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653 E. Pine, Lodi, CA 95240 PR0513848 <br /> 11/22/2021 Program: HW <br /> PHOTO 2: <br /> One 55 allon black metal drum missin an accumulation start date after the last ick-u of 06/11/2021 -CORRECTED ON SITE <br /> Go©LAN <br /> IIF FOi <br /> Mj4ZARD0USVR9W- , , FEDEI <br /> ' STATE&FEDERAL LAW PROHIBITS IMPROPER DIS. '�` AUTH4 <br /> IF FOUND,CONTACT THE NEAREST POLICE OR PUBLIC SAFETY AUTHORITY,OR THE U.S. OR THE C) <br /> ENVIRONMENTAL PROTECTION AGENCY OR THE CALIFORNIA DEPARTMENT OF TOXIC SUBSTANCES CONTROL. <br /> ' CA WASTE <br /> O GENERATOR INFORMATION: TELEPHONE 3 - NO.-- <br /> NAME ?py au�koitALA-,OF )1>1 <br /> ' ADDRESS- Io S L- D.O.T.PROPER I <br /> CITY' _ �U I ,I ' SNIPPING NAME <br /> STATE C..-, ZIP ri �i�) <br /> MANIFEST ' GLYCOL SOL UT/ON( <br /> f TRACKING N0. ACCUMULATION <br /> START DATE <br /> ' <br /> GENERATORe�z., <br /> EPAWASTE%DIS) j NAME <br /> EPA 10 NO. <br /> CA WASTE N0. <br /> O ADDRESS <br /> I <br /> CONTENTS,COMPOSITION: '"' <br /> PNYSICAL STATE: HAZARDOUS PROPERTIES: �.a RD' RDOUS <br /> CO3 so LIQUID ❑FLAMMABLE TOXIC STATE: H pCORR� <br /> ❑CORROSIVE ' f- VOL,ALxL1 0-7 utAnc <br /> ❑REACTIVITY O OTHER 1?avL10 CUM <br /> ' PROPER D.O.T. "' WASTEAC <br /> SNIPPING NAME VIp�JV�� <br /> UN or NA# <br /> TRANSPORT COMPLETE 'j•- - ,1 � �J; - <br /> —���HANDLEWIT E'- STORAGE C--3 , 7 <br /> �NAZARDO H CAR 4- <br /> exvRF.�,q wc.po�� D�X���& bOi-WM - n <br /> 1.21 <br /> 0 CD-1 -5 -5 Imo`— �Q <br /> RAl <br /> -80 <br /> VICKY VANG-LEE, REHS Page 2 of 8 <br />