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940 N. Central Ave. Record ID# PR0513647 <br /> 11/10/2020 Program: HW <br /> Photo 9: The following uniform hazardous waste manifest (0 1 6769204JJK) observed lacking designated facility copy. <br /> ` Form RPPrevea OMB Na.2050.00]9 �e'' Y- <br /> � a ManNesr Trsculna Number f•f <br /> ryoe.IFe^^dablsnee Peruse an etre lt2-pad,l pewriler) Rospuba PM1O^" <br /> JJK <br /> VMFORM HAZARDOu <br /> r.c..malorlo Number z.Papel of a.eme�Pe'sy •E _ <br /> " WASTE MANIFEST (;A L 0 0 D 3 T @}g G GenersdYV Sea Aadreu{tl tlleerenlgNn=Deng atltlressP . <br /> $ SGe�+rsoI Naantl K.L,Adm <br /> me <br /> – FlRF.SaONE a}5e�12 L '. �•z f,—�..,. <br /> 940N",T RAL ANI; l <br /> Twy rA <br /> Gene�lye Paow ?09?2F-1764 us era IC Numhac <br /> s.rrenspader r✓:wnFeny Name C A D o 2 91 7 7 0 3 6 <br /> WORT D OIt F.NMONMENTAI.3EWCE9 us EPRloraumeer - - vyA <br /> r.rrsnspenerx eamP,,,y Name CARODD116422 <br /> „( kkVK47WuE RL-COvirIII INC, U.S.EPA ID Number ar – `' �••{,2S <br /> n pe.sYF9 FenlllAGEM ntl Bne 114f; <br /> gg�F Y[S AMNAGEMf_Ni INC <br /> #i Gb0D 145 HIGHWAY 95 AZR00052114G �I� w's � � � <br /> ZL <br /> 8a YUMA A7 13638! <br /> Fac llys Pheea' } ,4q- S ` <br /> '3 9e.US.DOT OenmPrc+n pnwasn Proper M1l HaaaN Cleo.IV N <br /> umber, rO,Containers 11Tau1 12.J. 13.yl89rB Catles -• �� '�'. <br /> NAI antl Packing Gau �m9 Name, No TYM <br /> vraa�rn <br /> r rdrlN RCRA HAZARDOUS WASFE 1XXr'O(IALY ABSORBENT) s j y '•q� A .ry <br /> dd <br /> 1 <br /> d <br /> N) <br /> 41 <br /> if1 1a SpecldlH�tlYng NSlrucnwrs erd PAtliepnal am M1"i� <br /> W FMFR.FhICY GCIF17+t^_T CHFMTREC g-FC-`424-9300 WOES TERMINAL,CERES CS NAERGO 481171`PROFILE N 9F7 - <br /> - PPROPRIATE PPF EQUIPMEr5T <br /> 15 GENERATGR-S.rOFFEROR-SCFRTIFICAToN:Ihwb¢d,claro Tal T9 mom eleas moIjIVlmnt S %11y antl­Ioly descnbedahave by rhe Proper 54'ppMg name.aryl­dass�iea,PacpageC. <br /> mah Eand Is edrPlar�reeR.antl 2­11 re eeoin prwr[ diI tar IranSparigcC,I bapplicablb Ntemalinl anenational gnrem MIregulaboru5.11"Pwtshipment WI_. <br /> rWIam the Primary <br /> NPMId,*Natrhe='lentsW canldm a the omis MWa altachea EPAAcl tddgmentafCaesent <br /> 11,*Drat are wdela Tirvm bbo slsfemenl Iden4in 40 CFR 262.27(n)(if Iam a Paige quantity ge'eramrl w(b)Id 1ema­11 gtlantily gsne=te*Istrue. <br /> Generalols'Oaemis P&IeNrypee Nm Sgnalwe Month Day Year <br /> IE.lnramarm'Aahipme'Is ❑Pm rI <br /> pa MU.E ❑Evpuh from U.S. Ponpt""ftnt. <br /> ` - = Tra'aporter sgnatuo{J%r BMPwle bnIA NIA lee+ang VS. <br /> w it TrdnapprlerAdNo'Madgmanl or Re[elpl nrMBlerlvla <br /> Q Trandbddr t PnnletaTypatl Hama 31gnalure Monts DIy Year 1 <br /> o <br /> I i transponer2Pnn1[Nrypea Name Slgnabra Month Day Year <br /> a <br /> I – ~ <br /> ( I — 111fff fA.Drsnepancy <br /> I 18a.D�screpaxylntllraeon Space ❑Qd"* ❑Ty' ❑Rnsldue ❑Penial Rsjectron ❑Fml Rq lien <br /> fah Nmmale Penury(or Genewlw( <br /> 14"61 Relersnca Number. <br /> US EFA ID Number <br /> u Facailys Phone: <br /> r13L-Sfg,WN dA1M 0 kNity(w GnnemMr( Month Day Year <br /> q <br /> ' z <br /> W19 Haxankus Waaln Report Management Mathotl Cgdea(Aa..mtles for haxwraopy waslu Irnalmant,tltepgsal,ane recycling%Y%lama( <br /> f27 Deslgnatea Faclrily Owlrerm Olsarala.Cnnlrrcahon of rer�rpt of hazaldoua malnrlal%covered by thn m¢nrlesl eAcaptaf ntlad In IPem,Be <br /> If I'Wieveypetl Mame Signature Month Ony Year <br /> EPA Fgr�rP 6700-a Wsv.3 05)i Mous editions are obsolete. <br /> GENERATOR'S INITIAL COPY <br /> JASON GAITAN, REHS Page 9 of 19 <br />