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4555 McKinley Ave, Stockton Record ID PR0538495 <br /> 8/12/2019 Hazardous Waste <br /> Photo 4: Manifest number 015911402JJK (9/29/2016)was found without a signed off copy from the destination facility. <br /> form proyad <br /> F .DMB No.2naaD-� <br /> IXeJJK 3 ' <br /> a� V <br /> pttlew tl Farm dw rM fa via da ellle 17 Ildt bf. g egx •b•nW <br /> aealm^•e Phnne - c a 1 ! 71 a <br /> nYx l[a w AIFi1;1h7a- maalrp aAdrew} <br /> UWORh <br /> f;al I ,...,xx.I <br /> .awru..RAZAADOUS <br /> 09ASTE MANIFE9TapAnte, ..r v.. I. • <br /> a Add...11 dill"' w <br /> USF. <br /> anrx1g11'hIXe' _ `+ <br /> ` rxnxmrMr I r.omrwrr Nemx 1 �. U S.EPA ID Number <br /> f TranePorbr2Cemaenr ana <br /> U,.EPA 113 Number <br /> I'. <br /> fbegFtll '.Phono11.YBW 12.Unit 13.Wam Cap"GOnralnarl <br /> GATE as 9D.U.b.BUT Ducdpaen pnclumna Proper ShlpV:np H,rmn,1111-rd claax,V9 NumbNO aaardly WIN&er, TYP• , <br /> No. <br /> HN wO Pedaap 0aecy(lemyn it � <br /> GENERATOR rr s riv,u= <br /> 0 <br /> 61LLINN ADDRESS <br /> r3ENERA70R GONTA.T -'•-"-"' <br /> L <br /> JOEI SiTE ADDRESS' " <br /> 4. <br /> JOH DESCRIPTION— <br /> --———— ' 14.SpeUBl Handling looll al Addlllmtln <br /> !1711!Can_.RUMS)M �W{.pr417pV <br /> 1 ' <br /> E H Caht3lAtA[Ttlk' F.AM1ifT.P.:ppM6hlriE•hfTpd.'rE'.1i?'1E:P-8 <br /> MATERIALS r' Hc41Dll T nW-TP41WIll A14D U'AP.APPF{T'F.'t'1 To' <br /> 15. GENERATOR'SIarFEROR'e GERTIFIGATmN:IherebydeclaralhatlhecuMBltla 0f4ile rnneynmehl are Nlly Bnd aGtamlely deecrlbBd el]aYB bylhB pmPBf Bhlpping n®mB,and are UBBeVflad,peduABd, <br /> maked and lobelWiplecanfed,and are In all mepoM In proper condlllon far Lanepgrt according to applicable mlemalloolarrd national gmmmmental regulations,11 On ehlpmenl and 16-me Pdmery <br /> .prlIbPAkkhaVJWg <br /> mrd <br /> LTNON RGRA Hp2ARDOUS WASTF Icer)met Ne a.mlorilzelmn¢Ialemenl ldi llgetd In 40 CFR 202 7{}(Illl am a large quarglyg eralon or l6li�am a emall quantly generator)Is ln.m. ea <br /> tL.�J <br /> HAZAR IyrrA5T Generamis1111 fa PdmadanmONema 83gnafura Month Day <br /> µON RCRA _ .. <br /> ❑U.S.DOT(DESCRIPTION. -- 16.International shipments S <br /> p;. ❑Import to U.S. ❑Espen lido U.S. Poll demryleait:ED <br /> (USED ANTI-FREEZE(HON Rr z TranapoAer algnalure[tor axporta only). Dale meVing U 9.; <br /> 17.Treneporl.Marov4edgmentni Hemtlpt of Va[edxle <br /> TgANIFEST NO. rc Transporter t PdFadH4pe,1Name 81gnalere Month Day year <br /> R'S SIGNATURE r <br /> r � <br /> .ARIV. Treneporter2Pdnle111yped Rama Slgnatum Marl Day YBar <br /> .pEgIa3NA7ED 7BDF:, <br /> RAMpS E <br /> 10.lTlacrepenry <br /> GER7IFY THAT 4 H II} IgB Dherepnne InWeallon Specs ❑Full Ruled. <br /> I HgRE9 n CARNY that the r Y ❑Duanlity ❑Type ❑Reeltlue ❑Partial Relectlon <br /> ` <br /> This de t according to 11 Merisel Reference Number: <br /> trangpor atton, <br /> p.rdf cialian.l 1B6.Aiiemele Faclllly(or Generelar} LLS,EPA ID Number <br /> U <br /> rjan6ratOra pflCtlCe YU.cr <br /> to be 0Wnomlaa��IYa P <br /> d <br /> }�ry10r3 stands Y6 FacNlNs Phone: <br /> Vf® ffFfa-ardws <br /> comele Feclllty(or enerekr onI Day YeartedAIS used o}I cnllepeN Report Monegeril MetMd Codes{fe.,odea for har6rdnW waste treatment,dlaposal,end recycling eyHemsldate. 2. 3' , ear <br /> AHe4 du®dotnot 5 a snarland"inomey far I Ownl Pparalor CardOcallon of retelpl of haxerdouamatedale wvered by the malHfeeIure las need In Ilam 18ae under parrs gnelure ey ear COPY <br /> 1 deplete, <br /> EPA Form 97U0.22(Rev.3a)PreNnuaedllloneare oheclele, GENERATOR'S INITIAL COPY <br /> John Alaniz, REHS Page 4 of 10 <br />