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940 N. Central Ave. Record ID# PR0513647 <br /> 11/10/2020 Program: HW <br /> Photo 6: The following uniform hazardous waste manifest (016870090JJK) observed lacking designated facility copy. <br /> =-: - -�- ---- ^F <br /> Fame proved.0 Na.2050-0039 911 B) <br /> Form assigned fa use on ears(t2-piirh)Nrl a.NanllaslTnWn9 Nurrrbergo JJ K <br /> Please pont I"( 2.Page 1 M a.emamensy aewaase Phoria ^,S r-�. 0 f� <br /> r Genarem Io Number 1 18r01)r 4',74 f C IVI`� a r u i f <br /> UNIFORM WASTE HAF/11OOI1S CAL00Ly37039� <br /> WASTE MANIFEST Oenemta's adeAdbass III aidatern man malnrg eddreasl <br /> s,.o—mto/r NeTe eM Ndlrp Address <br /> r F )14 AVEN1 M35lAVE <br /> 9X40N CEN11tAl CA 9537rd <br /> I♦ Ti?Aii ,t q:!21 716A <br /> GersreroraProne: 11.5-EPA IO Number <br /> $ e.Transporter 1 carroarn nameC A D 0 2 6 2 7 7 0:3 r: <br /> N'ORl(?rail fNVI{l�aNNlENTAl SER1710E9 us.EPA 19 Number <br /> r; " <br /> Trarroorterz coaaarn NeriO <br /> � w u.s.EPA tD Number i <br /> e a.Desgmlad radub Mato w4 Sika Addres9 l 1 <br /> ofmrmw/7(ERDnON V <br /> -'000 N ALAMEDA STREET CA X222 C A 1 r1$p rl 1 3 l�7 <br /> COMPTON <br /> Fri More: (.3.101. 7 7100 Nortre llazaM Class,ID Number, 1o.Containers 11.Tow 12-VMd 13.Waste Codas <br /> Be esrnption. ab u5.U0T Dfinduding paper Shipprrrg No. Tyw Cu"flah WlNM <br /> NM and P ®Ga11111M <br /> E llf <br /> 33 <br /> t-Ni?N-RGR4HAlAROLiUSWA1Qi 16FAHfRUIG) <br /> I r <br /> sor <br /> f a4 z <br /> �y 3. y� <br /> $ 4. <br /> I <br /> 3a Special Nantllmg lnehuraons arafAdtaeonel lnlomtadoa <br /> MFi7GFNCY CONTACT GHEMINF.0 1-W0424,93100 WOES TERMINAL CFPES Cs NAERtdsM 801:17!'PROFILE M 981 <br /> 428568 BROW FLUID` "rgPROPRIATF PPE[QVIPNIFNT — <br /> f5. GENERATORSPFFEROR'S CERTIFICATION:I hereby declare that the contents of this—ignmenrara Mly aIM arcuralely descrihedabwe by the proper shipping name,and are nd otaV am the sm Ir paPrickaged <br /> . <br /> vzn.ftd andIaMJemplanMed,and are m as respects in proper coni far VanspoR a—ding to applicable Inlemaeona3 and national grnemmental regulations.if export shipmenlamary <br /> -. 6yortec l oadily mal the mn[enLs ortlus mnsignmeni camera to the terms of the attached EPAAckrostedgmertH Consent. <br /> + t certify <br /> hot the waste minimizatrnn srgt¢menl ldenkried in 40 CFR 262.27(9)til l em a large quantity generspor)or(b)fill am a small quantity gerreroopf)is no rear <br /> i !'Y Generalors<Orremfs N.*d Typed Name Slgnalure Month 0aY <br /> !s` 16.Inlemationa15hfpments ❑Impon m U.S. Ll Fxpnrtiinm U.5 Pod of enirylexrt: <br /> Tansporter sgaawn,e toreaports only}: pate leaving il.5., <br /> x 17.TmnsporterAekrgwkNgmenl eRec9ipt ofMalelies <br /> r a Transpoher 3 PnnledfTypetl Name Signature Month Day Year 1 <br /> i Trantpoder 2 PnwdlTypetl Name Signature Meath pay Year <br /> - 4 <br /> a � <br /> 16.01sorepancy <br /> 18a.Oiscreparcy Ind ism Space ❑Quai ❑Type ❑Residue ❑PaRlal Re)ectlan ❑Full Rejection <br /> Mai Refelaace Number. <br /> 18b.N[emale Fap4iry(or Generator) U.S.EPA1D Number <br /> J 1 <br /> U 1 <br /> si Fadii Phone'. <br /> w 13c.Signalure ofmirtmale Facility)or Generali Month Day Year <br /> H <br /> 4 <br /> 2 <br /> w19.Hazardi Waste Report Management Method Codes(Le.,codes for hazardous waste Treatment,disposal,and recycling systems) <br /> W <br /> d 1 2. <br /> asr 20.Dasgnaled Fadl,ry Owner or Operator:Cerbrution orrecaipl of hazardous malerials severed by the manifest except as nded In Ilam 109 <br /> PmIWtrrW Name Signature Month Day Year _ <br /> j. <br /> it 7_ <br /> EPAFOrm8700-22(Ray,,3-45)Previous editions areDbsotete. GENERATOR'S INITIAL COPY <br /> JASON GAITAN, REHS Page 6 of 19 <br />