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3105 S El 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 /> Fond Appmwed.OMB No 205Q003% <br /> OU5 i.GenemrorlO Number 2.Psael of 3.Emargenry Reapense Phone <.M.9PXe;I Tr�cypgy 4��A <br /> - -- °sr rV111 A !7 rU� 4 FLE <br /> ' u1•'F"ff -- - Zlp9r{CAgOC1A5a �,e Mang Address Generamra5Ae Addmm tddme�entlhsn mailing aed�s7 <br /> Lklef <br /> A%erxle <br /> 14iM'Icm BR 5rrxaA ar e'�tii <br /> 1 A i:ryj1y1,, any Name U.S.EPAIUNumber <br /> '. Gie[+r�p4 TrsirrsA�trIODBA ACTendro CAROOOU70540 <br /> o6,,,,TJA A801.314 hllq rrWT i- _ _ Cm "Name U.S.EPA IU Numb# <br /> �overy System,kic� CARt7p0175422 <br /> '(MI'Ka" 1 1VNam da SMAddress U.S.EPAI0N—b-1 <br /> a ,d.S,I: tnV DES LLC Azi00091.WA <br /> �ly�95 9t5 <br /> S� OOT90dription JlnclAng Proper Shipping Name.Ha d Claaa,ID Number, 1n.Cantainers 11.Tale! 12.Untl ta_Wasle Codes <br /> GmuP fit anYll No. Type ouamlty vytml, <br /> _ pCPA Hazardous Waste Sci(Oily SiniNds) � pN1 P 3S2 <br /> GItA Herardous Waste Said(eat Filer f3m P 352 <br /> (�dlr9�oS 6;ica2�r�N�r, s�x�a�,ro <br /> ilk.D2N765 <br /> r <br /> ndling Inafiuctlons and Mrimonal informal o CCE Number 249t62 <br /> drNtW1 t9 ^'— p r nflue. pp <br /> b <br /> tmm SAY-��L l ! u l <br /> C 7 x Y—Ei7432Yap Mir, 01_ <br /> wave-A r_cur kCr,,,43�d'AOYSy ,a� 'TOR'BfoFFEROR'S CERTIFICATION:Ihemby declare thalthe mn4ents Mthis wnsignmunt'nein4emttionalandnebonal gdN nenla eg<'i lirnls•Mexp°M1 Ilxae^ta'� P""'�� <br /> agrrns»y ipy�tlrpl, B and fahelddlplamrded,and are in all respects m Proper�ndltlnn for Uansportac�Idin3 4,im i a <br /> Rypeapr>r1i1M�1a (sedifythatglecontent,oFNisennsignmentwn%-tolhelennso`10eat1acnadEPAAoNnowledgmenlofConsent ralor ISIn+a. <br /> ;'.0 V93 yprfhe waste minimization dieW ritidentfied in 40 CFR 262.27 a I I am a lame quantity generator)or IhJ(d1 am a small quanfitygene 1 _� Oay Year <br /> d Name Siglatu <br /> I - rots Printedrrype ,, �. .-- <br /> :fir Shipments ❑Fxportfrom .5. PmlarenhYf-xe. — <br /> impod 0U.S. Dateleaving UI5.' <br /> - ",.wre(for axparts anlyJ. rr <br /> -pshnowledgmenl or Reneipt o(Materials Sigma T-r ' <br /> � Y� <br /> rRlnledlrYPed Name �, f � <br /> ... Month Day Yeaz <br /> ignalure <br /> PotlledAYP Name <br /> Indication Space �Quantity []Type <br /> ❑Residue ❑Partial Rejection ❑FA Relec4gn <br /> Manitst Reference Number', <br /> IFS.EPAIf]Number <br /> Month Oay Year <br /> dAllemale Facility(or Generator) <br /> Wask Report Management Method Codes(i.e-,codes for hazardous waste treatment,disp3Ei,and rEding Systems A <br /> �w 2 <br /> Fadlily Owneror Orato per.Cert if re <br /> ication o( ceipt of hazardous materlal�covered by Ihe,manifestexcepl as ncled In Itm 18a mpg p Yet <br /> SVgnawre ` <br /> GENEPATOWSINITIALCOPY <br /> t1{REv,12-17)Previous editions are obsolete. <br /> John Alaniz, REHS Page 1 of 9 <br />