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E. 41h St. Record ID# PR0514018 <br /> 9/2/2020 Program: HW <br /> Photo 37: The following uniform hazardous waste manifest (006545230SKS) observed with a signed copy from designated facility. <br /> lGs1 Or <br /> Guntert 8 Za ♦ / <br /> / <br /> - c�..aM•rnm(amlan V' <br /> East Fourth St Fenn P111 ed.onna Nu-zn5e-0as9 <br /> 4.ManllestT2chtrg NnmberrlO[.�222 <br /> ILL-TO ADDRESS Pp WpnntM (F—tlas dToruse Ion'cmEa� I 2Page,1b 3.EmelgencY ResponsePMN" O(�L`1745?3 <br /> goouS I�k,,.on i-AD9132471t35' 0fo <br /> IINIFORY NysA r'}'k <br /> Guntert&Lmmerrnatr WASTE MANI - GemBr W,Sita Md_{it&,ll men,WjNard—) <br /> 222 East Fourth St Is �+Ce^�r,^*16 g^ °m°�°de'r®ean Canfet lNo 2osnmpSB <br /> o�„mm Tabrcl 222 E 4th rat. CA 4S3o <br /> SPEGAL INSTRUCTID RIPON 209-Ss y_613] AT <br /> "PI{ SLFCLFORE 3F renemmds PhUrra us.EPA IO Number <br /> hamate,kegs. First sial)of 9-day-8 a rtv ° Y1o°' n °W°SY&TEI75 INC <br /> Ja CafS. I u s EPAIo wumber <br /> Inrariweners comPanr Name I n <br /> liar INC t1 S EPAII)t'—!c� <br /> wchs). /a e oesgneted Fe Aly Name and s:re Add-Ii SAFETY-KLEEN T3Y qT <br /> B <br /> SACRAMENTO <br /> ITEM <br /> enr / LINE DESC 916-J[R6-7413 <br /> / ITEM airy sP wne: <br /> nearest / ff 1a.Conlamars 1t,Total 12 unie t�_waste Gores <br /> quan9des rwhich } 11A "(1 <br /> 9b.tl,a.nor ore nption bndudlrig Pmper Sh1pog Name.Hand Class,to Number_ No TYPe 9vanhty wl Nal <br /> on. I t{M end PaddVG"*(dary1) _ <br /> �arere z wASTEso�ven <br /> i Iles and 3 IA80R-DRNEA 1 <br /> 40N-RCRA HA2ARDl1L15 ERSTE. LION) m` <br /> 'estimates. waste [AQUEOUS PARTS WASHER SID TION) 1;7 <br /> ��rmyrs, 4 MATERl-LE 'e <br /> oe unit or i z s. <br /> In <br /> 6r <br /> 9d <br /> s the <br /> 4 <br /> lin Item Ord 145peual Nandlingintwoiane and Aduiibrailln—idion rSo:SGA '' ' <br /> 201E-3 I-,Eu <br /> e.ln U ' ` u- Co CIO( <br /> he sof <br /> ant. aq NR EITERGENCY b 3U0-468-1760(5AF'ETY-KL{� ) <br /> arty RUTH AS 'AGENT-FUR" BY GEN 7[1 RETt1IN I_,.7'f;EN£iFD alJ� aARR1ER.5 A5 NE�E55ARY <br /> ary(Or 15. GERERAYOR'SIGFFI=ROR'8 CERTIFICATION:i herehydeclare Thal Ne wmenls oflns conslgnmenl are fully endaccuraleydesrsibed aCoue by rhe nrager shippingnanm,altl are class+�ed,packa4ed, <br /> marked Allot lR'SIO rpta�rded•and are In all respects m proper condition krtranstwrt acwrtling to apphwbleinwmatiohaiand national goY mmentai regulations.tf export sh,pment aM i am q,e Primary <br /> ExpMer,I cetry Nat the contenla of this consignmenl wnraml m the terms o11Fe attached EPA AcknowledgmentoA Cansenl. <br /> votes. I oar Ilial the wasteminimica6on statement identified in AQ CFR 262,27(a)(Irl oma large quantity generator).,(l{rf I small quanury nerabr)'r, Month Day Year <br /> pane Signature <br /> ituenl Ge tWsrpRgrors PnntedlTyp Name � y Ir <br /> n 9y TAANSrrMEfNC/ r I f <br /> To.nlema6ona15 ipmenLm �imporl toDSr ❑Expod from ll.5. Pad of entroi l: <br /> r Oaleleaving U.S.: <br /> rich - Transporter srgil(for sxpods onlYY <br /> Of 17.TrsnsporterArinowledgmenl of RecelAt of Malerials } <br /> W Signature Month Day Year <br /> raand ta I NAIL ��lv �Tial r Pdnted)TYP Kama <br /> O <br /> rs, h Signature ///111 /} th OaV Year <br /> Y Transpo 'nie yped Name <br /> SIGNATURE: � <br /> t- <br /> / 18.Discrepancy <br /> ❑Residue ❑Partial l2rryeCdon ❑Poll Reiecfwh 19a Disuepancy fndicalion Space ❑quantity ❑TYpe <br /> All Maniiasi Patel Nul <br /> LIS PA10 Number <br /> 1' 18b.Ademale Facilily(or Generator( <br /> J <br /> U <br /> LL Facrlilys Phone: Month nay Year <br /> ll Signature of Allemate Facllily(or Generator) <br /> 4 <br /> 2 <br /> CD 19.Hazardous Waste Report Managemanl Method Codes(Le..codes for hazardous waste lraalment,disposal,and recycling systems( A <br /> LU 1 2, 1' <br /> O <br /> 20,Designated Faciirly Owner or Operator:Certification of receipt of hazardous materials covered by the manifesl excepl as noted m Item 18a Mgnlh Day Year <br /> Pnnaill(gpedName ) 5ignalure <br /> EPA Form 8700-22(Rev.3175) Previous edilions are obsolele. DESIGNATED FACUTY TO GENUTAlOR <br /> JASON GAITAN, EHS Page 37 of 38 <br />