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3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 18: The following uniform hazardous waste manifest(0 1 7468602JJK) observed lacking signed copy. <br /> Please primaForm Approaetl OMB No.2050-639 ~� <br /> type.(Farm des�gnM Mr use on elite 12-pitch)typewriter.) <br /> UNIFORM HAZARDOUS r Gpaw-,10 Number Z.Pegelot a Emem-R—P- 4'm'0et Tnc 3Number <br /> jjK <br /> WASTE MANIFEST I'AL0003304:':] 2� �-, <br /> 5 Generabfa Name aM McNln9 Add.. <br /> c,nemmra ste wa.asE DI amerem man maea.9 ebarenl 1 <br /> I RACY C)1LVIr 11.1 A M INC <br /> 34007 UI YLAlA WAY <br /> I RACCA <br /> Genarawspnaae- 2096,3-4wo u.s.EPAto Nunbee <br /> 6 Transponw 1 Company Name r,A D0 2 d 1 1 0 _ <br /> WGPLD UIL ENVIRONMENTAL SERVICES -- <br /> US.EPA 10 Number <br /> Transpnaer 2 Cpmpeny Nana <br /> WORLDWIDE RLCUvE RY SYSI LM IHC. fi 4:2 <br /> v.S.EPA10 Number <br /> 8 Deslpnalee Facilely Name arW Site ArWresa W_ <br /> TDMA YES LLC ..-----� .. <br /> Y2730 UMAE 13Th ST2A <br /> AZ M385 <br /> I:re 1, Sg <br /> FacillYsb US IJ' 4- <br /> '0 Gontalnan 11 Total 1g.Uml 17,Yyasle Callas <br /> N 9b US 00TDualpHan Slrtdudag Prapx SNpping Name.Hazam Cl-,lC Number, '0 Type 117..[ vat Nol. <br /> HM and Padf O-P(1aay)} ,... -_ <br /> 1N'JN PURA IiAZRkU0U9 WASTE.SOLID I MY GUCID.PAYEN �'-'- <br /> 4P/WASHWATER <br /> WASTE <br /> f: <br /> 14 Speaa Randeag lnsbamons and AdMoaal I-Wmadan <br /> I MERGEWY CONIACT-clHkMfREC 1-W&424-83W WOES TERMINAL PROFILE N:161:let'16'1ldRS�IAN4x7]lollr suLls, <br /> PAPER FILTERS APPROPRIATE PPE EQUIPMENT , ,y <br /> 15 GENERATOR'SyOFFEROR'S CERTIFlCATWN:Thereby aedare Nat Nemntentsdthiamnsi9nmenl are tAlyand—ately deacriLed adore by the proper ahippmg name,and azo'iaasrfied.pacxaged, - -- <br /> mENERATORVledl EROR-SCERTFICATI respedsin propermndidon Por vanspoaaccording to appfralHa Vntema0aaaland 1aW.1 gwemmeM1tallegNations.Heapprt shit ^t andV am U+e Pn^'a'1' �..F- <br /> EPAAclutpak'tlgmem of Consent. <br /> - <br /> Etpader,I rerSfy that Ne mnlenLs at b,,,aM,.nt-E.h the t0ars of the aHached <br /> I Urbfy that Ne waste minimiralmr,staWnent idorflik in 40 CFR 262.27(0)(If lam a large quantity S raWj or(b)(,I1 oma small Puaa*geaeTatog rs true. Monro bay Year <br /> C',ovsn]geroes Pant ffyw Name �-----. w <br /> - i <br /> J 1fi,Ints.conal ship—lalmppN to U 5. ❑Eapod from O.S. Port of enayleaH, - <br /> Dale 1—ag U.B: <br /> Transperler sgnatum{for eaoons only)'. <br /> 17.TraazpoderArknowledg-rI W Receipt of Matenals Momh Gay Year <br /> w Sgnetute -- <br /> �Tmnspoder 1 Prinled/Tlpad Name <br /> 0 <br /> pt > S��Wre Moat, 4ay <br /> - a Transponer2Pnn ypadName ; � ,aB.�LS✓g��NS, ' <br /> tz <br /> I <br /> i&.PiscrePemy lMiraHon Space �OuanUry ❑7ype ❑Resltlue ❑Pomo)R"., ❑FmtRe�attlon <br /> Manliest Ralerenu Number <br /> US EPA IO Number <br /> r 18h.lJlemate Fadltty(or Cenem101( <br /> J <br /> U <br /> Fadlllys Phone', Month Day Year <br /> 16c.Slgnalure of A1lernate FaDIHy(01 Generator( <br /> 4 <br /> z <br /> 19 Hazardous Waste RePOd Manapement Melhod Codes(l.e..u4"for hezatd0uswaele hentmonL disposal,end recydleg systems} a <br /> w2 3. <br /> a I. <br /> 20 Deslgratetl Facility Owner or Operetor CeNfication of reCalptol hazardous material¢Covered by Ne menllast earsptas ndetl in Hem 1B MOOM pay Yeal _ <br /> {Ilf ignature <br /> Pnnted.Ryped Name <br /> :PA Fom+610C-22(Rev.3-05)PrevlousedlUansBre obsolete. GENERA OR'5 MMAL COPY <br /> JASON GAITAN, REHS Page 18 of 48 <br />