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1145 West Yosemite Avenue PR0527587 <br /> December 18, 2018 <br /> PHOTO 2: Manifest 017467914JJK found without a si ned off co from the designated facility. <br /> ..�A.am.xosnao�a <br /> ooi aza-aaou O 7 vim JJK <br /> ^145 W'/OSEMITE,AVE <br /> ')"316 <br /> fJIAiJ TELA CA 55337 <br /> U.8.FPAIe flunber <br /> --�— CA0028277036 <br /> ONMENTAL SET'tVICES U.s.EPAIO Humby <br /> v.m. <br /> U.S.EPAID Numbs <br /> �UIlly N«na and 511.Md,en. <br /> EMENNOI KERDOON <br /> 2000 N ALAMEDA STREET CAT 0 8 0 0 1 3 3 5 2 <br /> COMPTON CA 90222 <br /> In a Phone; q <br /> , m.con�amers n.rmal 12.Unit ta.waateeodes <br /> Rb,U.S.ODTDe-1paon(Including Prop.,Shippinp Nam..Hazard Class,ID Number, N. Type Quantity <br /> WtIvol. <br /> IlM end Poching Oroup(lleny)) <br /> tUN1993,WASTE PLAMMASLE LIQUID,N.0 S.,(GASOLINE,DIESEL. - � D001 D618 �— <br /> WATER),3,PGII 3 D M <br /> cv <br /> 3. <br /> 4. <br /> 14.Vocal Handling Instructions and Additional Information <br /> EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL:CERES CS NAERG#961:128'x PROFILE#9131: <br /> 396041 GASOLINE,DIESEL,WATER* *APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT #e2,t,?ey 3 (,?" () <br /> 'S. GENERATOR'S/OFFEROR'&CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,package <br /> marked and labolod/plarardod,and aro In all inspects In proper condition for transport according to applicable international and national governmental regulations.If export shipment and 1 am the Primary <br /> Exporter,I codify that the contents of this consignment conform to the terms of(he attached EPA Acknowledgment of Consent. <br /> I t the waste minimlzaaon statement Identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)if I am a small quantity generator)Is We. <br /> 1 dlo(s/0Ne (s Pd(od/Typed Nar� � S'UnatdFe Month Day <br /> C' a, o' ri GX- 101-t <br /> IRIWOU06.1 Shipments <br /> tinged to U. ❑E,o­&ImmU.S. <br /> meporlor signature(for exports only): Date leaving US.: r <br /> Tram podorAcknowledgmonl of Receipt of Materials <br /> s/r{���'f/Nr/1 P�Yr(ln'lod/i pod N o Signature month <br /> onm�, Day <br /> porlur2PAnlod/Typnd rno �/�� Signature (�� III/MVoonth II��Da) <br /> crupxncy <br /> mcropnncy Indication Space EJGuantlly ❑Type ❑Residue ❑Partial Rejection ❑FullR <br /> Manilesl Reference Number. _ <br /> rnalo Facility(or Generator) U.S.EPA 10 Number <br /> Phone: Icons <br /> (lure o(Altemate Facility or Gonoratorj <br /> 'ous W,ratu Report Managomonl Method Codes(I.o.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Lydia Baker, EHS Page 2 of 5 <br />