 18.DI'screpanc y sN^amre l 1 Nav, M IIs'' <br /> 1aa.Discre 14w' m <br /> panty Indication Space ' <br /> ❑Gaanliry <br /> �p <br /> TYce ❑Basque �"'C�, <br /> ❑aa�cuaawm, Or,R,,..r, ",,mai u"RI <br /> 36.Allemnle Facility(or Generators Menilasi Rakmme HumAe,: �' <br /> e <br /> U.S.EPAla A4rpx I. �h � <br /> 'Rity's Phone: ImatINR w°kyv ,\ . <br /> Signature ofAltemale Facility(or Generator) As„m 'b �” <br /> 'azardous Wasle Reporl Management Melhod Codas li.e.,codesf rhazeNou—Ie uaelmem.ailp k aua <br /> �+tc <br /> Z. 7. J <br /> t". <br /> eed muem <br /> cignafed Facility Owner or Opeualoe Cedificallon of mceipl of hazallous melehels covered by the mSl9lnawre�as na, <br /> yped Name .' <br /> GENERATGR'SINRIAICGPV <br /> c�eoi�'isT. <br /> :a,aoa <br /> 00 21(Rev.3.05)Previous editions are obsolete, u rk1jf "A s m� <br /> "�w bl�mVn <br /> �INArI. <br /> a1scMma <br /> q <br /> Lydia Baker, EHS Page 1 of 5 <br />