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3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 4: The following uniform hazardous waste manifest (0 1 8531292JJK) observed lacking signed copy. <br /> r pnn[ A'• a,Menaeel eNumGr I— <br /> 11 ��� pleau Ur ryDe.IFam,N.si9,•e Ge oraux 10 2 Page 1 W ],Eme�vercy Reapon.e Prwme ('� �' 1 J <br /> I VNIi UNIFORMHAZAROOUa - •�.'1 •I,r. is "V 128. e7JK ! <br /> I Y WASyE MANIFEST c„er mra s�[.ndsmsa ld dLini—1 ma.--N nem 1 <br /> Ge,erae,. Hie Maenq Hann++ <br /> 4 _ <br /> j c.�,a,+mre anwe- rl.s,EPA[D Number <br /> e s tra.al r <br /> 0 It[ lt ONemo <br /> WORLFrrVIyrUNMF NTILL 9FRVICE9 C <br /> LLSE <br /> ,EPA I9 Number <br /> n[aaRONer a 4VmpanY Name ._ <br /> \l-f1 i V L" I- LL- EPAIDNumba, ) <br /> a,u V,q Fed Mb Nem.ami Ile Addrern <br /> YES"WOEMENT IHf: <br /> 6500 US Hh7HWAY 85 <br /> YUMA CA Bh36•> .. <br /> Fad PNan.: 4p<R'3d•;-An::a -- <br /> ga 96 U.$.007 Desmptlea Indummg Proper Shlppu,g No-Hadrod Cl—,IC Number, 10 GOn-- 11_ToWt2.Una la Wade Codas <br /> Hk1 and Pecking Group Prany}1 Nc rype 0-My <br /> a s 1---RCRA lk"RDOUS WASTE SMD(ON-Y S%I�-PAPER FILTFR'S) I <br /> � o - <br /> n <br /> - w 2 <br /> w <br /> r, <br /> 3 <br /> u - NpSNWRTEFt y <br /> /ASTM <br /> id Spedal Flandkng lnsbudlons antl Additional lnformaidori _.. <br /> FMERGENCYr ON+I,:T CKMT REC 1-J3FIO474-93ol)WOES TERMINAL 'PR(WILF v•; I DL,PF CrPF. 'ADI-W!, <br /> ��- CODES MI..NONE•APPROPFIIATE PEO.WRAL PROFECTIYF.EQUIPMENT <br /> 15. GENERATOR'SMFFEROR'S CERTIFICATION:I hereby declare that the contents of Nis consignment are fully and acauraft descmbed above by the proper shipping name,and are dasstred,packaged, <br /> marked and labuiedlplacarded-and are in all respeds m proper condition IN transport according Io applicable international and national governmental Iegutabens.It expert slupment and I am the Nrlary <br /> Exporter.I ceray that Ne contents of this consignment conform to ete terms of the attached CPAAcknowledgmanl of Consent. <br /> �- I camly"I the waste maimiz9on statement identified in 40 CFR262.27(a)(fl am a I"a quantity generate)of Eh)(VI am a small quantity generator)is4ue. <br /> Generaloes=erorName Signature Month Day Year <br /> -ter '�- •' f','��� _ ..� <br /> Q F <br /> --1 16.lolematonai 5hipmenls r .. <br /> � ❑Importlo U 5. ❑Eapon horn U.S. _rr PCttuf entrylaxil: <br /> _ Transporter signature(fcr exports only)'. Ogle leaving U.S: <br /> w <br /> 17 Transporter <br /> didnriledwledd NamelRewipior Materials <br /> Transporter 7 Pnnten'7yped Name Slgnalure Month Day Year <br /> d <br /> i Transporter 2 Pnntxd Typed Name Signature Manth Day year r,.S1GN5 <br /> a _yx wEu <br /> AINEF2 <br /> 18.Olsompancy <br /> "- 18a Discrepancy indicator Spaea ElUuantlty ❑Typo ❑Residue ❑Partial Repfclxm ❑Full Rej tlpn <br /> Mahle!Reference Number r w <br /> 75b.Alternate Facility(or Generator) U.S.EPAID Number <br /> - U <br /> ---- Facd,10 Phwe', <br /> w 18c.Sgnamre pfAUemata Faeillly(or GanereteQ j Montle Day year <br /> a <br /> z <br /> w1e.Hazardous Waste Report Management Method Codes(Is codas Ivr hazardous weata te1111AMl.disposal,and mcycimg syatams) <br /> LU CI 1 2 3 4. <br /> _- <br /> I <br /> 20.Designaled Facility Cvmor of Operator.CanuOCatidn of r cvlpt of hazardous materials covemd by the mnnitesr except as need In Ilnm IPU <br /> Pnnledffyped ams S[,ynaluraMooll, OOV Year <br /> EPA Form 0700-22(Rev 3.06)Previousedi0onsare obsolete, GENERATOR'S INITIAL COPY <br /> JASON GAITAN, REHS Page 4 of 48 <br />