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EXHIBIT C: GENERATOR MANIFESTS SUBMITTED TO DTSC (CONT.) <br /> ?ease x.nt re[yae gpp�y&J.OMS%205D-OM <br /> UNIFORM HA7ARDOUS <br /> WASTE MANIFEST FLE <br /> s Genrxat,xs same and"'A"9%l l ar Tree #3771 Generates s @Aedross t`'d lW'MM03771 <br /> 2094786925 7529 Pacific Ave 7529 Pacific Ave <br /> renerwlotsPlorw, Stockton, CA 95207-1929 Stockton, CA 95207-1929 <br /> 6 Trarlspogw 1 CWN"Name U S EPA Ib Nw1w <br /> Stericycle Specialty Waste Solutions Iac MNSM011 b924 <br /> T TmmporW 2 CwV my Nam LIS EPA lD Nw tbY <br /> 8 0[agnated Fa0iity Name and Sit6Addnm Rho Chem, LLC us FPA16FW <br /> 425 Isis Avenue <br /> Inglewood, CA 90301 <br /> Facky!i P,nnn 3237766233 CADM364432 <br /> ga 9b U S DOTDascnpbw(rdL ding PrwwSApprg Kem.}Ward Csads.lb Nmbsr. 10 Containers <br /> HIA artd PatNlrg Groep Ids+Yll No Type ,pU3nC� 1Vt Jot 12 <br /> ,_ .Cams <br /> as a Corrosive liquid, basic, <br /> ginorganic, n.o.s. (Calcium Carbonate, Sodium <br /> Carbonate), 8, PG II, ERG#154 I <br /> LU <br /> x 2 — <br /> W <br /> L9 " <br /> i <br /> 1 <br /> t <br /> t <br /> 14 asic Liquidsj, orroslve <br /> 15 GENERAT0R`SA0FFMR'S CERTIPICAnON:I MO-MLy deciarc Int rhe mrtmtaef ns wrogruen are fulyaN aorurame dnaftdabm by ft xnaer shrorg name.am aro Upadragod, <br /> madred and*OWLt Aed.and arc c at mspecM m proal wrditim for banport acwrdilg to af>pYCatila illarng4prglaM ndlibnal <br /> E.purlx,[cirfify l,Krt'JIC cdnlCfPS b!PIIS consignminc oorlfpm id/q IG1r�Of eta a><adbd t:R1 A[IGrON1edQ71Qrd 01 Cdnsdfl[ gakYnrnprrtal fBgplo brd Yfi%.nOC shpmenl aM l am dte ArilfHry <br /> r cer4ly dut tha warn mrim:bcon 5•.a'cment idenrAed n dO CFR Z622T{a)CLl am terga mlardry gergraldr]a;ht([!am a smatl muan3ry genCralm7 lruo <br /> P»rom'Typod rdamc _ Mwth Day Year <br /> ej 3 201 <br /> naI <br /> i— ❑F11p["U S • Fad ofeetyR>ot <br /> z Tmmpalersip hw*eeprrG Ordy1 Dam kwng'U S <br /> C[ 1T Trar MtFAdmuwtedgmentufRemt(,DfIAY&als <br /> W <br /> wTrarrpoft 1 PmtgdlTyped Name S Day <br /> Johnny Harper 3 i20 <br /> Tratrtpore,r 2 PrintedlfMo arae Sigrun,re Mmdr 03Y Yew <br /> 1&OssmP�Y 1 T 1 <br /> ,fla Discrepancy 1rldiGdr]II Spars U Typo l.J Rr�idub I ]parp9l PAXIorn n Ful Rejecim <br /> IAarifisa Reference ALmbor. <br /> F 196 Allcmate Facik(Cr Gveratorl <br /> US CPA Ib H,mber <br /> v <br /> W FacdiYs ROW <br /> W 78c SxTnatiye NMcrnale Faci4ay(n Gerte 2W) r.UF[h DaY Year <br /> 4 <br /> Z <br /> H13 kwaMpu'Nw*Reporl htansgerrrenl*Mod Cddes ii e..oadesfor naz ftz was*lreatmacrl dNxand recyxIlrg sysfdnsl <br /> W , 2. 3 q <br /> 4 <br /> 20 De q=W Fa*y Omvr or Cperalor CeIrGadan of Teccpt of barerdorrs ffowrtals wvKW by the rwi(esl oneptm ncted it hem 1&a <br /> FrinledTWW Herne Srg�0.1ro I:yn1h Day Year <br /> EPAFam V00-40W 12.17)Pf vmseddionsamob501ete. 411-czinmi rvn va f^.it ITV Tn T6a'r n_M A%I I[s CrT VYr TT lu1 <br /> May 23,2019 Pg-9 <br />