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3460 Naglee Rd. Record ID# PR0527345 <br /> 11/20/2020 Program: HW <br /> Photo 36: The following uniform hazardous waste manifest(007276255SKS) observed with a designated facility copy. <br /> 1111011 al 1111011N14RIE11111 <br /> Please prim ar W. 0 0 7 2 7 6 2 5 5 a K a <br /> 1.Gena for to Nunipeo / Fam Approved.OAi6 Ho.20• N39 <br /> UNIFORMWASTE <br /> MAWEHAZARDOUS CgL$00450781 z Pane t of s.Fr,c,oa,xv gemma pt n x,nwsr T.acy„a ryu,nb,r <br /> WASTE MANIFEST 1 800 46d-1n0 <br /> 5 f ad's nu;j AOAeu 00-727x,255- SKS <br /> GervraVa Sra+Mdnas[A dllercra van natlin9 ed'�rs} <br /> Platinum HyuyU ndai Of Tracy -- - <br /> 3480 Naglee Rd -- <br /> TRACY CA 95304-0000 <br /> ce,>er,rnrel pt- <br /> 200r9e-309-3181 <br /> 6 T t 1y— SYSTEMS INC U.S SPAmw,meer <br /> TXR0040B1205 <br /> Tse W,2CgName Vs.EvniO Numea 9.r <br /> a DeygnabaFaciryNameardSllaAmxss MM- <br /> -15/Yl moD a QSa� <br /> CLEAN HARBORS £L DORADO, LLC US EPAID Ne Mer <br /> 309 AMERICAN CIRCLE <br /> EL DORADO , AR 71730 <br /> Fes, �,, 870-963-7173 ARD069746192 <br /> 4a. 9b.0,5,ObT 0ewVdw(ff nud A Rom SNppiv Name.Ruamoowu Meta, i9.Cm krs 11.7>d1 1Z!Nin 13.Nh,�h Co6ea <br /> HM ab Paday Crag i1 Na. Type Q1--r MNd <br /> R(2 ON1950, WASTE AEROSOLS, (EACH NOT OM p 000 DM Dom <br /> EX�EEDING 1 L CAPACITY), 2.1 (DO01) <br /> 2 f 100 D00 Dan 331 <br /> a <br /> rn ss>�y}aanennNln:m, sand.a�aiearalsw.meton TSD:EL 82947."-,23 PL1561G CSG: <br /> 1)ERG612G• <br /> 24H EMERGiNCY#8H9-468x17Q add or qU —Chqt ontract retained by generator confers a ency author)' <br /> r5. CFlef7RATOR'SCFFFAOWS LERTSFlCAnON:I h <br /> rnahod and leheled$laaded,and are n a'I 'declare ural the mntEMs d Ih's mare tih end amyale{ydescihelabove by ere ower ahlpprg name.wd dfe wed, <br /> ri peels h pmpert oMdl s hanspa ld)cd EpA W apphcade inlernahr++al and nate—I gaienarc ILW m7AAens.If export sldprrlere End I am Are . <br /> FNnner.I cs'6ry II"MVA uie wnterRs otf'ruu prment cenkxmWthe teemstltl1e altad:ca EPA Aciznwled9memmC IwnL I'rar�T <br /> I C ltdy Ilial Te wa 1e mnr�ryfian stat-renl ilert&d it qp CFR 262 271a!(I I am a lave GUTrigly 9mryamr)or(b)(el am a sinal quaeny generator)Is <br /> a Fvkdedlyypad 14— S <br /> NWnm Day Year ' <br /> /\ <br /> � 16.W![ttrational Sfgmwnls ��l�W U..S. ❑Eytrl hon U S 1 <br /> ? Transporlar signalwe[forerPerW mly), U.S.: <br /> w 17 Tr}}SpgfQaA(dmpy}' nenlUr Reoaprd MalerNls <br /> T I PrrNedlTyppd /'�/} <br /> 0 1 1 r Almgr Day Year <br /> Z r2PnntedIT ame 1 1 G 1 <br /> le SSrralure — -1 Dal Year <br /> te-awepIiwy zu <br /> 18a.Disc wKy i iiaibon Space I <br /> ❑Ownery ❑Type ❑Res+Are <br /> ❑PaNal Rejemon ❑FJI R9�n <br /> 186.Akfe le Fadhl (w GB,,,bx) 1danitesl Retererca Nurnier_ <br /> J <br /> 115 EPA ID Thur <br /> U <br /> IL Faal41s Phom: <br /> Q1&SgrahxC dAlWmale Fadey(e Generate) M1InM1 D Your <br /> z <br /> W 19 H37artloe5 Wag1e <br /> Rgbrt Ala^agerra:n!lAetllod Codes(i.o.,CpdC4lor M1arardcus waste 6palmpM,Wppyal,and loe}xiing systems} <br /> 2 3. q <br /> 1r <br /> 20 Desprk*d Facilly Owner Or OPm r CorOBmtion of recegl of hazardous matemh wveEd 6y IK namfe xmV ea nded In IWm 18a <br /> Name /l <br /> fL//N1_]! MUM ay Year <br /> EPA Fp m 700_22 Rev.r2_17�Pfau oufi edillans ale nhsoletg DESIGNATED FACILITY TO RKS e-MANIFEST SYSTF <br /> JASON GAITAN, REHS Page 36 of 51 <br />