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Stop Ticket SI2pp;2992747-15540 LAND DISPOSAL RESTRICTIONS(LDR) Trips:2305213 1"1111111111111111 L ra` I NOTICE AND CERTIFICATION��Iryryry ppp�� p� y Site-:205853 P p'Od 02/19 04/02/19 IIII I' VII I.IIIII II II II II II��II II II'� Cr rwa or Nam':STOCKTON.BA.-L.a Ilea IIIIIIIIIIIIII IIpIIIII IIr IIII I�IpI p�R1I��^I11 A�1 EPA IDa'CALOODd09951 II II I �r Y` r lI T king No.:0009 5556WAS EPA ID No.:CALOpOdp9951 III y�IMI INIII IlitlYl1pl HIM POp;BANFIELD 01188 Cq ANGELA MARNS 131)1466236] III Waste Does NO Meel AVl�ecabte t Treatment Slentlertls:TM1Is is a reslrlcletl waste IM1aI does not meal IM1e applecable Mailing Addres9 slantlares seI loon n Sebpad D.1 40 CFR Pen 268. Aulllorind Site Adtlreaa "liminure: Printed NICOLE MAHONEY (GEN TSDIaplivei for renal Neme STOCKTON,BANFIELD p 118EI STOCICTON,BANFIELD p 1188 Company/ -' - I.-.TRINITY PKWY 10520TRINITVPKWY i Title: Q STOCKTON,CA 95218-7227 STOCKTON,CA 95219.7227 n Dale: 1 kl rieel �_— H UNITED STATES UNITED STATES weatw - p ,e can am Cma 131 subre4lsl Id) Phonea(209)474-0119 wesiewete la eapliraekl comuw nu cerglnyt YpB HERITAGE TRANSPORT LLC- j TS HAYWARD(11312) (510)324881] MVERS,KELLI-(31712434393 — NW'w' -3 -IND058484114 NWWNAEmergencyRale DS p Oe 314480 1.2 POI2 1100U039Ui54 PickupDemTmWomurrage 1.2 DOIO DOI10024 NWw Odoml Final Delivery Demunage 11 Otlomeler:bte— � Tra{larp 1.3 VVW PW2 0002 UIt2 Ut22 U154 U1B9 U031 UO3WWLiner OtY E _ 1.3 Dp01 — NA 1 13 DOto Wit DD2d12 PICKUP TIME:08:00-19:00 .4 U122 --- WWWW NA 1 4j��I—BRYAN river Name ERVICE (15540jNFINLEY _ HNnABLE CHAgg0r9qlsrlc wMMIArIr oFUELSSUBsrIruTION.OR ORGAN SREfAVEgYDate QH TOC IGNITABLE CHMinCTEgisTiL LIQUID$]COOLLDGE,AZ 85128-9205 UNITED STATES AZD081705402 TC waS7E 6tW�0EoiN KiN.ciyAEM(520)7234167 svSi—tems Cpmmon Name yNPare9WFINI.FWS—Aen 1 GRAM STAIN See Manifest Transaction Prod gN�iy eo^MleplFymrl°yFool Fws�I N B Rat Ob Type Foie 2 EXPIRE NON- 000945556WAS1 12843115 68 YIN 1 I°s ^_ I°11"ZONE) Ya __^ me aneR CONTROLLED PHARMACEUTIC 000945556WAS2 12843118 103 I DF aw _ 3 WASTE NON CONTROLLED PHARM,4CEUTICAL VSY ACETONE(2P"ZONE) d FORMA LIN 10°o WITH OR WITHOUT ANIMAL TI'000945556WAS-3 12843119 103 1 DF --- a 1.1 MET HgNOI---� 000945556WA5.4 1284311] y3y 1 OF 03 Y3V OF SRO Rep Nem Signature y 1� 9 Date 7 L.EINC, ta 6LDR2-990747-15540 ge Environmenlal Services,LLC 03'27/201904:5)p www.henlage-enviro.com — M r LAND DISPOSAL RESTRICTIONS(LDR) ONE-.1E NOTICE AND CERTIFICATION LBH - - 3e ��' 4r4r ;:eteaxxl� ,. a Generatracor Name STOCKTON,BANFIELD ana 1186 Mlest TgN OpO9d5556YVA5 EPADNO GAL00040SS11 IIII II II IIII III II III III III II yiy�ILl:� a 3 Waslestream N 0595]-1 GRAM STAIN i T a ill _ (1)WasteD N I Meet Appli slcable Treatment Standards;This is a restricted waste Inas does not meet thea Ir andartls sal loM n but pplica0le i c AUM21ie r 0 Span Do140 CFR Pan 268. 3jdi E Signature: Primled $> 4 o rn Company/ otona^r centre {[ _ r o Na i lee Date; _. /!�j_L _ _ I i ; j- } ; ' z (3) fel Ise (61 Mpis ave l,e. Harar4ous uvaseC^ee NaetewAaler Or suoeal X $ � S �(�� O 'e s„ e o m WeeleweNr fu a0^ti aBelel CanoMwnN U llnl Y/S 9 L S e^ F003 NWW - 3 — NA 1 1 —1 1 rn eel B ry Oeualgla^ � 9 a C/J IGH ION TABLE CIMRACTER STIL Lp S - � � Tp�9 C[! D. a Ln NeCIeNW�Wree wF001 FOp5 spml sdwnts.Merageri M ., j `IperlleN akede w 00 F005�epwr Y B b NenN wbr F03B 'q '' ae3 A q I— NM lel Meow N� N I Me RepWale4 Lo IM1e oprWte re msieent'M1eE j Mck elllM ePWYI tlit r7 £ {�7 ACETONE(2 PgOPANONE) E '' j to D — a to mS VmD2 � ��g3¢Y•�q ) ) x 5 in m r tl6ys E� ^e N $ � jilt D .a 3 =om1InF c9 z f � o LDR2990747-15540-1 03/27/2019 04:57 PM 2 of 2