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820 S Pershing Ave, Stockton Record ID PR0513883 <br /> 10/9/2019 Hazardous Waste <br /> Photo 5: The form in hoto 4 was si ned during the inspection. <br /> tl Quantify Gentntar _ --- •• <br /> orm <br /> N,.ne e�'erdpnc,wt/h 40 <br /> 266 2(o,^y,d CPR 368.T!1.rfie ZR <br /> '� sirmrdprd w4reh cr++8 haxerdoecs co.arrtruene^oeysln$hazardous co..trlt.w <br /> on asona87y bea ezV' onaHtaeyrr>, mx,r be eddreaeed rn rWe waste-P <br /> 0o centro wove rhe aonstitnent Aecrflc t Present ar rye 68.48.Te6ie er l <br /> rre¢ra871iry 6�'au� rwfnt oJ'Seneronan y'ra,Wersvl ZS-eura,enr <br /> end am6cm gory pptacabteara tr jsW sae.md. R@Ter to Farm-EZ Cartac <br /> yed)fowm.,r¢a <br /> _ In order fa address rer+dard In h wo_cte <br /> - y g r�ardotes eo"'SKh"enmlr:charaaterlaticwestea. cheeR rhe <br /> . L7 Ilaave reviewed the UTS r' please �npr anate sox: <br /> Lmderlyfrlg i]aZaydOide eonsjtuents reason per 2619.7{6),I have deftnj d th�tthexe <br /> xiy exlrected to be paesent lzb ttvs vaste, ao <br /> r have"i"—d the UT,S HU&2619.49,and Per 269.7(a},I have de <br /> hazardous constit€CM9 are Present in this waste. rmisredt t my <br /> ideaoiied a i foho�vs: The underlying hazaxdofas crn �aenxs axe <br /> hMaW) Total yyeight ��L. <br /> V <br /> The deterintnatinn of undetlytaag FdazaYdous consti£uenfs was based on: <br /> raeneratDf's knowledge offh,vaaste <br /> � �rla3�+sSs <br /> a cerh4 that 1 peraozaily have examined and am familiar alld <br /> hrn the wstethrouganlyss?oovledge ofthe waste to support tis c catestng,or theougiton. q <br /> I eertifY that as an authorized xepxesentative ofthe generator <br /> j' named above,aL the information 9WIM tted in this notification is and cmreat to the hest of my11 d <br /> lmpwledge. <br /> Dam <br /> til <br /> Q- <br /> Form Revked 07/31/9 <br /> j' This is a two eldeti Yorm <br /> John Alaniz, REHS Page 5 of 20 <br />