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1815 Navy Dr, Stockton Record ID PR0220065 <br /> 6/9/2020 HW Inspection <br /> Photo 3: Uniform Hazardous Waste Manifest (manifest) number 007313217SKS dated 10/21/2019, showed 1000 pounds of sludge taken off site. The <br /> sludge was generated from cleaning out the storm water treatment water system oil and solid traps. The DOT description and the waste codes were not <br /> correctly filled out. <br /> SBL, 09 SHIP* VP`9154r3Tfi - i t-•-,�� - - - <br /> Fiacsgpb11grI-Pe. - Farm almreYgd-DMB Ilo,�+%Sr1.0A'39 a <br /> UNIFORM NAIAROOpS f,—, <br /> Nvnbe' mWASTE MANIFEST l:nL- a1 - ir �ts-.. lea }73132 .7 SKSName aiW MalBiry neYFl1an I"n A"I$31 CNayy}1YON-YNBrC¢I 9,�PP+G-117E9-44'7 <br /> e,Truer .ttM SYSTF-NB INE uG em to xmnhgr TXf{2e�0U1?rtiS <br /> •�1F k <br /> . 4 1. w"2Compnry Nhme p3.E 1p Number _ <br /> 2 CLEAN HARBORS GNV SVC SNC. MAD0f39322P5i <br /> ! a.peala�gwacxlxYNama.adslreAtlaraae a SPIN HAll MN JnEiF u.s.EPAloxumdar i <br /> 4@23 Sjlk T' SSR ROM _ <br /> ;.�' 4e11H-441-41961" JAN YtI:iF. 4 C,A 95133 CAD&+59494:31@ <br /> Fq6 aPh�ra: <br /> 1^ 1 ga. B5.U8.pQT pesuiPdw{Inraaieq Proper SNpryq Name,HmaN Clans,Ip Numbw. 1a.Cgnlainem %Tml U.unl1 13,YYesx COd09 <br /> V HAI WPmN,,GauphlenYll No, TO, Quegpy "MI, <br /> 1 iDNR , PE HDREgrHISMFUM YSCAEiU <br /> C, <br /> L I, 4 <br /> C\ill <br /> 74.speaial Nanahnh lPswmlcna..RAddlWinalmfarmapan TSD.S.T B1410569 AL.35671 CSu. <br /> P414 GMERSENL`YiRA00--469-i7G@-CHISKf'TFI-rci)tracL retained by generator confers a enry au147nr•i <br /> „M!F <br /> an initial tr 'a r'�1 a•' t� additional <br /> GEf.'ERATOR'6lOFFFAOR'S CExYlFICATION:IMrebytledze lha[tlia'CWlhnla Mfr'laraalgnmenl are fMYegO ecruralely tlesaAheeeho4ahY1M P'°PerehlppinAname,ardaro WssifW,pa�'aeoa, <br /> ':rj marked dpe laLeledlplamrtled.dlltl dm 111 dB reepecls In proper caMlBar lerlranapon exoNlnB[o egertOGelANengYanelend nxllonaV ASYetrenggpl regulado.u:.IleipaRshipniepf aid lam 5le Poma'.Y <br /> EapM¢:.I cedlFY B1a!Ne wn18Me ellhls cda510r'/rianlmlama Z 1he!e­Il etlachea EPAA[knoWledAm�Agl LbrnonL <br /> I rprdy EreElhe wade minlrnl3abon efelemenl ltlwAiAetl In AOQFR 2S7.77(a}ll[I amalerBe gean5ry ganeuwQ oryE}ll[{mebmMlgwsYysmhr}is llVe. <br /> SigngWre. Mw11h OaY 1,r <br /> [�nualo(MOAerofe PAnktlRYPaA Name - y _ / <br /> J 16 lnlal shoo I npmeMa ❑Impadbll.8. -- ❑FyPon hom p.5, F nil anW+dae: ` <br /> _ i syon as elure lr romla yT - ❑mluew�eaus - +'`) <br /> C 17.Tmnsp.-Ak-leOgneNol Rewlpldi lnkl4 hx ah �qY our <br /> Tmespglbr s PM1"IetlR�Rad Name 9®n��r � - � J U - <br /> � - <br /> w glgnaNre Nenlh Osy tea <br /> - - �Transpone:2 nkORYPe me 1 !x <br /> url \ <br /> i �e.u;ccravgney I�I <br /> iBe,OkmaPencY lndusVW ap" ❑Ouemly ❑TYPa IJ fteeiaue ❑PmtAf Re;eclleri QFuIIi <br /> pbnlNal ABBren2 Nanfief: <br /> --------------------- <br /> p.5.EPA IO Number- <br /> SBhlJhmaGiFdUury.{u cenazalv3 - <br /> J y <br /> V <br /> w Fa�1�y^s PhmO', hMm paY Yon[ <br /> IAc.SIgnelNa of Alternalh FaNBlY lar GenINdlCr} <br /> Q <br /> zNW an ManaAemsM1l M¢IhaL Loses(.e,pedgsf hazalWue w9ale h0elmenl,tlldndee:d14 aYa <br /> 4aW2. 3 <br /> w <br /> 211.pe5igndlad Foully OWeud OPerefnr:CaNIICdSan alrecalyl of hexa1de11e M11axAslc WNsed by lh9 m51yealurpl da ntlel n llem lBa peqh pay eel <br /> ,IIIF Pn CYFYaa Name <br /> GENERATOR'S INITIAL COPY <br /> fPA Fmm 871k}22 ttRev.1277)Previous ed!Ilona alo o6apkala, <br /> 1)13hL�77971 I Fl^u5s!1 <br /> John Alaniz, REHS Page 3 of 16 <br />