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1055 Navy Dr, Stockton Record ID PR0538411 <br /> 3/6/2019 <br /> Photo 2: Manifest number 01973423JJK was found without a signed off copy from the destination facility. <br /> sO=P- <br /> _ t.:u <br /> - .. Please print or pD, nN—b. <br /> OMB No.2050-0099 <br /> UNIFORM HAZARDOUS 1.Gaoeralorio"b. d.ManJK <br /> WASTE MANIFEST 3.Papa I or 1.Emergency R�ponae PhonyUS EPA <br /> B.Rosignaletl Faculty Name and SiteAddreas CLCFN I ECM dd MOWMEF'[ - V.S.EFA ID Ntlmber <br /> 1521,MART11+tiOAD <br /> tI WND,PU,G.,,91 706 U_r- - <br /> 6?S-o12—�JO <br /> f Fanf ry's Ph— <br /> ga. Bb.U 5.DOT e—plior,(including Proper Snapping Name,H—,d a.,s.IO Nam1u, id.Containers 11.Total 72.Wit 13.Waste Codes <br /> H14 a pd Packing G[oup lit a ny}) Fy <br /> No <br /> Til Ouan9ly YJ1.Nol. - <br /> - <br /> / AU <br /> GU <br /> JULY <br /> ! Y+ Tw <br /> 1a.si e—,Handlug lnskuplom alld ArFfi5onel lnlormegon � � T F s 5 I = 1 , <br /> ki4Ph.EtK 9ZC)�SSOP'Nii!_.. _ .-?CInII.E+! ' <br /> f� ei'lb 11 12 rl IF <br /> , NcSLTCR ^—51 (WTALFFtLf WillirSOrMac -:'. 1. <br /> C,Aufft Ml IDENTIFY CLMFMTE4yF V&VWNtM KAO p&R1_`($ISTR-OM IWOTRAC W-0-M-5V Sy�l IA 1, is 17 46 1 21 T3 2 ItS tb 47 t5 le 11 <br /> if <br /> ?1b 21 kl <br /> T= <br /> 15 GENERATOR'SIDFFEROR'SCERTIECATION:IheRhy deaana mal me mntenfs With®oasignmenta 1l,hyarmama "nescrabd-A—by the prWa'shwwng narrws,artl are tlaszmed,purtag¢d. 36 12 24 <br /> 21 <br /> kb 10 10 <br /> EYmarked and labeled+Wacartled <br /> .and a2 in alE respects In paper D]IrdrllOh fat bdnal101!a[M+dirg N dpfNicdhW_[m¢mandlalaM nahOrHl prnYmrr[an+a'raguranau.Il BxpOd shipren!aM{am In¢Pdmary <br /> 94"aa- Pge�{� pGter,l C4rraY rhar the cpnrenrs of dus oonslgnmenl mnkrrnmthe ceme al a[e aYarhea EPnAclvxmietl9n�[ol Cpnsenl. —.w¢ <br /> -A5b" lwWythat the waste minimization statement ltlenlif din Nr CFR 2l ill lamalwpe ql—*gererab; (bit fill am a maqe l garsralprl is <br /> > <br /> 55,Arps GenerawrypLerofe PrinlenTyped Name _ S,g— Mgnlh Oay rear <br /> "d.,.i a K,Nam Il l5bp+ren6 �Impod nLs ❑Eapm U5 P nIen ylesa�� • <br /> New m�ng9��{ 3 Tenspp ersg ab e19 e.pnN an p) Pale ea^a US, 4.Ta <br /> 4oa �yvdell, 17.TransPPha gdaawl¢dgmanl of Rewlpt of Maters SgiuWm V.+ Day Year <br /> pmt�k ,agal TranspoMr t Pnnle67yp¢d N90re <br /> 1�ort o <br /> trjtns' �Transparler2 Prmled>typ�Name a MmN Uar Year <br /> d <br /> A-Tga,'l dt7;,6ma "'o fA Pi,aeRar[vY <br /> W 'yA'r>etM vfa51 Wo t&DISG¢,--ylnd—SPa¢a JQuandN' ❑r'la'e ❑Pasidue ❑PARA'Rhg¢par' �FID"Wte�arr. <br /> SOUI <br /> ho n�PaM1 etau3ese Relnerwe N,uroer -r <br /> Ares w 'ma *ass¢ D-s.FFA In W'&d <br /> ,es+G�"d o15n's u�rP'� � rPn-assemale Faokty lorGenea+nrl - � <br /> 3- ��t�5 ��.asea"`"� � FaoMys Pnaa Mmm a <br /> a+Fa�B� ar'us�-11feD'R��S w rbc.S']^aGae dNoemale Fa^�h lr taercrararl �i .. <br /> Thf 1 39.N3SdrMUS Ware P.WM1n Ma^age+vnr Mk[han Cotler ii¢raneskr lb`tJda'%%wug:reiOMr,IEW��.and r¢rymn9 sYsr¢�l <br /> S <br /> We <br /> I I mandesF eecGpl as rr6atl n fbrn nBa - <br /> ���. l �D�,v�e o.rp[«DPe�e�aom a r�ol ar Iw reams mares��'[�f ay 1F� Day r x <br /> Il ama7ta2d tRa+s2-tT P—eda l—u dm" GENERgTpN'S INITfA1 COPY <br /> EPAF } <br /> aQ <br /> John Alaniz, REHS Page 2 of 13 <br />