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18806 N Lower Sacramento Rd, Woodbridge Record ID PR0517889 <br /> 4/26/2021 HW Inspection <br /> Photo 1: Generator copies of Uniform Hazardous Waste Manifest (UHWM) number 016653746JJK (11/11/16) was not sent to the California <br /> De artment of Toxic Substances Control (DTSC) within 30 days <br /> �o/�f/�hazardous waste shipment. <br /> cam"" � `�- � <br /> --�, <br /> T- b <br /> 0 <br /> Please print al Fomu nesi ned � <br /> oNWORMkfor use on esm{12Pi>rd]Iroewmar.) j r <br /> WASTE AZd4R00n3 I Gene.aln In Nranbe. -. <br /> MANIFEST L OD3- tripe fnl S.Erre fmmAppovaa.MOM ZOSfI-W 79 <br /> 5 Cern,amrs Nnne 'W)raearo'�a PMne -IMnXYY6'6' '3" <br /> roma"NAa�a' g" •- 016653746 JJK s <br /> ^la1PFA1"aooDEFIDGE �Pcr, r.* rien�a"a sne.v,ar�:r:d�a�.anlnaa reap mem,a <br /> 138D5NLOvu@P�S%R4Nj S 1 <br /> WOOOaR EKE.c-c r�25B 0 F'o a{>Lj <br /> eenc+alors <br /> s.nanapWb,Z�rr�� t <br /> Tralapwpar x Camp¢ny Nana "AVh3 EiTaWC140.lEHT>L SEFmes IFR: us. 4 <br /> Er+n lD Numher <br /> CcnDaID= IIjoanne <br /> Lo rYC a L L U IIS EPAi NII <br /> F.O-l"W FrAry Nameaaa Sma Ayaraea <br /> ✓SRLIFdC RESOI.rN G n 12 UU a1 <br /> ?ISD FAST Plen BL`R]EOCnRNr II s.E—, w� <br /> ESS MiGaEL'n xA)S <br /> Faaelys Petra?l1O r'yn?Vr <br /> ICES <br /> 9a. Bo.P-k g GDW(lq+,gr,Ih&4v P, 8hl <br /> HM and Paryag Gyown anl'IY FP°'9 Names,NeIDra @sa.lo Nemhr 10.Cr,rnainem <br /> n.ram Iz.ma <br /> I4CFWASTE <br /> g)FLA►pA,iBLE Sq[l0 07rG4Fre. :Fvy, uo. Type Duelah WWd 1a.wade gimes <br /> q' P 352 00.11 DDIa <br /> 2 2 flLm <br /> ACES,INC. <br /> 3 <br /> NG <br /> ,a.spatlml Hartl N lnsmlumn ardPdtllEUarm eaora,erm d.Account <br /> "OSL�L� ERID/r33 m <br /> FW10tFR�^y SHOULD BE4113' .1ED Pi;E JC <br /> 15. GENERATDR'SYOFFEROR'SCER7IFIDATION:1 <br /> maAed and labeledrpfaeraetl,sad ae In al ms�n demradul tlae�'lladaaa mnsignanair ere iNly entlaaingl�AgapiWy abvue 5y a,a Meper.hippmg reds,ares madeasiaetl,ParY.agea. <br /> Etporler,l CerdlY lFnl are mnlana 9fdu ppp�L°rrthon lorherepondtWNilpm appli�binlemaliwnlaad wdonal goremmenral reguNtiara.Il ewporl aNprWMardlen tln Pnmary Imran Boer <br /> mnagnvlad o,raynl b dn:lerrm athe apatlwd EPAAdnox{elgmenl I(e I5eI1, <br /> I n'1 lie rim ra <br /> rlaotraaon sratenara�apFem,o oFR Zd2,Tvla)rdl am a Naga puar,uhoalaraw4 ur{b)EY Int mm a amsyuanoh 1 Leda,oSlice <br /> Gerrefabrai0perp/S PraAedrfYPea NmmO SguWre AIonT Dry Y�r .m <br /> 16.Illema9orn SNipleda - r <br /> 7r i-Flrsi eahaB lere ❑mlpGeimu.s, ❑EipeR hGn u.s. Fon Nenhylerib <br /> 9 I Irouala oNVJ: one,eanngus: �ance I liability <br /> u 11.TranapplryAGviiwdedgaerml(R—Mfil amdad <br /> iranepane.t PrinlFd+T - Slpr <br /> MM � �' ranee I no liadi <br /> � I }i rG� i•ts 11 I{ r <br /> f <br /> Trlpmter 2 Pm,,W4ypkN.1� <br /> eNre Ogt, r- <br /> MmN <br /> Y1F� nsarance 1110 <br /> iE,niaCreydnq -❑tract O!"noi <br /> 118e.D'euapegM-U.Space ij a." ❑Tw ❑Raaqua ❑Peed,R'.b. ❑Full R*Kbol <br /> Mgndml Relrm N-* <br /> fob.Aft-h.Fmday las 6anarelp) U S.EPA ID Number <br /> faW ,Phare. <br /> &. VM—t,Faafily for Sereramrl mono, Day rear <br /> 19.Hep&dp>s Wae19 Rupml Maaagemenl Melhod Codes{I.a.,codes kr Ilamardous Waste Ire~1.--osal--1d.411,19 syamms) <br /> D Du*WW Fl owner Pr operamr:Leabpral*r of-Wl alh—raeue nl,01 le—ud by Ne manifeal e—Pt as Idea n Imm lu <br /> Sgnalwe ar J eO <br /> xIn B11Xr IP toy ouo DdAlOnS are 4Wdilt9. DESIGNATED FACILITY TO GENERATOR <br /> John Alaniz, REHS Page 1 of 2 <br />