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520 Zephyr St, Stockton Record ID PR0507079 <br /> 6/11/2020 HW Inspection <br /> Photo 2: Desi Hated facilit si ned copies of Uniform Hazardous Waste Manifest number 003732248GBF (dated 4/26/2018 was not found on site. <br /> w <br /> .n+.rtro.r <br /> E s IMpla <br /> f rl.'S?0[OEI�rQarl¢p Pqy�lggq Nama,kuarcl l:l,as�.Ifl M1ur'v..,. :COrrWner;, *11vW +i lln[ <br /> wa arw M,^p'3aapiarMP r.1,, r,uc rranury sn rrm ':Jeawe•m., <br /> 4 <br /> t <br /> -a so�J.rar�eF�+_q nc�vunans and Nkgiomllnrum�albr <br /> "eat <br /> GENERATOR'Sf6FFEROR'S CERTIFICATION:I hereby declare that the contents of this wnsigir-1 are felly and am,01 ly described above by Ne proper shil mama-ark are day f d Padaged, <br /> markee and IabWdifplararded,and <br /> are in all rasl in proper mndhion for transport R—ding to applicable intemalional and 10I goaemmental nalIf espod Shipman aW I am the Binary <br /> Eoarlea,I—I ural the mnteMS of Nis mneigomant runfarm m the leans of file atgched PPA ...dledgmeni of Consent <br /> _ r cecrey Mal the waste mrngrrkalrort slatil id-Li in qp CPR 26227(a)(e I am a large quant genal or(I WI am a small quantity generalar)is true. - <br /> Gera.aloluOANmr's Pdniedlrypad Name Signature Month Pay 'fart <br /> v <br /> ` 16',9te.'na9Mal5hlpmems ❑Impod 1.U-$. ❑Export from U,IS. <br /> z TranspM *rIaiwa(for exports onryl: bate leaving U S <br /> i T.anapgnerAr:r&-Wrfinent of R—pt of Mall qaY <br /> K?rsU.ter t PgayyTjpea Namg,, y�,J}/ Signature Monts gay yea, <br /> y <br /> rdnsyoder2'a ypen arae Signature VIMIh Yam cu;r Ae <br /> K <br /> f <br /> ♦ 3B.6iscrepentry <br /> IPI 19a.➢iscrgrJdrtcy ImkiliSrm Spats ❑Qoanlily 1:1 T", ❑Residue Ell Rejection ❑Full Rejectloa <br /> Manifest Reference Number, Dal Y <br /> lob kemate Facility{ar Gsneralur) U.S.EPA ID Number <br /> J <br /> U <br /> LL I Phone. nl8 reQUlSes <br /> d✓gna0.aeofAltemate FaClliry for General,t6 Monti Day Year mai,,CD <br /> �V and <br /> ,y rtxrardokl[Wast€RHprM MaRagamsnt Mefhnd Codes)i.e.,codes far hazardous waste treatment,di�posah antl recycling systems) <br /> z a -7 Notice:state of California requires <br /> generator to photocopy and mail to DTSC t121t��ttPLCOp� <br /> 10 beslgnaMd Farnay p rrnr riparalor certlfcalion of rereipl of hazardous mall rnvered by the manifesl except as noled in Ilern 1 within 30 days: <br /> ilr! n„le=murs Haile Signature P.p Box 400,Sauamento,CA 95812-0400 <br /> EPA <br /> Form 87W-22{Rol 3-1 Prewouseditionsare obsolele, <br /> GENERATOR'S INMAL COPY <br /> John Alaniz, REHS Page 2 of 4 <br />