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3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 11: The following uniform hazardous waste manifest (0 1 6868634JJK) observed lacking signed copy. <br /> OMB tdC-2050.-0039 ��¢r <br /> 'Reale prmla .IFumr des ned for use en Ohio(12.PArh1 -1.1 Flim A99'r. /r iD-0039 2 �� <br /> 1 Gww�elor I0.N�naar 2,Page 10l 3.Emei9arcy RnPwi•O Phera `1 6 `.7 e1 JJK <br /> UNIFORM NAIARDDU3 _ GL7 <br /> MSM ITANIFEST4,C-Al-O D U:5304 VA 1 _424-930D&a'1eN�t dmr.mtlan n�s�q etldeal 3 <br /> s.f;srwnta'e Name vM <br /> r4ACY <br /> AUTO IFI <br /> I/iLZEA WAY <br /> AY <br /> MACY A M INC G9530st <br /> r <br /> &K #d <br /> _ c<nnelere nhaa: 200 9354500 u.s EPnlb N„mner . <br /> e TnneporEv t Carpary Nemo <br /> WORLD OIL e..NVI14ORMENTAL SERVICES <br /> 1.Tarrepaner2 dem-y Neme U.9-ew,na Nemwr <br /> J <br /> WORLDWIDE RFCOVTRY 5YS1 EM INC CAR00017 p�22 <br /> UseeAmrlwrc r <br /> a nvalga ItRIF-ft Neme.ndsraee <br /> aeAdd <br /> YES MANAGFMFNI INC <br /> 65CO 119 HIGHWAY!T5 <br /> YUMA AlAFi:sF5 A I.R FI0 0 5 2 7 1 s T <br /> _ <br /> Fedn Plane. _ <br /> ~ sitU.S.DOTDearipkonNo(ndutlbrg FMPa SNPP'9 Nacre,}1Oyard Cl°aa'ID IWmGerTo <br /> , Gonlainers t1. Wl Vni1 13 <br /> ,Wasb Godes <br /> 5e. "'Fee"MGrouPManY}I No tyle Caanury MwlNd <br /> NM <br /> s <br /> a <br /> IVON fE(:RA HAIANDOUS WASTE,SO(JO I OILY SoLti PAPER FILTERCI <br /> r <br /> 1vuA111 rER <br /> 'NA STE <br /> all <br /> ~� L <br /> �-'- 14.Sr i Handling henefpna and Addil l Herniation <br /> r MERGENCY CONTACT CNEIAtill 1-AwA24-9301]WOES TERMINAL-CFRFS CG .PROFIl t M 361 182E«SNRSQANfY15 ""N"Waaaaaaaaaaaaaaaa....... <br /> nil Si PAPER FILTERS` r•ApPROPRIATF.PPE EQ431PMENT i <br /> 15. GENERATOR'SIOFFEROR'S CERTIFICATION:t hereby declare that Na ennlenLs of One consignments'tully one a—ratsy descnhabe,e ylbo�Per Wninng oname,and era dasslfied,packagheh —, <br /> marked and laodedlital- -el.and are In all respects In proper rondikon for aanspon according 10 applmable intamanonaV and natwnal lel FtiOns.l1 R snipmRnl and V am the 4nmary <br /> beparter, cerety that pts Contents Mthis consignment Conform to the leans of to attached EPAAekilModgment of Consent <br /> I candy that the wash mini—tion statement idenkaed In 4g CFR 262.27ia)lif lam a largo gaandty generator)or(b}(ill am a small quantity generdl0rl is We. Monty pay Yaar <br /> Geoeratovv0aemrs Pallteerrypae Name 51gnaana <br /> F 16.Intemabonal5h�pments' ❑Importto U.S ❑Ekpdrf5aln13B. Port of anvyleYit. -- <br /> = <br /> leaNng U.S <br /> Transc <br /> poser ignalure(for etporls ordYl: Uate <br /> w <br /> 17.TransponerAcknowledgmenl or Rt'pt of Matmaff Month Ac'S/GNC <br /> W Transporter l Fnnted/Typeel Name / Signature ay Ysar <br /> 7 <br /> To.ponor 2 Fnnledli,pad Name / Signature Month pay Year <br /> r <br /> I} 1d.Di nry <br /> 18a.Discrepscrepanq Indication Space ❑Uuantlly ❑Type ❑Residua ❑Panlal Reyaction ❑Full Re)aCIWn �_ <br /> ManNest Relerenm Number <br /> 1B6.Alhmale Fadtity for Generator) U-S.EPA 19 Number <br /> J <br /> U <br /> Hai Fachlys Mira: <br /> w Month Day <br /> I&signature of Alternate Facility(or Callender) Veer <br /> 4 <br /> Z <br /> S219 Naaerdous Wasla Report Managerri l Method Codes{I.9,Lodes for huatdous waste treatment,disposal,and recyclingsyslems) <br /> W 1 2. 3. 4 <br /> 0 <br /> 26.Desgnaled Facility Owner or Operalor,Cedhcalion of receipt of haxandous materials covered by the mashed except Tended in Ilam 18a <br /> Port[ Typed Name Signature nth lay Vear <br /> EPA Form 8700-22(Rev.3-M)Previous edilions are obsolete. GENERATOR'S INITIAL COPY <br /> JASON GAITAN, REHS Page 11 of 48 <br />