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7100 S Longe St, Stockton Record ID PR0521732 <br /> 3/27/2019 <br /> Photo 3: Manifest number 006193932SKS (9/27/2017)was found without a signed off copy from the destination facility. <br /> at YAA W�vale 1!'Iklr hli IUICI AP Irvad_Ur.:i', " <br /> SKSPSI <br /> '' vonefeln.,Ilo RAanes nenllmn ins lnq mafr <br /> reM+ <br /> I]N 949--494-yy9'J <br /> 1 <br /> E ry SYSTEMS 1N <br /> rympmly'.omrelry emq <br /> V S EP ID Num r <br /> a p ypuW fALHhy NamR end SAAAtltlnsa U.S EPA i4 Number _p <br /> I;I,F'11N H1iRBOWB 4 NILMINIi rINg I.I.L c1A'aTJ <br /> 1737 EASI- DFNNI 6CTRIFFT o 10 <br /> WILMINGTON r;; 7s]1J45 ti ^; <br /> I:pIa04A4r'9H.1`t <br /> FaiMh'a Phorw. � .V- � 89' <br /> g.a 9A.VS.DOT DRn"HOcR(lnciutling Pmper Shipping Nemo,NaxOM Glass,iO Nlmdar, 10 Crmlalnera 11.ialal 11.iJ,i1 <br /> Hsi ens as xinq Gmap Vlanril No, Type Uuanlny W.Nal F„^SVP N <br /> 'Ni;,V-'RCRA HOZOR'DOU113 We4S'f�7, SOLID <br /> � {U14. F II.TE'.RSi O �• <br /> IA.Special Handling lnslruv'l ons end AJdliOnal lnlormalian T'�I <br /> i �y1 E13�}QI-a' 1 <br /> EWI <br /> 24 HK Elai fiNCY HIL-000--4bA-1760 S8K / TFI1 <br /> r.- n- `. <br /> 15, GFRERATOR'SMFFERORS CERTIFIDATIoN lherehy daclare>rnithe cante11o11hiswnalgnmsm am lolly an0 accumlely dasCrihoa above by iha proper ahipping name.and era dedeliled.peduged <br /> marked and Ibbeledehlargrdeq and era In all winwa in pmpar Condition for pari Reumtling 10 applicable lnlemadonarand national® emmnnlal mgolalinna.11 eepod shipment and I am Iho Prlmery <br /> Dpift I daddy 11i the wni of 0110—,%mrnanl conform in the tens of Ne attached EPAArkvimladgmBm of Colaanl <br /> Icanity lhal lha waste minlmlrallon slalernern rdanlltletl in-0O CFR 262,27fa1111 tam slags qusnlilY 9enerabr)m@)(Iflam aameA quanllty generator}klrpe. MorAh Oay Year <br /> PAnledlTyp <br /> etl Name Signaiur0 <br /> GenerzloraiDgerofs �—I <br /> - '�a� —, 16.InterneEional Shipments Impodlp VS, LJEspon tram us . P-1-nlryleab, ___ ---- ---- --- <br /> ,�.'i.��',>"p� = Tnnsponer signawre Ua esPBrcs onlyk Dale leaving U.S., <br /> w Ii.TmnapaderAcknolvledgmem al Rsoeipl Pl Melenals <br /> ale Pi l"sP"`.i.°I y>�•�r<~d>°a`ys> TransAoder l Prinled"yyed Name Slgnalum Mnn1h Day Yaal <br /> yTMunlh DnY Year <br /> �tiaa `•4``Xn514��tre1F> �a°dna'�s 4 manspoder2 Pnn0atliTYped Nei $19nalum _ <br /> 00 <br /> ,ga}.a'1 ` F`` + Ia.Discrepancy <br /> F�� '1,a'P�atl.yd'Jpbi',"�e t ❑T ❑ ❑PONdI Ra'reG4Url ❑Full Re4aell0n <br /> � a 4P, I _ .�� r,P lea.Discrepancy Indlwlion Space [ Duanfiry ypa Neaidua <br /> n �S ai dF 4 Aga—RAlara—Mm <br /> bel <br /> A L� .P `{ U.5.EPA ID Numhar <br /> EJo 4 yf leh.AAemaleFacilllyforGenarapor� <br /> z: <br /> 1?9�1LP` �`eN` + �yh , LL Facilily'e Pil6ne: hhnth Oay Year <br /> °r. .1Dd *yg�yd�' g r 18c,Signalpre o}Allerna*Faclli[y for 1301-1Br} <br /> 15 Nd.tflrdous Wa8{B RBpoR MBna9emant MBlhad�OtlBs I.6..CPd0.51ar ha19rdllea Waata 11004n0n1,dlSpPaal,sed fBCy[111g Sya1Bm9� <br /> ads,ar•Ps�` <br /> g. <br /> 4�.6°e7 <br /> e`6 11 °b�t� I 2f1.DBSlgnalAd FBCi IIY Qu,n®r of DpPralor:DBfIiFlCdllon 01 mCBIp101 haZartlouB ma[Cllafs Cn�ergd by IhB rn3n11B9l eFCe PI as ridBd In 1111116A <br /> " Ati L Doth <br /> Rae' ♦IIII FrOk. ype ams signawre ay Yoar <br /> t1� EPA Farm 570022(Rev 3-05}Pleviaue.Rdiliohs are obsolete, GENERATOR'S INITIAL COPY <br /> John Alaniz, REHS Page 3 of 12 <br />