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3105 S EI Dorado, Stockton Record ID PR0505946 <br /> 9/22/2020 HW Inspection <br /> Photo 1: Designated facility signed and dated copies of Uniform Hazardous Waste Manifest 014706004FLE (6/9/2020) was not found on <br /> site. Violation was corrected on site. <br /> Fenn App aced.DMB Na-MO-0039 <br /> OU5 1.GrnerarorlO Number 2.Pagel of 3.Emargenry Resomse Phone <.M.gPXe;;I Tracypgy 4�0 A <br /> 31 rV111 fiNr l7rU� 4 FLE <br /> *T' ur•'F"ff tl09r{TAgOl7A3 'd Naling Admess Generamra sAe Addmaa In dme�emman maling aedreas7 <br /> L—�– _ ---- – T,pkLlra� <br /> Ei�prgdo A,,eMO <br /> r�.yr -04iM'fcm BR tsrrxaA <br /> ,ryj�y1,• Pary U.S.EPAIDNu <br /> �lgal 7rarrspcxt ttic.11JBA ACTendro CAfi000070540 <br /> ffNryyTJA AaQ1,-rii ftagarles'f i_ _ _ '0 rName u.s.EPAtUNamtes <br /> System,Ino CAROM75422 <br /> -- -- -4'n"ja-(a v A ' fy�rVNameard Site Address U.S.EPAIDRum4er <br /> LLC Azi00051.MA <br /> _ ��1yy�55 9t5 <br /> eS rB$� 00T9seadptiaa)InclArg PrawShipping Name,Hsdud Cloas,IDNumber, 10.Conti— 11.Talal 12.Unit ta_Wasle Code-s <br /> .:.,�I,.rneH e!sgGv'2.rtu:,i.uGJ,.�� _ �}sp GrouP fif anYll .NoTO, ouenoly vytml, <br /> CP <br /> p ,Haaur&uy wage sdtd cav sgTs;ae3S2► orn <br /> '0 352 <br /> cRA Haxa"kms waste slid(Od Melts) f3m P <br /> r <br /> vanalmg Inafi coons dnd Adaisnnal om aao eft Nt"dW 249162 DDla 1naNi fit.L729978� <br /> dfntWlt�9 ^-'— ,,.2.�tlr,ry nflue.- pp <br /> b <br /> t7853 CAA- -L.. <br /> ` YES-174320 CAY- <br /> TOR CERTIFICATION:Ihera6ydeclare tnatihe mn4snls Mihiswnsignmonl�nein4em tionalandnaab-malgrnammenla�ag<'inta'rd loam O+S P^ Y� <br /> v�aq,rns»yy b 4ns�AlWi�rMD" i-z and fabetedlplacarded,and are in all respects in proper oandidon for Uansportacaoldin3la aPlyi a <br /> Ry fsedify plat gle content,oFNis cnnsignmentwnform b the terms m10e miachod EFA4on,awledgmentof Consent, reror 154ne. <br /> , ypIfh.waste minird—lion state—midantified in 40 CFR 262.27 a I I am a large quaniq generator)or(h)01 am a small quanfity9ena 1 Mo_1h Day Year <br /> Siglafu <br /> I - rots Printed(fyped Name <br /> :>� Shrpmenis ❑Exportirom .5. Pmt ar ennylerif. <br /> impod io V.S. Date leaving U.S.- <br /> - "gWwre(hr exports only). <br /> -pshnnvledgment of Receipt of Materials Signature M-m Uay Yex <br /> rRlniedlfyped Name f (y <br /> momh Day Year <br /> ignalure <br /> NrlledAyp Name <br /> Indication Space ❑Quantity []Type <br /> ❑Residue ❑partial Rejection ❑RARelec4on <br /> - Manifest Reference Number', <br /> IFS.EPAIO Number <br /> FvTily(or Generator) . <br /> Month Day Year <br /> AAMemale Facildy(or Generator) <br /> WaskReport Management Megiod Codes(i.e-,codes far hazardous waste lreatmenf,tlisp3s�i,and regding systs} A <br /> �w 2 <br /> Faplily Owner or Operator. :a ton of receipt of hazardous materlah covered by Ne,manifestexcepl as nded in item 18an� p Yegr <br /> Signature <br /> GENERATOR'51N1T1ALCOPY <br /> (ev,12-17)Previous editions are cbsolete. <br /> John Alaniz, REHS Page 1 of 9 <br />