Laserfiche WebLink
520 Zephyr St, Stockton Record ID PR0507079 <br /> 6/11/2020 HW Inspection <br /> Photo 3: Designated facilit signed copies of Uniform Hazardous Waste Manifest number 00610828OGBF (dated 12/3/2018 was not found on-site. <br /> Please Fnnl nr Irpa. <br /> I UNIFORM HAZARpOUs 1,GenarTlor lC Number 2 Pa 1 <br /> WASTE MANIFEST �ALl.1M]Li178TPE5 '1 as % 3,EmergenCY Rpgponse phone �,MmaaftmachlFo Nember-Otl.OMB No.2lI5p-0039 <br /> S.Generators Meme and Meldn9Address :;111-862_f= f.1� <br /> AMERAOMI RECYCLIh1G Generabrs slfepgdmss hmltreremman meiline aaaream GBF <br /> -120 ZM-HER 6'r <br /> Ganerarors Phondl3b962-4p2q 9 MCK'10H.Gh 95206 <br /> a.TraasporIsr 1 company Name <br /> AMEK;CM VALLEY WMM.011. ItJC P.S.EPA Ip Numper <br /> T.Tf sy0,0,2Campariy Name <br /> r�.krxYrz r2:1iY: <br /> WrlF2L:2yYtUE ktCs)yL;RY;;Y',;1 EK,Iti[: u.$.EPA10 ryemher <br /> A Pesignaletl Fadliy Name en0 Si[eAddre65 <br /> PUMA YES <br /> , <br /> LLC t'zMr00r11754' <br /> 2710E 1XI'T11ST VS.EPA Ip Number <br /> Y1.W AZ 353es <br /> Fatil:'s Phorte�Jlx-tYT7-t�al8 F.�'.F(aky,l:et''.'; <br /> 9z 9b.U.S,DOT t)—hptim("Mfn9 pmper5hipph9 Name,Nauru Crass.IG Numeer <br /> Rat and Packlllp Gmap(IF-A) 10.contalnem <br /> 11.Tgal 12.4ni1 <br /> 1, if. TV" cuaekly VANo1 13.Waste Cotler <br /> d Ari1ti.RC:R111-1/�L/J7tlL)1-iR'M'A..... <br /> ('40LA1Vr8lYFf. 'rM tnr. <br /> lar <br /> s z, <br /> 3. <br /> a. <br /> 14.spedal Nandtrpg Inat,vctions andAddilbnal Imgmalion —� <br /> '''RClls lt.k:elt 1811 i r.d1>'R$ M'd50R8FJ1Il vIL LWzAiiij l: <br /> R,,4E:NcyC VrAC7fIJE1iEMT <br /> 15. GENERATOR'Sf0FFEROR1CERTIFICATION:Ihereby dedara mat W CMlehis of this a:.I�::,zra m;;,,ralety des�oeo above the <br /> market'and labeled!placarded,and a-,0 resp"in proper <br /> r1=11 <br /> nMdhrtfor 4a sypl acmrang pa appar ptem y"� a by proper shipping name,and am ctasslfietl.gachagnq <br /> i E.poder•I tardy that the mmenks al Ims consignment cehfom/to Use temrs d the aQaclred EPAAIlalowl 9ovemmenlal ragula9ans,a elpbn shipment and l am the Primary <br /> lcenlrylhal the warn minimlzA0"latement Jaentihed in 40 CFR 262.27(a)fir l am a la �1'nentdConse'+r <br /> GeneraWslOfterors Prinledltypatl Name tge gwrWb parr�alala tbrdl am a smart gaanyy generalarj is We. <br /> Sq t, hlapth D Y er <br /> 16- Inona15 rpmepls ,1 <br /> Import W US_ ❑Eapon Ircln u 5 - ,h 01 mirv.1 _ <br /> Tranzporhv sign azure iPoraaports only): palel�ritrg U.S.: <br /> w 1T,7ransponer melt&Re,vI W Matenals <br /> a Transpohek4.Wt0dlTypod Name y <br /> Z Tr poner2 rin yped Na ..- <br /> C — ! Month pd¢ <br /> 4 IB.piscrePa.y <br /> 11f 16a piscrepancy lndiratlpn Space ❑ <br /> TUu.^.lazy- <br /> ypB ❑R.W.R.W. PaNal Rejec4al ❑Full Rejection <br /> ]8b.Ahernale Farrliy(or GerlemWrj h�rlMe6 Refoe N1m14N: <br /> U.S.EPA 11)Number <br /> v <br /> +4i Faciliys Phone: <br /> Hl9c.5ignature ofAlfemaW Fauiliy for Generator) U,h pay 'tear <br /> Q <br /> I Z <br /> ro 19.Hazardous Msle Report Management lk[W Codes(Ie.,CDde9 for hazardous vrasw IrealmenL disposer.and recycling syslems) <br /> 93 1' s Notice:State of California requires <br /> generator to photocopy and mail to <br /> 20.Designated Feriliy Urneror OperaWr CartiScaliC•n of receipt of fwza+dous materials txaYeredl y the manHestexdept as ntied W Item lad OTSC with 30 days: <br /> PrinleNTyped Name <br /> 5�a�re P.a BOX 400 <br /> Sacramento,CA 45812-0400 <br /> EPA Fcnn 8700-22(Rey,12-17)prey ods edfGons are obsolete. GENERATOR'S HTIAL COPY <br /> John Alaniz, REHS Page 3 of 4 <br />