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3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 21: The following uniform hazardous waste manifest(018170348JJK) observed lacking signed copy. <br /> Foran APyrnred.OMR No.2950-W39 <br /> LMa lr] `148 <br /> a.seas t or 3 Emu9n^'-l'Reewn,.Pnone }I U +y <br /> U _7t?�48 .1SK <br /> �, w 1.0 0 a a 1 T1 a 2 J G.n.remle S ePdEress Mumercnl sera meiWN ed8uex) <br /> rrrnGi crd VR*LFT.Wool <br /> pWw WAY (.A 95304 — <br /> . 5vq j33"500 115,EPAIDNumaer _ <br /> e"'"o.aperY Name '.i.LI 0 2.9'7 7 0 1 <br /> we,`FL N OIL C1rV1PaNmENTAI,SFWCES U5.rrAlD Namcer r <br /> r.manspaM3cumPerry Name _—__-. <br /> EPA ID Numb- _ - <br /> �, a nea;grMwa FadMy Nam.am sneAdumea _ _ <br /> YYUREA OIL PEr(C!INO - <br /> 1VDO N ALAMEDA STREET <br /> l_, a :OMPTON CA W21 CA i 08001 33 <br /> Fadlaysptmm. CMO}A37�710012 <br /> IA. <br /> - <br /> 9a. 9b.U.S.DOT DesttiM(1n;Wrreazar <br /> uq Fmpe3hgeq Ne .Hazard Um lDNumbel. Fd,Canlanere 17.Tald WLrve 13.Waste Codes _ <br /> \'FdRSERV HM ar P.,kngc-.(sand) No Tree aun4M <br /> -pIXON OPI t.yyQ ON3493 WASTE FLAMMABLE LJQNIO 1: +';A:aOL.iNE Erli01 l]G16 :54 HWATER <br /> 1-&Op-727- 01/ nor 4E1 i.:T.Pr,n TE . <br /> FOA ACC( / 2 _��• <br /> 562-235-1 <br /> at- ac <br /> s <br /> _ - p <br /> E <br /> D <br /> i <br /> O <br /> 1 <br /> 14.Spatial Harrmin9lnawtliore Mrd Adrsa.-1 m[IXlllatpll <br /> COSTO FMFROENC't CONTACT-CIIEMTREC l.oM4249300 WT>E5 TFRMFNAL'CERES CS NAEPGN 9R's"128'PROFILE M 51M <br /> 4^1ASFGP-50VHF CVF7,FI ' `9,PPR0PPIATEPPFFQUIPMEPf7 , /_. X _ <br /> Illy <br /> PATE RE 15. GENEPATOR'SMFFEROR'SCERTIFICATiON:lh-bydedarethat Ne metents oflhla eonslgnment are fully and accuretexy ue bed ahove by the props shipping name,.b are dassihed.pazkaged, <br /> marked ar�d labelcbplarard L.and-,n elrespects In proper—d&,for Lansp-t aomrding m apPliwble nlennabowl anq mfielel governmental iegula4ans.If e.pon SNpmenl ard I am she P,—,yE4.ner,lorrerythat NaeonlenmdNlermsignmeetm0f e,tyre EPAA,k..1.dgm.nto1 ConsenL <br /> 1[e+ilty Natthe waste mmimva9on erammenl 1&,Zedin 49 CFR 262.77(.)(dIs.aIBV guandly 9eneroWll or(h)(ill am.small q,-MN 9—.ta)rshue. <br /> Ganerat.ysfORerofe Pnnted'ryped theme Signature Monty Day Year <br /> PARI <br /> .a 16.1n[emawnal5hip <br /> �. ©Imports U.S. ❑EapPM1hum U.S. Port of entryleaic <br /> 71—M,7pmler sgnawre Pmentsw export—ly). Date leanrg U S,: ~^ <br /> w 17 Tnnspode,Ad—M@dgmenld R—Plor Meodals <br /> �Transpcaerl Pnn[adRyped Name 519nalure hbntR Day Year <br /> QTl—wner 2 PnmedTTyped Name Signature Month Dy Year <br /> K <br /> CA51 1d D-.paney <br /> Th.Discrepancy hdabon Space Q.ritity ❑Type ❑Residue ❑P.,t.e Reject. ❑Fun R.poh.n BELs'iSrc.:rv:. <br /> Menllesl R0erenoe Number. R _ <br /> 18b.Aw-te Fanhry(er Generelor) U.S.EPA ID Number _ <br /> U - - <br /> 11 FanllO Phone: , <br /> 1ft nalure orklemate Feclllty(or Genore(or) Month Cay Year -- - <br /> ORt NY 19.H-Idaus Waite RsW Management Method Codes p.e.,codes).hrunrdoWS wasle trealmenl,dlepo.61,and fecy Lng sysleme) - - - <br /> W 1 7, 3 9 ••�• <br /> - o <br /> ar I Z0.Ce.ignatad Fadhly Owneror OpeNwc Ceniflrwu.oI recelpl of heu+daue malell4fe opvared hylhe manliest eacepl ae nded m nom 10a - <br /> 1 rinted ypsd Name Signature Munth ny Year <br /> ---" n EPA Form 8700.22(Rev.3.05)Previous edidons areDbsole4e. GENERATOR'S INITIAL COPY <br /> i <br /> ­,ee tm tNa m.w-- ae-Y• <br /> I hcnuxxuwNM -kr..rMy rrn�m�aan xeerdlnNlwnnlx moon <br /> 14 .,.1raa.axlrl.Sm-er•nN Nn^.rmmr plYl DElOa..........r nl nauwn•r„JtM , _..,..x <br /> JASON GAITAN, REHS Page 21 of 48 <br />