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3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 20: The following uniform hazardous waste manifest (017695169JJK) observed lacking signed copy. <br /> Form Appmuwd.OMB NP.11150.0039 y_ <br /> d.o nad br eee an elite 52pdd,k ,ariyr <br /> Nai�MdpMB a c'"a`aa lO Wenbn Form gpprMad.OVEN,2050-0079 <br /> a/.aTF MANIFEST 1:q I f1 r103�0�7 3 3.PaOe r o< 0 En»ryenry Peapane Phan /Man IeH TncMrr�xum r <br /> -VI -16 9 JJ K <br /> 't4lau AulO PLAZA WAY 7fV� �T um�aramnsn.wmw.VdA tha,,veasameenl <br /> MUO <br /> ce�e.alara Prgne 209193&4N, CA 11G30A <br /> a T. <br /> ' ImFNfYVIR7NMENtAE 9ERyq;E3 a s.EPA ip Nurror <br /> 7 TaanfF�fxM2Cg002 B2T T03A <br /> wuR—"""'^LEERY 9Y3IEM INf. us.Evnlo luumbw <br /> E°e iey-F+nNrNene aVia. CA P 0001754 221 <br /> 65MMAM�F j CIE TORWAY 9. us Fratowmaar <br /> Fam, ePhene: 044044-4828 A2 Ayuh AZR000521146 <br /> _�� lfNr Ny and r. yTp,�,�'o V.ryl 11n`]itl'"V Pmoar snlName.Narnmwe.,IONummc IV uma�nen nidal 12.u. <br /> IFIONi#CRA HAZARDOUS WA97 E,:fJUEl l/glY 901 iUl Ne Type <br /> Ouanmy NrtNd. ,a Yadsu�etla <br /> z <br /> w speuar Iaaryyng IrnNRpnu anV AdO�Irfal mtamawn <br /> FMFRGFNCY CONTACT CHEMTRF.0 1-AM424-9300 WOES TERMINAL'CEREF CS NAERGN 901 111"PF10 74 M SR 1 <br /> u+nrn7.- F r,p^ORMENF3 ah1 P�1 7 PPE FAWMENT 1 J J <br /> i LENEWCR SOFFEg09 S CERTIFICAMIN:I he Lytlxlxe Nat as r lana OV9[ lgnmentar°kdf and amumWy ee ,bad abwa by Vle pm Mlpgp rmrr.eM ge{yra�aA.P"gad <br /> marketl a d iabelrarPaWrdad.antl are m aY respects+,Ppper eandibon fortraerspon armrtling b applicable intama6aal a��Wral geyenmaaky Ie9uMklmb N eaporlsiPmxM1ertl I m Eie P,iryty <br /> EspoMr,IwNry Nal Ne cannenr501 ms�ns9n Mmdorm bVw 4rrmsM Ne adachatl EPa Peknaaleymcrtel Consent <br /> wm[Ythat Ne xasta min,¢efmn statemant Ide A&d 140 CFR 262211,)Ifi emalarge 9uanlity0anemte0y(d)1R lam a eml*maty 9. <br /> GerreryyypPw/e wniad`ryPW Name i_Slpnakyp�— - Ilam �Y r' <br /> � tri.In[emawnal5hipmenta ❑IRQdt N11.5. ❑Eappfhom lY9 POrtde�ra7ieatt <br /> Transporter signature p,ra.pona onlYl DWaiv,9 U S. <br /> 17Tnnspalerkhnnwlaegnenl ulR_PtAMaMala <br /> y~.TransporMa 1 PnnleMyyed Na'tre t I SgnoNn � IApnm puY Yev <br /> ^�� d <br /> -_- ---- Q rraneporer2Pnntetl/frlwdNarrie s4neaae napnm oar vnar - <br /> w..� <br /> 18.oNoaPaney <br /> V,c.P ry rMiapai 5pam ❑OdanMy ❑To ©Realdw ❑P"RM.,W If,:1N1„1 �- <br /> — '-��_ �+ Mamkel Rekram NumSer �� <br /> r, Leh.alemai,Faaaltylw(ienmelorl u.S.EPA 10 NMW ■n�a..�,�. <br /> u <br /> ` Vr LL Faza4ryh Phme <br /> d� 1&, IrrMaee tamale eddy for Uan vlu Monty toy Year <br /> �Il 2 <br /> N19.NarHNaul Waela RppOh Mmipa mni Melhdd Endo{i wdva V lraardm.wait,l aimeni.dispoul.anal WydlVayblemyr <br /> FIT — <br /> 20 0rragnaketl Fealty 0wne or Operator,GAVu6Vn ak ncNPk aI hunmrx,a makedMx wnm0 by Vu minden x.crpt ee na.d In Nem anp <br /> nn ypetl Name SN'. Ah ai Ynm <br /> EPA <br /> Fon V00-22(Rev 3.05)Previoused,Wflsare obsolah GENERATOR'S IN1T11ALCOPY <br /> JASON GAITAN, REHS Page 20 of 48 <br />