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2073 E Yosemite Ave PR0518892 <br /> 10/10/19 HW <br /> PHOTO 1: Uniform Hazardous Waste Manifest number 018237869JJK. Designated facility signed copy could not be provided at time of inspection. <br /> FlSatt prinCpr type(Foml tlaai rlhtl la USB an bi@I12pitlryl hvFwalerl <br /> F`1 FORN .pp Np.70504G171i <br /> 1}f VNIFORM HALlgpp�S r Generabr IQ NemGer 1.Page 10 3 Emargen}Ppq.rae PNyr <br /> WRSTE MAXIFE$T 869 JJK <br /> _ ae rxrr.Wma zmi Alai-'ti MEru4 CnnemmlaSh AENaaa P'd►zlrllM <br /> AMprgya�{ <br /> i <br /> �+$ frtrkra6rzPMre <br /> e T— M 1 Ggrplya Wrtrr <br /> O ... V5 RJXumtr <br /> C��. V EP4�1v�mo. <br /> "" 8 Qaa'gWrA FaaYN Fanme am Sre Ngeyz <br /> �, MS EMIQ Nurdm <br /> Faolrya Pnm,e, <br /> ra Ela �GS CVTQHnipppnlxrligag Proper 9Nppag nama.ffaaak alasa,IQryimber <br /> N!A MPatAlhg GrovpiNanYll N Canmmara m Taal FT VnO 1+rYuk r; <br /> _ frpa OwnAh vn npr o!n <br /> - O <br /> _ C <br /> _ W <br /> Z <br /> _ W _ <br /> gE � <br /> S <br /> •ffi <br /> .S <br /> 'ai[k:ral Handlimrratr�erialsantl Fddia:��J r�,Nrmf]on <br /> g� <br /> f <br /> B. IS GEIIERATgR•&OFFFAOR'6CERTIfl <br /> CATION_IIra.N ytlecldre-the rtnnyanrz of ln3 <br /> atl arrtl la4•�rpleramed,antl are'inaamarxcrsm properryndilion for vanapotl eanrylne dmanl s.re lolly anp aaumlely tles:nMm aboa¢pypa.pmpershippirlg mama,and a'eaaffiPzad�a]N <br /> Exponpr.lazmfl.ryltP.mnlanpd�his <br /> lyewaaze icniId FPAAhnoegmmrinl Ca¢erYltl neh.rd 9ovemmenf9l myW.alims Il expoR ZLpmmraMlmma Grrl:rY <br /> rrimmV•Nipn slakmml grnilrleP in aP VFR 36T�llal{dlem alalge gtOrnlrygenemr:alMh Rlam aamall <br /> vm <br /> ceroamrNorte ra P�ncedrtynaq wma 111 gaePorygaaema,ri'la mw. <br /> 5ignaWre <br /> MmM <br /> Q �I6.Inlsne!'Imy Shiprreme <br /> Y = TransW'rer III—re liar eapert9 aYyOlrtmarl 1p OS. ❑Eapxl u.5. Port of enbynaal. <br /> :y TramGnAeratlsoMedgnem or Rac:S dMateiele aaa kanrl9usa — <br /> imnyxaler 1 Prmletlyfyped Name - <br /> 3 a Sgnecae <br /> - rn Manm Gsr tee: <br /> � Q Trac IIer2 PnnLLH•Typed Name <br /> Slgnamre �� Wy <br /> F 18 gsuepanry <br /> j IBa.QskrepansY lMrtrn Spxe IJ O�anMY ❑Type <br /> ❑Rasrdva ❑PaNiRI,— ❑Full RaIMxn <br /> res APemaX Fadnh rarC�alorl Manllz;st <br /> � Ralerenim Number; <br /> D.S.P➢A O Number <br /> LL FaaeyaPNma- <br /> i�ra 18c.9A7n9hue WAlknuk Fapgy(orfmrerahrl <br /> MgnA QaY <br /> 19 FWNIous SSMla Repro <br /> GGh{arugemenl Mebod(,odaz lse..Pid®sM rlgurEoaewaeN 4earm�rl.disposal.arrtl res[ <br /> 1 7 Y hrn,ayakms) <br /> I+ ] a <br /> 1 LAaaQriiFazili[y <br /> Ph d t}lsr rsy QparahJr CeAfiylan of me¢iPl PIllaxprdws malgliels rauarpJ by Ne mylilaswe <br /> illl Prlm yyeNa'!IC cepl a9 nOM q Ilam 18e <br /> Slgner <br /> a Yra i <br /> EPA Farm 970b22(gev.3�05)Revious etlipons are ohsolele. <br /> GENERATOR'5 INITIAL COPY <br /> vA'ae�E1(/ <br /> Christine Lawrence, EHS Page 1 of 3 <br />