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3460 Naglee Rd. Record ID# PR0527345 <br /> 11/20/2020 Program: HW <br /> Photo 34: The following uniform hazardous waste manifest(007276255JJK) lacking a designated facility copy. <br /> 7r Ptaase pii"mtype_' Form AP-od.OMB No<< <br /> 1ERMH",ARRM HAZARDOUS tre°uewrlo Namber 'Page d 3 EMe Ne p �,M.nae.S Treealn Number ���WASTE MANIFEST CAI_0P1i7450791 1—� -9 �f` @ 00726255 <br /> nV N.m.end Will,Address GanereWry 81.Midresa Id earlier'dean r itiig aEdressl <br /> 'atdnu■ Hyelndai Of Tracy <br /> 80 Naglee Rd <br /> - ACY CA 95304—@000 <br /> mr.varve. 2@ 4-309--3191 <br /> u.S.EPA IU Number TXR0a0@81205 <br /> fYyESY5TEhtS SNC 'pw0er'Comperry NameU8EPA I➢Number <br /> EAN HARBORS E14V SVC INC. MAD039nated'Xii Name and San,Add— CLEAN HARBORS EL DORADO, LLC US.EPA ID Nomber <br /> 309 AMERICAN CIRCLE <br /> FL DORADO , AR 71730970-863-7173 RRDf66974919ePNme.b.U$.COT.a_.(Ir ludm9 Pmper Shippirg Name,HazaN CWss,lU Number. 10.Centainevs 11Total 12Undntl" an,Gmlp pranHoOuanely14.blasts Codes <br /> RQ L'N1950, WASTE. AEROSOL 9, (EACH NOT DM D001 D005 DII <br /> 0 1 1=XLEC.OING 1 L CAF'AGifYI, 2.1 (D@01) <br /> D@0 D00N 331 <br /> w <br /> z <br /> w <br /> ca <br /> t <br /> 4 <br /> -4 Spew]Handling Insil nnaandAddili nal Informal— TSDsEL. 82047323 PL15816 CSG: <br /> i)ERE30126• <br /> r4H EMERG�NCY#800-468--1760—CH/SH/TFI—Contract retained by generator confers a envy authuri , <br /> an initial trans art r to add or subst'ta n r rt ' f <br /> R GENERATOR'SlOFFEROR'S CERTIFICATION I hereby declare that the contents of this consignment are MIy and accurately descdbad al by the Wad.shingling name,artl NarAass'Rie4peckaged, <br /> mahedand Iabaladlpll and are In an respents In propercondNon lortmnsport according to applicable intematlanaland nabonal govemmenrzl regulations.11 expmtahipmnl antl I ann Primary <br /> Exporter,I renrly malme contents oftdomignmentconlorm to the lens of theadaAred EPAAchnowledgmentof Consent <br /> I Zll mat me waste mermil statement idanbhed in 40 CFR 267 27(a)(II I am large quantity general or(b)litl am a small Quantity generamr}is true. <br /> 'Gv erairia ''amts P,,a dTyla'd Name Sgnature - Month Bay Year <br /> 1b International SNpidenls ❑ p <br /> Import U.S. \6'11 <br /> I <br /> r ❑Export holn 11.5. Part <br /> ? Tranaporter all(forexpahs only)' Da oTeieavmg U.S.. <br /> a 17,TransponerArknnWartgr l of Raoelptaf Materials <br /> I Flinleda ed Name <br /> Sfgnalure <br /> T p Month Day near <br /> z Ti rter2 FrintedrFype Name Si nature r � , 'f <br /> R 9 Month Day Yaar <br /> r <br /> * t6.Discrepancy <br /> 11 IBa,Discrepart'y lndlcaGon Space <br /> Quantity ❑Type ❑Rodd.. ❑Partial Rejection UPul Retactroe. <br /> blandest Ralerence Nvmber. <br /> 181 Mer le Facdrly(or Generator) LLS_EPA ID Number <br /> J <br /> U <br /> Facihrys Phone <br /> i&.SlgnatureofAltemale Fadilty(or Generalor) Mantn Oxy Yaat <br /> Q <br /> Z <br /> 19 Hazardous Waste Repod Management Method Codes It 8.Codes for hersrdous Well Ileatment,disposal,and racpgrng Systems) <br /> G t 2 3, 4. <br /> 20.Designated Facility Owner or Operator CerttfiCatlon of racoipt of hazardous malenale covered by the manifest except as paled In Item 1 Ba <br /> PnnieUf(yped Name Signature Mol Day Yea1 <br /> EPA Form870� <br /> �Jigeyj 571.Phre�wlouseditionsareo6sole(E. GE.NERATbR'S 1INITIAi,COPY <br /> ]7Fi7 , �7 <br /> JASON GAITAN, REHS Page 34 of 51 <br />