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800 E. Pescadero Ave Record ID# PR0514340
<br /> 11/20/2020 Program: HW
<br /> Photo 32: The following uniform hazardous waste manifest (007769568SKS)with signed designated facility copy.
<br /> SSL 9R SHIPM 225494754
<br /> Fqm P.ppmuatl.OMB No.3056-0039
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<br /> Icrne,alor loNar�er CAL130013915 60 1 314 1 5.5 1 1-609-4fi8-1760 6`CJ 2�7tj
<br /> _ UNIFORM HAZaR00115 —
<br /> -- - - dy NIFEST Genttiarere Sde PCtlreSa{11 a.Ae.an man mallitp a6eressi
<br /> M.aars Name and Ma.1.r.y PAdreas =
<br /> date abbre�atinn fir, ei s. 60tds"aPesrad eraaRve9
<br /> roP CP 95394-9799
<br /> erarR TYPa��Sla and ale app cane FP vnw,a _ _ _ rr.s.EPntoMmroar
<br /> nmar OFG°NTAINERS a Tranapcaler l eomnaavkame T%R000981205
<br /> s�rtpi TYPES GT=pumPoa�•ke9a' .SAFETY—HLEEN 9YST'EM9 INC =
<br /> TA9V-EiWoPdarrtor gam �9s. t tree zcomoanv wme us.ern to rvvmoe. —
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<br /> paPe`°r�r,orrs rases' HG=Hoppe eLEfiN HARBORS EmvIRONPENTAL SVC INC.
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<br /> ranans,ca TG.Tank ra+a a.oasiPaeled Fedoa Nerve aatl--i—
<br /> TG HARBORS SAN JOSE —
<br /> s� s•aus, Pddable M1.F�n&a1 1' 1021 BERRYESSA ROAD rA 95133
<br /> TT'Gar6°o 9iRJ JOSE CRB059494310
<br /> I Fad eEhona 496-441-0962
<br /> Or PI Comrma�rt�a ka9a AamNa neaa9el 10 Contaieers ii T,&d 12.lira
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<br /> e marina rl[acbons.7a quanlibes nbrya�Me I¢ rr 1 NON RCRA HAZARDWS WASTE SOLIDS
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<br /> iboirdeamalsat wPl aNea You 10 r�rrl it ser leasoMe� males. o (DEBRIS, PETROLEUM HYDROCARBONS
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<br /> YAal-EIV.—UNfT6 OF MEM%d_Pounde s _-
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<br /> AS onlVl. be repnned in
<br /> ns(1000 i'' ,Matt sh-i'm VY arbar9ae.
<br /> CubicYerds I;INers.
<br /> very lu btUk shipmeresnts Men as rail arri 13 m
<br /> do Tans. stream idendaab In Ar 14 Special rldoming lnstrucuonsand Addlliena lnbrmalwn T9Q:SJ 76027580 RE2345�1�ny?, � L5Gi
<br /> res [pees ro desuiba"C must be entered of Eta In
<br /> ��a�a �Wiajurdantwihledaa� �"fgeM°Paaes 24 HR EMERGENCY #1800-468-1760
<br /> :drral waste rpdas wiaidt am 1lreel rapm
<br /> eC PCA :I m dadare are econlanlsm thNwrrtgnmemem a amaaley 6escnbed aurae apropers 1ppm9 rsame,aNare classified,pacxagetl,
<br /> V ba del tonal lnfolmae0n dad inlorma>waassary lnr I. marded aalabeletllplacanrgd.eMare in all respeda mprmAvarMitian br vanspoa aunrtlirgl°avPhhaale ira6matlonal ana nationalgwemmanral regulatimns.rf exponsmpmenlaMlam lne Pnmary
<br /> mdFn9 lnstnladnrts and ndlin V,l6pmendepa e9aaeni coda arfie' 1 Eep�r,I�ly that the CCnbrll5 dthh consigrmrenlmnformlo male`s}dtha anach�qPA N9 wledglnlant oflCensenL P ry9 nae }is
<br /> r anY speai 9 lgdal5 [b {diner s I w Nal Ne w,,M8 mnlmiiamn slaminsTt idenahad In 40 OR 2G227 a I I am ala aanll emerdlp or h al oma smeA uanti a wr- Wa. veer
<br /> rrb as to enter addi6onn b�,ent Genarau,ftionamrs PdnberrYned Name Sign¢Wre Ihonln bay
<br /> ane9ema'rl mr uaddn9 aswas alenumhs Pa es os 'r/'
<br /> ��praaassasGe�lorsaVsa maY as cnemial nau aunitsin 0 ILL r�YY' L+rrzl(� G
<br /> guitle n mbrars d materia idenafled with w d 1a.IrrtemauoreI shipments
<br /> Ifarmadon about their shipP ravilyal wasles F ❑Impanb U.S. DEapat hour U.S. Pon ofenmytexa'.
<br /> d stale.m spraaa9 Intelma9on lar whish z
<br /> .Physr s f tortoni required ale faUliN 7
<br /> ransPoderslgneture{for e.Ports mly)' ala nng
<br /> limdad NPS.° udi69 any ahem a51e i
<br /> W TransponerAdurnxledgmCnlot RBWpICI Mateaa9
<br /> used tet record on the mamfesL ind fan rejeaded W wasta TransporterI Fnn[adlf d Na �,y sgnatura Mandl Day `rear f.
<br /> bi peoACsgaa pravtded a original manHesl Banal PCB O s11 ej�}tJ L.L t^+ •� Q�('�� QS ( r 1I
<br /> hat of th dthe spa 61 raneCaton5. i Q.
<br /> Ne Manilesl IYaakin9 num d manifest;an FR 76M1 207,
<br /> d under a sewn undar49 C to ra4ulatbrl z Trans n 2PanletlHyped Name 5' MUCnIh 9eY Year
<br /> leap Bhi�t-0f-se dn11r7rmail�N -to meelsm
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<br /> ,,1100 oerefu8wtros oaf a.Discrepancy dlcauo N ❑Qua Y Ype Realtlue ❑Perbel Refection
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<br /> rs Capficarions waste aIn n Spars, mill ❑7 ❑ Re crgn
<br /> r y,,aro sin and dale the I bear,generators, motion
<br /> tion slbemen.W make a wt bay fila a gpmpGed
<br /> for muss read,tion cerl� m be duty Mandest ReMrenu Numbe,.
<br /> waste mbl'boioa"cc apon from oarayn9 the ntams dye
<br /> pled by�� g0'gulof RCft 4 are alsoisGefirronbn alsalo r lab.Ahemale Fadlihy for Genamlorl U.S.EPA 16 Number
<br /> asonThe G and Is 10 P Pe
<br /> under ss tion movements'shipment has been ProPed Tha pfan,nl.of the shippers t j
<br /> stat minimiaa
<br /> wstatianb<alm{UepshiPPerscat 6,,tare}that thec°ntenshiPP11name.and e5 Facllilg Phone,
<br /> dtaere bCd abPye tiY the Prop a Ry lac.Slgnalure clAllamale Fadlily(or Genemlorl Month lay Year
<br /> e weresPa follows. and are In all raspectstn Prop
<br /> I statement is as rately lararded, avemmental
<br /> fuu and a d and labeledlp al and neuonamat me wnlents of
<br /> rue,ntare Y anion N 19.Hazardous Wase Report Marasemenl Method Codes(I,a.,Catera for hazardous waste treatment,dl%oin ,and recycling systema}
<br /> ed,Pad`h d gen aPplioeble imam d EP rhar,I nervy mens b1 Consent.
<br /> d I am the Pnma7 p AckM'^M1ed9 this Parti
<br /> 1' 1 2' 3,
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<br /> or Hari the dation.
<br /> s,Ifeapaat lobalermsoltheaae�rahipmenitorolrl Phlpmenl.
<br /> Inmenf aanlorm lot Prepares offeror
<br /> gnera the a .lure 2p,peslgnaled Fac'ly 4rvnm or Opereloc CBdlaraaon of pl df hazerdoue matadals Bred by Ne mendael Bacepl nmed dam Baa r
<br /> other
<br /> Ihan the 9 Iament as �'• yrifii
<br /> adY nd ; ars Card115 Han std words.'OI bahafl n nN01he P nt yped a gaeture M m
<br /> sign the r ba rePnnt the re b1ao8 pear to 0 agar,
<br /> nine maY P Heti 0sas
<br /> the emP Y I
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<br /> I or p{ferdrPemO lament In that�e lndiyid0 sign
<br /> nay hand wnle Stns Std 1B She Ilam 15 may EPA Form 8700-22(Ray.3.66)Previous ad s are abs ESIGNATED FACILI TO F,NERATOR
<br /> nay hard indlrz uiigd in ]M 7775930/]189197
<br /> meiefor al Ithe handwrittansi9nawrereg
<br /> Iiha ani blarmatian asf�P
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<br /> JASON GAITAN, REHS Page 32 of 34
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