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Foam Approved. OMB NO.,
<br />4. MaBile.t Tracking Neater
<br />1 -86E-547-2857 0 16 4 6 8 2 7 6 FLE UNIFORM HAZARDOUS -re000 II)
<br />WASTE MANIFEST GA0)1)3157228
<br />Atlas Enuronmental &Julians
<br />r genJronmental Management Technologies, kr.
<br />mental Waste Sciutions, Inc. 3191 uatnal Lane
<br />Patter South, AZ 534.4
<br />11.,.larae•
<br />A2Rnta0520478
<br />I. eratua 1,1ar.6 klann.
<br />Slnuh
<br />atellina Way
<br />Manteca, CA {15337
<br />Jaar000 $tngh
<br />21908 S Manteca Road
<br />Manteca, CA 953.37
<br />Hy
<br />A,U 5 DOT Deamava lincaKI ral , 1+,.,,,9 hame Hazard CLass.10 roarer.
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<br />N.50 ID
<br />221
<br />, reon-RCRA Nazartfous Waste. Sad-Ply SEW) a oF 3 '') S p 352 ,
<br />,
<br />Non-RCRA Hazardous -Waste, LtquidiSirfactan1c) as 343 .
<br />14 Sae./ tiandtng Irtstmcbors ead AdatoOnal Thinamia,
<br />1) E1P/S 2) EWS
<br />S S 11S
<br />3E WS 4) EWS
<br />3.3t.S 5 BB= A
<br />12 GENERATOWS/OFFEROR'S CERTIFICATION) 004004 4444r0 that 0,0 contents ol 004 4000004004 ale tuty and accurately dmated atom by me proper stapp•N 04,00.4)014,04,440004.Pae049.9.
<br />marked and labeWliplacarck-d, 4001440444 00004,04, paw coaranon for transeon aaorlog to applicaate aaartatenalard naacnal govemmerlal reeulaborts. dexpon sNement and I 400 04, Rareary
<br />Exdoner. I cerefy that 040 0004000 of Llas cartpanment mak,. to Ina terms el the 544,004 EPAAoa.,..1.../0 ,011 OA Cd.sant
<br />I
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<br />0041)00 4)004 the waste rananaalaan statem,ahl clefitthechn 40 CFR 262 21,01 Irf 3)04 urge queasy generator', (b) (111 ars N 0no4n00 fl00040l40) es tnae
<br />Moot' Day 004,
<br />16 )ntOt410400 220,440405 [I:I Impart ea US.
<br />Transporter siaratute Oar exports oeayi
<br />CL 17. Transpnner Arknovaedgreea of R of Melnalala
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<br />Generate stOfiemes Naiad/Typed Name
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<br />18 DiSCrepahry
<br />8a Discrepancy lodirZmn Space Onanaly Typo ResAue
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<br />'35 2044 ID Nur,
<br />159 Aiternate Facial), Or General./
<br />5
<br />La. Faolay'S PPOnfl
<br />C' Tot. Signalure oldttomaro Faddy (or Generatoi;
<br />Whole Report man,efnent mew coda, (1,0. codas hazardous waste treaerem sposal. and rear doe systems)
<br />Haz cams
<br />2
<br />,n San, flOe
<br />20. Desvnatee Facility Owner Opera Cedifica ion ol receipt ol hazardous maim,* awaited by
<br /> mandest escept 05 ncied
<br />*nate.°
<br />etntedlyped Name
<br />EPA Form 8700-22 (Rev. 12.17) Previous editons are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
<br />111101Wii
<br />19
<br />Mont Da? Ye
<br />Day Yea
<br />4,1,er
<br />I CAROM/295220
<br />CAR000183574
<br />Part of emrylexa
<br />Dale IeavIng US..
<br />21908 S Manteca Rd, Manteca, CA
<br /> COYLIPOTE
<br />02/17/2022
<br />
<br />Program: ER
<br />PHOTO 6:
<br />Photo of manifest for non-RCRA waste
<br />VICKY VANG-LEE, RENS
<br />
<br />Page 6 of 7
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