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940 N. Central Ave. Record ID# PR0513647 <br /> 11/10/2020 Program: HW <br /> Photo 13: The following uniform hazardous waste manifest (0 1 7695016JJK) observed lacking designated facility copy. <br /> ^r�'m: rose �Arv1s `"aa°n <br /> a rro nM,red,IRM0 No.2050-0039 / <br /> '•�+e.,•x slm�8 T`Ou ra8r Fartn APP I <br /> wPe� Please print or type.{Foran designed for use on elite(t2-pitch)tyralrlrer. Phone 4.Mall I Tracloan Nulnbero 16 jj <br /> 2.page 1 al 3.Emegera.Y Ftespvnse (1 rf 1� <br /> 'N0 di 1 caaerelar to Number rte)42493oi� <br /> "a"'na'Waspc chums lzerr TC_ rOr�°nod aar�ora UNIFORM NAN;FEST <br /> Aarrers,kegs a+s•Ne 7P_ rankca °a,s'Nr'Bs. WASTE MAN3FEST L A l 6 U O 3 7 0:19 5 Gene2lnrs Site address(it r ddferent than maims adell v , <br /> 95, �i, portable l 5.GaneratNa Name antl MaYNp Atldmu Al ,el K <br /> FlRESTORE 0356812 -..; . t <br /> Carso ranks s. IT -`p7 " <br /> d>e rokal g'uanary of !lank Woks), TRA N r,FNII1AL AVE CA 9537 Fr �7F',y Ti �.1,, - <br /> 'rmrenferdecmralsnr a (RACY <br /> nxaa/measure �u`Ons R 2U9:7'1-7164 US.EPAIO Numbef 4 , r�r <br /> �dshould basedllallow you�rhe artana ural Ga�mtars rhe"e: LrC�_ a <br /> be ma! 6 Transpw4ar I Ocmnanr Name f A 0 U 2 6 2 7 7036 <br /> '''err as skipped, Conon achtaltnt,reaoryanl Practice, rhe nears WORLD O!L ENVIROINMENfAI.SF.P.VWES U.S.EPA to Number <br /> Was Me 'IV) ta'ner cepa°ass a @°n snoleea¢heil poacrsion.rrbt s �+ r.rmnsparler2companr Name 1 ••a+• ( - <br /> apporePna(pabb notate sonebhac vs FPA la TiulnNar yi '' <br /> did <br /> TA&Eif.L)Y MEAS from rabls caw ble as e$b>nafes. r e.oeslgW'�N AOIL <br /> L R E YC STREET C n 7 D a O 0 1 3 3 6 2 �r- ` a p•� <br /> yJ SOF (ba <br /> LIRE J for h1e unit Of r:OMF74N CA 96272 <br /> N cub,c Fnolh a Phooe: 1316 537-7100 <br /> P=Ro Mei 1o.Comainem 11 Total 12.UnVt 13.Waste Codas - <br /> Name,HamM pass,IS Number Ovanbty Y!1 N°I. L•}a M; <br /> 'fig d+rLSf. �._re cnds. �' qa, 9b,U.5.00Y 0escnlYion(mClnSmgPmpBr Ship P"9 Na, TIP. ww , <br /> ns(2 HM andpodkgGreup Cd anrll <br /> N'c Me y= SOP jj + <br /> rship e��and Cubic ydrrys s Cubic yarns, ounds), ( I.NON-Rc17A NiV.?AR0011S WASTE ifil(BRAKE FLUID) 5 <br /> as,eit cars knk Only <br /> k be <br /> mRorted 1 +f / <br /> wawa zbdes rod dr ba Jos n <br /> el redAaanf . est eba+rodewgsre s6eam z. <br /> 5 whrc wrlh fed r <br /> r rods,repmsenod"s must be"160nrtAed'n ff F - <br /> e <br /> Of l! erft,ed he n <br /> 8'rdAdd/rwnar/nfu ' <br /> e I rr <br /> 14and!!norrrl+aN°n rhe JI fn ! <br /> 4 df the, enarprrre ter,14 spea/lc lnformae' UUUi <br /> eters nave profile In <br /> +he generalor's o necessary,t e. <br /> 'WPed mate ey use lhls�p, farnercoafS des,rbar or <br /> cg yAfnWastes dr 6naeyremirslrldnae dr Cona+r'0de§' V.Special Hantlling lnswLtions and Adadonal lnfonnaaon e•L <br /> i. <br /> 66ed lyjffr Pdtume unpsstlruenf I � r <br /> hPes df f n <br /> i Q EMERGEfiCY CON7AA;T L`NEMTREC 1-80i7-A).*9300 WOES TEPMINM•:CERES C3 NAFRGN 381 273'PROFIL-F M 7411 <br /> lemanr/ow,, �lly�lurredinfarrnabon q 4A7A95BRAHEFLUIR* *APPROPRIILTE?PEEQUtPMFP7f y f�1-�// /k •�^1 <br /> MCrha e�0glhalImnrfe079 af�jpyemato facilil�r N'hfclt Zi �t r"ERATOR'SIOFFEROR'S CERTIFICATION:I hambyrieVere thel thecantontse Use wnsignmavi are leNYaM aauralely desnihedshove b,in,1m;e shiPP"lame.and are Gassieed,packaged <br /> Under gg espeerficaloe d Acted waSles and 0 `snrrsrand <br /> ,Ieal hatt>he contents of lie mnaignment cordrm too at mspeois in prol in.temis olthestition far attaned Eirt IPAALknovoedg Ieole C°nsleand national goVemmental regulations-It eaporr sMpment arrdlamme Primary <br /> ,n 6115 spaceCO �fi73te fegU��O rias IE Zthat the jlitiJa`,'Ofterors PazthadlrYPed Name�rement identiLetl in a0 CFR 26Y.27ta)lir lama large quanliSy genemlofj ar(bl(NI am a sinal!quarrdly generator)is true. <br /> SlgnaNle Month Day Year <br /> ry / <br /> s'ds(a mimmlZatWlld 1 10.' ZIE.In A��o ❑ImparmUS. ❑&port hum VS. Part of enlryleaiL <br /> erlil Ease Iesnng t1.5,. <br /> I duly 1lhdse generafo�hn sfa(emen( In FT z 1 `arerure lmr e>tpons only(, - <br /> E uyrr <br /> dutYismakeawas shave not 5` � kkoes•MedlofRecelplpfMareriala Month him Year <br /> �ene6&0Geri flheyor�uaGdn i alb 1RnadrtrpedName _ signawre <br /> i <br /> yOyA Arad6drralsd�m�,nadhe RT T Q'r pax2v `rr SI toe Mon gay year <br /> 1bRJ is IR P� ""s�Typed Name g"a <br /> are fha7�jhe ratan!olllye shippeer5 I s P m :. <br /> we b canledla off lle I.. p '�awchaMy <br /> Y the pfdper shi o ,Ided, a.rr <br /> �a+1d are 1n alt r�nB name,anri 7 Prrme 11' wtmn Space ❑puamity ❑type ❑Residue ❑Peroai Rejection ❑Ful Rejeclan <br /> and maticnaf paw in proper � E <br /> Crporler.f°erG on"Cll R <br /> �'Irlal Mahilest Reference Number. <br /> 1 1p Aram 6W cGnlenfs df F "di U.S.EPA IE Number i <br /> wNed9r+lenr i_16�-+�IMia'Ef <br /> tl�enrat, napOTLm°fCondent.' A alrylaGnreor) <br /> e. O'��Leshipfganr:hia�arty C Oconc ,. <br /> O'a'17a1! nL I n Farnrt(s Ptne. <br /> E dll0 zo FacOil t5.5 WradldeaY¢f <br /> Atli fhB v a Month gar Year <br /> bw S`gRrbg naive i F r N^a vty(or Genardtorj <br /> •4 8 as bite 9fi4 <br /> p10{2'eorayenr T ro n z <br /> qat SiY 19 NatsIO 'hileRWAthr rsnonl Method Codes{I s.,codes for hazardous waste reatmem,disposal•and moycling systems} <br /> Ura requrrd i 0 <br /> pem 15 may <br /> 20�yg.,ggdpyyM PMaar�ater:CegiOcallon of receipt of hazardous makedals covered by the mantles!except as ndatl In Rem 1 Ba r *� <br /> Signature Mornh Day Ysar <br /> . i <br /> tipAFomSi9�2�1ft� }ptepa�ionseredbsclele. GENERATOR'S INLTLAL CO' <br /> JASON GAITAN, REHS Page 13 of 19 <br />