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0 0 <br /> #122. Found Signed copy of Manifest 4003146421GBF and is now within all of our Paperwork. <br /> Form ADDravetl.OMB No 2050-DD39 <br /> Please pnnl pr type.(Form des ned sx use on ehle(12-p-) 1�er.) - a,�d.9 T MmAp �2 <br /> UNIFCR HALUt00U5 1.Genre dl Ihanber 2 Page.t d 3.En+ergarxy Response Pa1me y G B F <br /> W STE MANIFEST 'CAL00040<'Fsf>€I ZOU-21:+it10t1 �. '"' 1 <br /> S Generators Name and Making Address Gmetat e,Sire Addnass 16—T T Iran M3*V aryk W <br /> �ARCPA TIRE REPAIR <br /> 1501 W 1'�HARTER WAY <br /> 5lUC:KiVhI,L:A 9'-,206uJ-1 I^-MUVl1 <br /> Gervemba's Ph" U.S.EPA ID HunlOer <br /> 6 Transposer l COTOWY Na'ne CAL000�416714 <br /> dhil'=RIGATJ VALLEY WA5rE OIL.[W <br /> u s.EPA ID N~ <br /> 7.Tfanspo W 2 Carr"of Nam CAALOj 17 421 <br /> evkLLl W iUE I2�(.:taVEllY:,y j l tAAo 4+- _ <br /> 8 De Led Fad,ryMarne and Sde Address VS.EPA ID Number <br /> PUMA YES Llti :1ZR000175422 <br /> 2130 E.13 FH ST <br /> 11IJKk AZ 85765 <br /> Fa.ws Phone: 928-642-&" <br /> 12 <br /> FHM <br /> 9b.uS DPTP 5 ppn9 NanaOrd C aseID Ivu be. 0 CanlaNxrs 11�i Wt.Ald i3 IYasae Codes <br /> W d'unPa9 avv V a)) NoWV4-RCRA HAZARDCkJS WASTE qOt ID I � ?4f, P <br /> ASS4RBFNT,PAPFR OIL Fit TERS d DEBRIS <br /> z z <br /> LU <br /> CR <br /> 1 I <br /> 1 i <br /> 14 Slomal HW&V lnshxoi and Axfdfbonal Inrom eon <br /> PROFILE N+(02J 2-19 ev i 0+. EA&RGt NCY Cl,N ACT-GASVIR <br /> I) I v.ST <br /> 15. GENEWOOrWOFFEROR'S CERTIFICATION:I hereby dedare that d1e�"of Ns mralgmwl are hay Ind auxuately dwmbeEabove oy me proper stff w name.and are dassftd,pacMaW. <br /> marked and Wekdtplararded.and are m ail respects n pmM=Kbmn lor Mspan&=m*g to appl�Ne"may"W ret oU govemmearal requlai 11 expw vmor ml and I am to Pn"my <br /> Eaporler,l oerdty ma!to cenlents of Ilan cons9wenl w bum 10 the lams of to artarhed EPAAcko-le0cynen1 of Consmm <br /> I Cff*tl+a:.Me washy"U mUben sralemenl elenbfied m 40 CFR 262 27(a)(if I am a Wrge quantrty generamo Or Ibi la I am a smell 9*lwy gw0adarl rs buy <br /> Ger toesoierbrs P,,,Wyped Name synalure Merm Day Year <br /> ...e 16 arrerrauvaa SEmperlend krppd u U s <br /> ❑ExpM Ira U S PM of entrybuk. <br /> Tmrmporler sgrn m(for exports m10 Date Iea,,w U 5- - <br /> 17.TrarapuL4 AOTomedgmem Ol RemV of Mks - <br /> Transpmte,1 — Well, <br /> W 447/ <br /> z Ilse <br /> T 2 yped ` <br /> t6.Dsaeparwy Fr``1��II <br /> I&Dnaaamcy Indiratim Space , ❑Type ❑Rase. L.1 Partial Rape ❑RA Re� <br /> Man.k,%Refer Number <br /> 186.AAmz*Faddy for Genaramr} US EPA ID Nmtw <br /> U <br /> aha,. F.Wa R.: <br /> d 1&Sq Ohre of Aannate FaeMy Im GerKr Wi Man1h Day Yaw <br /> 2 <br /> ID <br /> 19.Hazardous Waste P&pml Management Meted Codes Ita.,codes for hazardous waste treatment.disposal and ru ling systemep <br /> 24 Desyr*d FaU ft DWW of Olwator.Corldk9lfon d mceei of hmwftm maftenals coveted try the—leg except as nowd in dem 18aF-nm _ N <br /> *d ypld Sgnaave A'lpmn Da,r Year <br /> EPA Form 870D-22(Rev.345)Pmmm edi'bals elle aesthete <br /> DiSIGNATED FACILITYTO GENERATORy <br /> ,1) <br /> AFR 0 6 2017 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />