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1022 E. Frontage Rd. Record ID# PR0519099
<br /> 8/24/2020 Program: ER
<br /> Photo 9: The following uniform hazardous waste manifest (0 1 8529233JJK) observed with no signed designated copy.
<br /> f FleAse Oramortype(Foran- fp usem.5112yarhI qpffA.,IForm rWproved.CMe No.2056-0018
<br /> UNIFORM HAZARDOUS 1.Gxprarpr 1p Hurrrnr 2.Prp IM 3.Fs,ngenay ReepanaePMw lYenlMtl Number
<br /> WAS TE MANIFEST CAL9,00234364
<br /> ural. 5.GmwXbi I Nola nglWfl9Aedra Gerlembre Siu btlres,feaiRarenl tl,n maWg aeSwl
<br /> A+n GILL MIDINTB
<br /> . ..,,,..L �irRORTMiE ROAD CA 053"
<br /> ceneracr. 264 58441682
<br /> A�,u•n - e Tral 0.1ort Nem- U.a.EP0.1P Nunrbev
<br /> YfORLO OIL ENYuRoNMMM1AL SER F L C A D 0 3 6 2 1 7 0 3 6
<br /> WORLDWIDE RE WVERY SYSTEM INC CAR 0 0 01 7 5 4 2 2
<br /> e.0-W Wtl Fogy Naim and Slh AOA— US.EPAID Number
<br /> ::;. . ... YUMA YES LLC r a.
<br /> 2730E13THST _
<br /> �.- . PUMA AZ 85385 A 2 R 0 0 0 5 15 ce2 4
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<br /> ,n,,. tNOF*RC1U HA7JIROpU3 WASTE.SOLID(Of LY SOLID,PAPER FILTERS) .52
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<br /> wrr.mm�.ao aaara.n.+aernnrlaa�4rr.na aw r%h wLAa L.arnlwr EME41, i-titC7.41^FEhtTREL'-1.806 d2�- 30D YVOCB T1tRMiNlkt:."••• pA01.1 �RiL620 D{L7'90tITY�. ..
<br /> PAPER FILTERS" 'APPROPRYITE PPE EQUIPMENT
<br /> 4 7 2�
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<br /> 1s. GENERATOR'SIOFFEROR'S CERi1FICATION,Iharebydodamthatt*mntarltOMF sconsignmantare MN and acwrately described aboveMthe pmper eMppwq nanra.and are dassifiee,padaged,
<br /> madLed antl Wbaletllplacarded.and are in aIV re�Peecs In Proper wn&non fa camped according w appgr2Me rtemaaonaland national gwemn,enral regulabons-If eapon shrpmenl and I am we Primary
<br /> w x r„�,,. ,,n,i„k. Exporter.I cerbiy>hat the contents of this eonslgnment wM'pnn w rhe leans ortha adadted EPAAcynd%M1edgmenl of Consent-
<br /> rm+lLnlm..aa,l.rnN•raa Ukwrx w:a L"r•rrm-" ee. - Icaditymat tlrewaateminimizabon sutementidendned mod CFR 262.27(a74ifl amalarge quantirygenealor}cT fE).(Nlam asmaA quantity genaa,Arlrs true.
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<br /> Generetcr'slOrtemfs PnnWfTyrped Name SIg+Layls. Ma,N Gay Year
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<br /> J 1fi.Infemadenal Shlpmente _
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<br /> eyry^kke n1r%rrrrx,rxelw nnn,lrrw r✓.ra.wreos:wuarr�r.r,.rrn� ,.era 1r.wr nrm Transports,signature Ifo,aepdta only).
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<br /> hrI odfT Nmanl of RaceiN al Malerals
<br /> Transpc4er I I - Signature IA-11, Cy Year
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<br /> III}}} 18.Qiscrapancy
<br /> I ISa,Clscrepanry hd,ml,on Space ❑Quantity ❑T,,B ❑Residua ❑Partial Reyac7ion ❑FmN Rtryedipn
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<br /> Manifest Referenu Number
<br /> ew7md Tnaw am wrrlraav ndl Xly!r rr.,i[r,v.rw.w•nwr/n!.Lmd*r.r.,x bony,r�.. u.S.EPAID Number
<br /> ,ihrnd4dcuarrw raw Kure pv.LwW,In xra,•enw.rlrrr.rvnaL ni.nlw.-%I 1 Bb.Allemale Facdry for Generator)
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<br /> LL Faci &Phone: Month pay Year
<br /> 0 18c 51gnalure of Ahemata Facility(or Generator)
<br /> rd'M ratites,Int&rr.vr ra L41uu1.(:w,araar a-dI AIMn•lu aifwrlkrrwu r+rL'n+u."Iln;:'
<br /> fl�p:nAs�,grrWleLrxn nrrr.�t,rewq,nra ova{e.rm,lw r;,thnlruiNs Ya. Nn•xw•r•w"LLr. Z
<br /> JlarernL.n r,�rec.ra,:l r-yrl['I.uJI arlulrn'rX nl,n...'•rti.irrr m-0;yrlo.,alb rr.,-u,��,rl”
<br /> 1 g.Hazallous Waste Report Management Method Cedes(Le.,codes kr hazardous waste treatment,disposal,and recycling sysSems) A
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<br /> 3.
<br /> It til h,pre,okJ w.rm r jr.I 2D.Designated Facility Owner or 4par1114n CarlinmC*n o1 receipt of hazardous materials covered by the mandest except as noted In Item 18a
<br /> Signature Yaat
<br /> PdntaNf,W Name Y _
<br /> EPA Farm 87 -22(Rev.3-05)Previous editions are Gbsaiele. DESIGNATED FACILITY TO GENERATOR
<br /> JASON GAITAN, EHS Page 9 of 41
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