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601 Nestle Way. Record ID# PR0527272 <br /> 10/22/2020 Program: HW <br /> Photo 5: One unified hazardous waste manifest (020403321JJK) observed with no designated facility copy; corrected on site. <br /> f Pp pi - 1.a.+e�ry Nurbar <br /> 2 Prpa 1 of 3 Fnwpw�yq�4PM1vr A � Form APPr°vBC.O Na 2a+aapa9 <br /> UNiFORMHA>AR'Uf1116 �� ,KJdi69 <br /> "" """EaT 0204n,4321 SJK <br /> sfir'=tri'y'�"Las"5�c' °'r°°� va+ar°mra sewmPaap-d- <br /> f L41MUP. m.aro aadeaa! <br /> ®TriiE WAS aai <br /> u�O <br /> Cq�waNY°maa. z�-H��rEe <br /> 6 hanapTNr GaaralY°�° V 5.EPa 10 NurEer <br /> tJeurge W.IAMa).and C0.P71�x]a171A <br /> ]rrmnpowaCw�Panr Name <br /> us.Fsnro N�na,� 01 a24a987JJK <br /> C <br /> e.I620� G� U.S eanlo Nunwar 01967%27J1K C <br /> a^KERSFIELD.id4 93307 rPA.CU0:2}�,Sa U204033z111K <br /> Foal nnene.tat 3xae75p 0212394p211K [ <br /> sa An.Ua.OCTnaeN+PtPt[IMrWagFe°p°r 9NPW^p Name,Yl®tlClap,IU Nu1Nw. le.Centro-�r� 11.Ti 13.Unn <br /> NM °M Padkirq OrouP PlanW1 Ne- Type Orin WI NoI aa,Waste Cees <br /> 0 9 1.NON RCKA Hk7ARDOUS WASTE SO[ID(0111 rbiait erdf pM is '-82 <br /> d7^ 3aS <br /> 3. <br /> 14.Spatia!Handing br hcawrs daianal Irrfwmsepn <br /> ERG N WEAR GLOVES - IplVOIGE4Y �ctuot�6�p oF.3F1lEn <br /> 15. nGEN PAndlzbele00FEacardeS CCR7irJCAPON:I is in pi <br /> Me—tenba d the 0on51gnmenl are htgy and aq.`u'alelY tlesalbaG apOya try me pepper shipping noma.ard&a dasW d.packagad <br /> pt pec paper wrgiaon V bansport acwrding to apprirable lnlema5mvelandnafimal gpPemmental regulaporp,Ifaxpon ehiprnent andtam the Pdmmy <br /> Egwder,Icerdfy[J,the—Mnd ofdrisconafgnmerrtwnf WhlelemnsoflheabachWEPAAONnmNedgmant Or Canseal <br /> icertlry Ihal the waste m irenfzationslatemerd idenhged to40 CFR 252.27(a}(IfI am a largepuanvlyger tOF)%(b)Ielamawallqumttygenerator)iswe. <br /> Ge refs/9Maroes Pdnled tl Nene SignaWre <br /> I,bnm nay near <br /> I&mannobensw S*—Is ❑Im rtto V.S. <br /> PO ❑Dpprt from U.. Ppttclenirylerit <br /> 7aanaparter slgnaWre{Por exports aniyJ Dale leavirq U.S.: <br /> rr 77.TranspaNerAdnpx[adgmem adRacelptaf Make"ah <br /> O Tran a�gad <br /> Monum Nam / - Sgnalure Day Year <br /> a IA ,'2 <br /> Z yransponer 2Pnntedlryped Name D r <br /> a Signature Month Day Win <br /> r <br /> 19.Discrepancy r <br /> THa.Dscrepancy Indica Uon Space D 00arllily ❑Type ❑Residue <br /> ❑PaniaV Rajedion ❑FuVl Rejection <br /> Manilast Relenari Number. <br /> F 19h.A!lemaleFacilityforGaneralorJ <br /> U S.EPA 10 Numher <br /> U <br /> Facilrlys Phone: <br /> C3 18c.5rgnalure of Alternate Facility for Gwrirel rJ <br /> ¢ Montt Day Yeat <br /> Z <br /> N19.Hazardous Waste Report Management Malhpd Codes[J a,codas WWI waste}realmenl,dlspp5a3,and recycling systems) { <br /> 4 'I <br /> 20.DDesignalad Faciilly Owaoror operator.CertigeahaB of racefptof hazardous materials covered by the manllsst except as ni In—10m1 Re <br /> Printedlryped Name Signature Month Oay Year <br /> EPA Farm 870WO-22(Rev.12-11)Previous editions are obsolete. GENERATOR'S 1N4TIAL COPY <br /> JASON GAITAN, EHS Page 5 of 6 <br />