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10812 S Harlan Rd, French Camp Record ID PR0514315 <br /> 5/11/2020 Hazardous Waste <br /> Photo 4: The sludge generated from burning the oily water is transported on a uniform hazardous waste manifest. <br /> IFnm <br /> m� - = ffkwroo„s wra,e�„�u.mr�l <br /> TE MARUF87 <br /> CAROca <br /> 'sag <br /> jymcrwr, ,tl ].t♦iCl0;a1�30G1 b,q i+awi r:VB No.2'O,r11rYA <br /> jjK <br /> MP <br /> ��Gr7 jai <br /> 4` - r,_•a;;.:,,,;. �, TAP 8ER <br /> W,-ESl <br /> ~` � a�sgnalep Fsenryµ,,,,e ynd 5�AdMara us EaAm ta�aa .� <br /> ♦ c� J.L, tOFi53GJFi;?.',v_naT.✓`kJr us.ePA to awm�r °i d a"m ti`s <br /> 'i.` Pa,yyspN .i_. _ .A �5H A1J� <br /> 1'4 tar grid °"°'nm"ilnrartlaq ligate <br /> +` QY C ,..��fia^w inamil a m.neramaass,loNrrmne., ,o,c,nan— rt.Taal ,z unit �> <br /> - -r DOtJA 1rN�FE SOUL)(GJLY 3LUCGEI ao. Type oaeneN xnnw. <br /> 4 ra. <br /> BY:....................... <br /> E , <br /> � 14_Svecial Hardiing lnswclipna and Addiripnal lnfoanatlOn <br /> 1-44"2449{3QW'OIMTEFIMIEiAL - - <br /> c 61"31 MYSLUDGE k P"40'O 078939 x CER�18 G8• - <br /> AKROrFiKTE PPE EQI}iP11A131T – <br /> 15, GFRERATOR'SlOFFEROR'S CERTIFICkTION:I hereby haclaie min Uea mmer4s o[this consignment are Mly and accurateVy described ahoy¢by theproper shipping name,and ere tlaasifmd,pactsgad, <br /> B markWend laeefedlplararded,and are in all rBPenee in prope,adaotionfar aenapod—Ordingb ep,IW4e intarr tianaland national <br /> c F"*r,Icwtfy that be wntentadf Nes consignment—tn,n td dur Damm of the adwdhad EPAAnkamyedgmanr of Coa,va goyemmanlal reguialldns.lfe rtshi <br /> I.fy That the wask minimization 8fafement idenljfj0tl in 40 CFR 3¢2.27 e}R I am a la � 1 M1enl 9rk V am Gle Primary <br /> GeneratorsNNemis Pnntedlfyped Nams { { r9e 9uantiTy generator)drib)('rfl am a small quanYrty generelnr)is true. <br /> r Signature <br /> ✓+. _ r� 7 Month Day Year <br /> V r�. r 7e.Infemafinnel Shipments t .-�:� � -. <br /> ❑Impejt to US. ❑Fepor{from U.S. Port of em lwrL <br /> Transponersigna[ure{foreaporls only): <br /> O gate leaving i 5 <br /> ti4'r= ar w f7.Tran gat.Receipt of Matedels <br /> OTransporter i Pnnled?yped Name Sinature <br /> rans r A g Mmir, Day Year <br /> T <br /> f c Pdderp MOCIT ed Name <br /> q / fY Signat�ra <br /> �'n ~ 14160) Cay Year <br /> note I6.Diaciepancy rear <br /> 1Sa.Qisxuepancy Indication Space <br /> �Fcrn rss I ❑Ouantiry ❑Type _ <br /> ❑Residue ❑Partial ReierAinn <br /> ❑Full Raje0yon <br /> 87L ]8b.Aftemala Facility{or Generator) Manifest Referent¢Numhec <br /> J' <br /> { aV U.S.EPA ID Number <br /> LL FacillyePhone; <br /> 18c.SrgnaArreolAPemale Facility(or Generaror} <br /> z McmMt Day Year <br /> W t79.Hazardous Waste Report Managarneni Method Codes(i.a..c,,I for hazardous waste irea4nenl,dis <br /> a <br /> A z poral,and recycling syslame; <br /> 3r j <br /> a. <br /> 1t 20.Designated FacHi rot Op 7—CeNficalion of receipt of hazardous materials catered Q <br /> + Fnnl yW Name y the manifest eKcepl as ndad m ktem t8a <br /> it SignaWre <br /> EPA Form _ Ihontl� i}ay Yea, <br /> ,. &7{!p 22(Reu 3-05)Previous eko,s are ohsoiefe, r r �� <br /> I]ESIGNATFn Fnru MI'Ven <br /> John Alaniz, REHS Page 4 of 11 <br />