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1515 Hoff Dr. Record ID# PR0538579
<br /> 8/28/2020 Program: HW
<br /> Photo 1: Uniform hazardous waste manifest(030010863WAS) observed with no designated signed copy.
<br /> 6r yyw[.!fid lC�Ylllnan+ Rxa4' :rpy)1 Pierre Prntm _
<br /> k 13 of Chapter 6_5 or Divisn)n I,d'"
<br /> lxaraa JS�TIe 2'of rhe Cylif-oniu C•rrlc ul UNWASTE H/IZARDOUa ,Ger.rm vn ib,�ba. z P4)tr a^�v�-vru,�mrr,vr„ nscT-020
<br /> v-h Fonn mved.OMa NO-2n5n-W39
<br /> 1 a t10p-535-5053-INFOTwAC• ry 2 ume.
<br /> 'lire w identify mud cnalply with:mY such s ear. M„a,owa,ea• w AS
<br /> v)rrier'n wa+�eay C1ranTnh in no,v,1y;�"orr e+ c"' +SA r�a�waM.«„s,�,,,,,,,,��„e„}
<br /> _ • e rhs•n'ta.Any lulviet u'gurdnncc p'-
<br /> ;,general uusicnlandinc of rppti—ble h—,
<br /> re�a R,
<br /> �r-.dmuld rot he relied erpan by cu..- r Icpmpapy nm
<br /> Tmh. Ca,rorner Should dire I mj; CLEANTECH ENVIRONMENTAL U8 Ew.,p Numpe,
<br /> 1.r�appde•]Company Nie CgL00V330453
<br /> V.5 EPA ID Nymph
<br /> ita rrgurrfing the genersunrl,hl s.Ebagfume Faonry N,.pe.na s�M nae=s,
<br /> CLEANTECH ENVIRONMENTAL INc. u5 SKI romps.
<br /> (}cal ail H',Y.Ve rendeMd la ereyrlTrr:o _ 5620 MARTIN ROAD CALo66330453
<br /> s been pm)_rrly characreri2ed pursuo
<br /> IRWINOALE,CA 91706 LISA
<br /> fhsn 1.000 ppm halogens.less tharj 5 Farih -PI—. 626-e12-7200
<br /> ff:grr'es Fahrenhel[. Cusroxner leas lnrtdr.' 9a. eb.U,6,ooTperviptipn(indw"PmPaslsl>anpwmr.naasaaass.mlwp, , Ia.Coow„a„
<br /> NM GIt TOlsl 11.Vnt
<br /> 'lines-�r 8y applyrnp knnwredce(it the � ar,JPadkg r WP{0 erryp Nn. Type uuapury m.rva. l3 wasN codes
<br /> Techs hand/ina-manireatin€',iraRa'pt)IT• 1. MON-RCRA HAZARDOUS WASTE SOLIp [USED ADSORBENT) pM P 352
<br /> 0
<br /> 'u.+[�r's cnDlpliance with thr,c luso. �
<br /> m 2 NON-RCRA HA2ARpOUS WASTE SOLID(ABSORBENTIPAPER LTM P 352
<br /> L�
<br /> •let's rued ail into a Valuable prod-
<br /> FILTER MEDIA)
<br /> her geRenettars in transport trucks 3, NON-RC-
<br /> WASTE SOLID 0111 SOLID WASTEWSED UM P 352
<br /> of facuilaring'this recycling acti+- METAL OIL FILTERS)
<br /> g,without limitation,the ca"„f n
<br /> tstomer's waste(including,with
<br /> file for recycling,,whether or not
<br /> 14.SpeGBI HandNnAAInehuclions and Addlppnal Infonnalion
<br /> 98 1)PROFILE# 9B2)PROFILE# USE GLOVES AND GOGGLES
<br /> 'iters,dirwilora,shareholders, (ABSORBENT) (PAPER FILTER) 903) (METAL FILTERS)
<br /> ust,and expenses(including, CALLER MUST IDENTIFY CLEANTECH ENVIRONMENTALAS REGISTRANT.INFOTRAC BOO-535=5053
<br /> cat case.penalties.floes.and
<br /> petty damage, cleanup and i5. GENERATOR'alpFFEROR'S CERTIFIr.ATioN:!hereby declarethat Ne contenisMlhis rnnsignmenl are tally and aeuuately descdhed ab�vaby me9nyPer siagpingname,aM are rAaasirrad,pa i,agea,
<br /> narked and bbeledlpl.moke,and are in all respects c proper mrddloofortransppn aca,Cing MappllwdielntemaltonaV and rationalgovemmenlal regulab—Iteg n shipment and I am1heP-9
<br /> sfomer'S breach Of 3A irep- Exporter.I cBNfy dlat>he contertls MmlS NnSignmeM wnfonn b the Pennsd the attached FPAAcknowledgmem MConsepl.
<br /> acferiration,sforage,treat- I CaNry Nal the waste minimization statement identified 1n 40 CFR 262 27(x)(d lama large quentiTy ganeraloT)or tb)It V am a-0 quaOuly generalor)is ua-
<br /> uch liabilities were Caused } : Generalorsf0fteror5 PnalefNyped Name Signature Wnm Day Near
<br /> of an breach or alleged 7
<br /> recover entitled to cover rea- 1E lntemafio al shipnen s
<br /> T-- r ❑Impon to U.5. ❑Export from U.S. Pon of entrylexit.
<br /> f ? Transporter signature(tor exports only): pate leaving U.S.:
<br /> 17 TrdnsporterAokrwwledgmentcf Re ,ptof Matedals
<br /> ol, Standby fev-, N f ll be Tmnsponer 1 Pnotedfryped Name Sgnalwe Mvrah Day Naar
<br /> O
<br /> I ra- Y
<br /> j ? Transporter 2 PnnleofTyped Name Signature - moov, Day Year
<br /> pfrlvlhl(nr r(rhe work i
<br /> 1 I6-Pisorepancy
<br /> ( 18a.9iscrepancy lndiotton Space ❑Quantity ❑Type ❑Residue ❑Partial Re}eclivn LSFuW Ralac(wn
<br /> I If+ Manilest Relerence Numhar.
<br /> 166.AAemate Facilily(or Gereralor) U.S.EPAIO Number
<br /> U
<br /> ua- Faahly's Phone,
<br /> w 18x.Srgnalure of Altemale Facilily(or Generator) Month nay Yeac
<br /> a
<br /> ig Hazardous Waste Repot!Managemon!Method Codes(i.e,.codes for hazardous was[a treakmanl,disposal,alld recyclmc]syslema)
<br /> 1505� 1
<br /> 'i
<br /> 20-Designated Facilily Owner or Dperator.COMIrcallon of lecelpt of hazardous maismilf Wv"d try the mandesl except as rated in Ilam 19a I
<br /> Printed typed Name Spnatune ldontl ay Veal
<br /> S
<br /> FPA Form 8700.22(Rev.12.17) Previous editions are obsolete. CxENERATQR'S likAll A-COPY I
<br /> JASON GAITAN, EHS Page 1 of 28
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