Laserfiche WebLink
795 E Roth Rd, French Camp Record ID PR0546244 <br /> 10/15/2020 HW Inspection <br /> Photo 3: Facility did not have a TSDF signed copy of uniform manifest 021824109JJK. Facility also did not file an exception report. <br /> 'p ]. 4 wrcG'DOU44W74 7'Papelm 3 1.uma]l� Nu bOMBNa,2pApOTy <br /> j 1 `� ty r�,aemMpdafO .RT l ECy❑iEEI REpA+R Oxwrerors Sae 2 824109 JJK <br /> 795E RUTH RD nadre°sl°dmaa,n tan ma>iy addrcsel <br /> u s.1 / FRENCH CPAAP,CA 99231 <br /> / 24571 <br /> , �y �ca Pf � e= � � r Pae AMLHIagF1 WLLEY 1'Nh.STE i31L,MC. <br /> El NurtJ)ar <br /> T. rzcm,pam N—MRLIDWIl RrCt1VERY 5Y 'X.02 <br /> i 9 1 P f1'IEFAS RIC: us EPA ID NummmC �ii <br /> 1.a 5422 <br /> � 9 evesronaree FacIIIN Name aid Site AedresaYUN1p,YE�2YIy,4.4Yt7 <br /> O k11 U5; S L� X91.?1 y 6}.�S(SAV 6&R+�SFEN FACILITY <br /> C J. UsEPAD Nugpar <br /> AZf1000C21146 <br /> /� Fadi Phone: yal/,4 <br /> y' Ma <br /> se, 96.V.S.DOT Descdpaen llnclu�nq Pmper Shlpplrlg Name,Haaatd Cls59.1DNamder, hp <br /> aga'4x -vy r NM and Psdmi;Grwp(irsal'11 10.Cownem <br /> 11.Taw a uentCFRGRA FZR �� Dul ". -IC.AlMORBENPAPal oilF7!TFRFR[ERR '• _`` <br /> fa'weaoa coda, 'rpr_ CLnOpk <br /> a �a m er Inr RPf e <br /> Cod, ryC N <br /> 38 <br /> a y ay s�/ Soy <br /> a <br /> a C' 14 'I u <br /> n � Y�FFk �P14�I$�s ' 4t�Eras i Ron m <br /> . eye °s q P,"0'vn a"b•�:"ar E34ERGENCY ClAL%N <br /> 15- GENERATOR'SJOFFEROR'S CERTIFICATION I declare lhallhe co N of min wnslgnment are fully and—rely described above by the pippsr snipping name,led are dasaffial Padarl <br /> markedandlabdi laded,and am Fn all res P ng PO govemmem4 reguladare.Il ezpxt shipnanlandl amlha Pr.raN <br /> I 6. dyN apo ne ?y'rh°�/err Ekpaner,lceaay lherme calrtenls of(his oansignmeM wnmPrmrtotheterms of fhe attached EPAncknowl le 9menlsen�national <br /> Ice Gfy that6e waste minirniWn slai ldemiAed in 40 CFR 262.27{,)(d l am a large quantity gererat dr(h7I ll am a waN <br /> yV,•'�- gr}antilygram"LaWe- <br /> ?E,�,akyJ a 'tel/ / cp7/?r� ,y�dye J/ Gen{§�@'tofyslorkrM,yyPM YPeyd/N�a/4 `�I/ <br /> SIP Mtt�dhJ 'fear <br /> ` �Pair� �'d5J ry� rj >o ��a L �l���l lTl k[.1 `L+G � <br /> 16.Intemadonal Shipments <br /> ❑ImPod IV US. ❑Ex'.a%,U,S. P olennye <br /> 'w <br /> 4q o/ s 4/ ? Transparlersi nalure lore Rs onlyp, Vale leaH a-S.: <br /> 9 ( xW ^9 <br /> ao'� Pa�rte, Ly e/ n P: Pay yPg,'irNNd'�' 17 Tmnsparre khmuwledgment o R—jatof Materral-I <br /> t Pyy" s�ai°aycya �s ey r <br /> ra/ry 1 Pant yPWName slAnalu �y <br /> /' D! Year <br /> sjpaw�7 °tf 8 spa z Transpo er 2 Pnnled Typed Name Slgnam a hhm gay Yea <br /> Gp�b <br /> '`yYnOe,�ln �Ga�,r�ehai� s�apo°°'C�1126'q, r - <br /> •h��/n, D1screPancV <br /> 164.Discrepancy lndkalion Space Ll OuanDr, ❑Type ❑Fil ldue ❑Partial Resection ❑Fue Rejection <br /> Manifesl Reference Number. <br /> 196,Alternate FaoTty(or Generalvrl LLS.EP0.10 Number <br /> a <br /> Facifillrs Phone: <br /> j W 16v.Signalure ofAllemale Facility(or Gererall Monty Day year <br /> a <br /> z <br /> L 19.NasadpusWadeReportManag lMethodCodes,11-codesfor harardausWal Vealment.dispasal.endrecyrlingsystems] Notice:state of California requires <br /> generator to photocopy and mail to <br /> DTSC with 30 days: <br /> 2p.fladigraled FaClllty Grejor or PPeratior.CeAlfical of'Pini dhazardous maledals covered by the manrnatureesl OXMI'l"'d" Item Sas P.0 Box 900 <br /> PrinledRyped Neme ig <br /> Sacramento,CA 95812.0400 <br /> EPA Form 870022(Rev,12.17)Previous edlponeare—[el <br /> GENERATOR'S INITIAL COPY <br /> John Alaniz, REHS Page 3 of 10 <br />