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3460 Naglee Rd. Record ID# PR0527345 <br /> 11/20/2020 Program: HW <br /> Photo 32: The following uniform hazardous waste manifest(007461901 JJK) lacking a designated facility copy. <br /> i sa SHIPO=&k5+i4� <br /> Me—pont or type. C 15 1 I—Ari OMs Nd 2056-0039 <br /> UNIFORM HAZARDOUS Gena-ald IONumher ]Page 1 d Emeq¢�w.y Rsspenm Friona d.Manaes[Traekr�g Numbar <br /> SKS <br /> WASTE MANIFEST CAL000450785 ! 1-800-4b8-1760 KV\ <br /> 5.Gennalp,Name arm Mar'.ing AInA<. GBnemrNS�wlBAedrB551d B�9eren1 W n marling aadres5l <br /> Platinum Hyundai Of Tracy <br /> 3480 Nali Rd <br /> TRACY CR 95304-0000 <br /> (eM+eIOYS Phoria: ? <br /> e.TrenSpwpor 1 CWnpany Name IJS.EPA 10 Number <br /> SAFETY–HLEEN SYSTEMS INC TXR000061205 <br /> 7.TIMepMBr2Cw,E,i,Nemo US EPAIO N-1 <br /> CLEAN HARBORS FNU 5VC INC. MRDZ39322250 <br /> 9.N5gnaled Faciaty Name and site Adtlress U.S.EPA 10 Number <br /> CLEAN HARBORS SAN JOSE <br /> 1021 BERRYESSA ROAD _ <br /> FapI1y5 Phoria: <br /> 408-441-0952 SAN JOSE CA 95133 CAD05949431Z <br /> ga 9b.U.3 OUT Oes[k—(1M 119 Pr 'StipFng Nerve,Hazard Gass,0Nump¢r to rgnrainer5 51.Wel 12,Unit 13.Wasle Cedes <br /> HM and Paanp Grwp(Iran,)) No T,,. OusnaTy WI.Not <br /> NON–RCRA HAZARDOUS WASTE, SOLID DM S F. 22'; <br /> (OIL FILTERS) <br /> ce z <br /> 3 <br /> I <br /> 1a Special Handling lnsliureonsa,d Mabonal letormi <br /> TSDoST 83137777 PL1581.F, <br /> 24H FMERGENCY#890-468-17Fam-CH/SH/TFI-Contract retainqTjed by generator confers agency a9thori y <br /> IS ENERATDR'SIOFFEROq'g E I!CATION:!hereby dee ere drat the wnlentso Ihls wnsignmentare fully an accurately tlescri6ed very the proper shippi n me,antl ae oassi .pacNageq <br /> ti <br /> ma keb antl lebelediplaca ded andare in all respects inpmper mnd9on torlmrtspdrtacmding wappl,able intemabonal and nal governmental regulations 9 exppn shipment antl I am Ore Primary <br /> Erpprter.I ceNy that the ppntenls or this consignment conform to the terms of the attached EPAkknowledgmant of Consent. <br /> J candy that the wade rare aapn 3-tarri icall 1140 CFR 2E2.271a)(if I am a large quantity generalorl o(b)(ill oma smali quantity geir,i a We. <br /> G,,vatorsipflerods FdpletllT—Name Signari Month Day Year <br /> nl+ )JrJit', X ' c <br /> Inlemational Shipments _ <br /> ❑Impod W U.S. ❑ERpon from U.S. Pql of enaylex�C <br /> Transporter signature[kr erpods onlyp' Dale Ieah'mg u:6.: <br /> W 17 Tran rAdnoxlBdgmenldReoei otMatedals <br /> OTransporter Pnnle4?yped Name I1, s1 naN 1. i g _ Mann D Year <br /> Q Transporter PnMedlTypee Name Signal <br /> \ <br /> K Doth Day Year <br /> r <br /> A 1 Discrepancy <br /> +Iflf ,Ba,Discrepancy lndlcallon$Pao Quantity ❑Typo Rai ❑Partial Rejec(Ian ❑Full Rejachon <br /> ♦wlandesl Reference Number <br /> 166.Ali Facility(or GenarataJ U.S.EPAM Number <br /> J <br /> U <br /> LL Faptily's Phone <br /> H13c.SignalureafNlemate Facfllly(or Generator) 61onCy pay Year <br /> `. f9 Hazardous Wasle Report Management Method Codes(r e.,codes for hazardous waste trsalmo-nl,disposal,and recycling systems} <br /> 4. <br /> ' 20 Designated Facility Owner or OPeraIPC Ceruficafibn of Wal3l bl hairaldous materials covered by Ilse manlle5t except as now In Item 1Ba <br /> ._'_, i PnnlerLTyped Name Signature <br /> 7 _ <br /> 1 ;6w� Nrontn pay Veal <br /> EPA Form 87pp 22[Ftev.T2-f 7)Previous editions are Dhsolele. <br /> 1)7612003/156777 GENERAlOR'S4NMALCOPY <br /> JASON GAITAN, REHS Page 32 of 51 <br />