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1433 Tillie Lewis Dr, Stockton Record ID PR0514208 <br /> 1/8/2019 <br /> Photo 13: Land Disposal Restriction form was not signed for uniform manifest 016645384JJK. <br /> 130 EAST PICo BLVD. <br /> . .ANGELES,CA 90n ADOIT <br /> °d03z3W.400 714::, TREATM NT STSTRICTED <br /> ar ANDAROS ND CE 1DENTIFICATIONI <br /> p 11 CATION FORM <br /> on <br /> II it the restricted wastes <br /> g°'jertreatlment standards n 40 CF'-a- PA Hazardous Waste <br /> ntlf(ed as required in Section II. 4�(Treat t Stanch dstor as d m Section I <br /> do menCode)as liste <br /> Subcategory zardous Wastes)and have meet <br /> /i/aPP/icable/ Z,,d riale Treatment ave not <br /> Standard <br /> Alternative Treatmem <br /> Technoloay/pehrisJ <br /> Roil K� <br /> 121.1649 <br /> 1290293 <br /> 22872o, <br /> 12594 1897 <br /> 2 0114 <br /> SECTION IV <br /> I hereby certify that all information submitted in this and all associated documents is complete and accurate to the best of my <br /> knowledge and information. !/ <br /> Company Name:�A2�ufi� �� a 1�1—��re4,✓ <br /> Authorized Signature: <br /> Printed Name: <br /> Date: <br /> ""a==m.en� w,o Page4 el4 <br /> John Alaniz, REHS Page 13 of 14 <br />