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820 S Pershing Ave, Stockton Record ID PR0513883 <br /> 10/9/2019 Hazardous Waste <br /> Photo 9: The form in photo 8 was si ned durin the ins ection. <br /> small Quantity Generator <br /> PSC PrvfllrN�- <br /> tory form N.. �4 C7T <br /> 6 <br /> m accordance with 40 CFR 268.7(a),the underlying hazardous conseituenta'must be address.,)in rhis waste.Per — <br /> _ 268.2(1)."underlying hazardous constiluent"means any constiruenr listed in 258.48.Table UYN--Universat Tremment <br /> ILII COWAW, Standard which can reasonably be expected to be presenr or the point of generation of the hazardous waste, at a <br /> conrenrralion above the constituent-specific UTS treatment standard. Refer to Form-EZ(attached)for the waste <br /> Name: EFAME nMUA I code(s),trearabilrry group,andsubcaregory applicable to$his waste. <br /> ii20 s. PFS At'MIE <br /> s'it13t7�.CA 99206 In order to address underlying hazardous constituents in characteristic wastes,please check the appropriate box: <br /> vhats; (239) 465-8921 { ❑ I have reviewed the UTS list of 268.48,and per 269.7(a),I have determined that there are no <br /> (209) 4664933 underlying hazardous constituents reasonably expected to be present in this waste. <br /> m CAW00110553 <br /> F�nai ❑ f have reviewed the UFS list of 268.48,and per 268.7{a),I have determined that underlying <br /> hazardous constituents are present in this waste.The underlying hazardous constituents are <br /> identified as follows: <br /> aims Srzs Wcnvon{.I 'Toul Weight <br /> a, <br /> L <br /> pIp � <br /> t'[it <br /> !'q <br /> The <br /> The determination S <br /> of under!Y in hazardous constituents was based on: <br /> E LTi'?n.1rFr <br /> 0 Generators knowledge of the waste <br /> t D Analysis <br /> I ? <br /> r' I Certify that I personally have exarnined and am familiar with the waste through analysis and testing,or through <br /> knowledge ofthe waste to support this certification.1 c '- that as an authorized representative of the generator <br /> named above,all the information submitted in this nOtlfl -on' Ct to the best of my knowledge. <br /> �! N flRo7-1 I ! <br /> Printed Name Signa Date <br /> !CONS OR Z20 POUNDS OF WASTE pER <br /> WENT PER CALENDAR MONT)t. Form <br /> EZ Revised 0713 1798 This is a two sided form <br /> �i <br /> John Alaniz, REHS Page 9 of 20 <br />